Patient Safety

HM2017 Abstract Number: 124

“RAISE YOUR RIGHT HAND:” IMPLEMENTING A HAND HYGIENE PLEDGE TO IMPACT SAFETY CULTURE

Background: Hospital-associated infections are a significant cause of morbidity and mortality, and are frequently preventable with careful attention to appropriate hand hygiene (HH).  Unfortunately, HH rates among healthcare providers are often unacceptably low. Driving complex [...]

By | 2017-04-25T17:17:53-04:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on “RAISE YOUR RIGHT HAND:” IMPLEMENTING A HAND HYGIENE PLEDGE TO IMPACT SAFETY CULTURE

HM2017 Abstract Number: 122

AN ELECTRONIC PILLBOX TO IMPROVE MEDICATION SAFETY DURING CARE TRANSITIONS

Background: Adverse drug events (ADEs) are common during transitions from the hospital to the ambulatory setting, with approximately 20% of patients experiencing an ADE within 30 days of discharge. ADEs are often due to patient [...]

By | 2017-04-20T17:23:36-04:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on AN ELECTRONIC PILLBOX TO IMPROVE MEDICATION SAFETY DURING CARE TRANSITIONS

HM2017 Abstract Number: 117

MED WRECK: IN SEARCH OF SIMPLER WAYS TO MEASURE HIGH QUALITY MEDICATION RECONCILIATION

Background: Determining the quality of medication reconciliation (MR) is a laborious and time-intensive process, often involving chart review and detailed patient interviews. Purpose: To identify meaningful, measurable process measures for high-quality MR obtainable from electronic [...]

By | 2017-04-20T17:23:39-04:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on MED WRECK: IN SEARCH OF SIMPLER WAYS TO MEASURE HIGH QUALITY MEDICATION RECONCILIATION

HM2017 Abstract Number: 116

DEVELOPMENT AND PILOT TESTING OF A NOVEL PATIENT SAFETY DASHBOARD INTEGRATED INTO A VENDOR EHR

Background: Hospital associated injury is the third leading cause of death in the United States. Lack of communication about patient safety issues among care team members and with patients is a key source of hospital [...]

By | 2017-04-20T17:23:41-04:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on DEVELOPMENT AND PILOT TESTING OF A NOVEL PATIENT SAFETY DASHBOARD INTEGRATED INTO A VENDOR EHR

HM2017 Abstract Number: 112

UNEXPECTED OVERNIGHT ADVERSE EVENTS IN INPATIENTS: CROSS-SECTIONAL STUDY IN A SINGLE CENTER IN JAPAN

Background: Unexpected overnight adverse events are known to correlate with worse outcomes in inpatients.  Unfortunately, the exact occurrence and etiologies of such events have been less known.    Purpose: The aim of our study was [...]

By | 2017-04-20T17:23:43-04:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on UNEXPECTED OVERNIGHT ADVERSE EVENTS IN INPATIENTS: CROSS-SECTIONAL STUDY IN A SINGLE CENTER IN JAPAN

HM2017 Abstract Number: 110

HOSPITAL-WIDE INITIATIVE TO DECREASE OPIOID-RELATED MORBIDITY AND MORTALITY

Background: At its 2014 peak, the opioid overdose crisis claimed nearly 30,000 lives, but many hospitals and health systems have small opioid-related initiatives working in disjointed fashion rather than a cohesive response.  Purpose: We created [...]

By | 2017-04-20T17:23:45-04:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on HOSPITAL-WIDE INITIATIVE TO DECREASE OPIOID-RELATED MORBIDITY AND MORTALITY

HM2017 Abstract Number: 109

TIMELY EVALUATION OF EMERGENTLY ADMITTED PATIENTS (4-4-2 ADHERENCE)

Background: A midsize health system recognized a pattern in Serious Safety Events (SSE) occurring in its hospitals. Half of all SSE-1 (deaths) and SSE-2 (severe permanent harm) were attributed to delays in physician evaluation of [...]

By | 2017-04-20T17:23:47-04:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on TIMELY EVALUATION OF EMERGENTLY ADMITTED PATIENTS (4-4-2 ADHERENCE)

HM2017 Abstract Number: 106

PILOT OF A LOW-RESOURCE, EHR-BASED TOOL FOR SEPSIS MONITORING, ALERT, AND INTERVENTION

Background: Sepsis is a common, costly, and mortal clinical syndrome. Many delays in sepsis recognition and intervention are due to “data latency,” the period of time between data suggestive of sepsis being entered in the [...]

By | 2017-04-20T17:23:49-04:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on PILOT OF A LOW-RESOURCE, EHR-BASED TOOL FOR SEPSIS MONITORING, ALERT, AND INTERVENTION

HM2017 Abstract Number: 105

SAFETY IN NUMBERS: RESULTS FROM THE RESIDENT-LED SAFETY PROGRAM AT DUKE CHILDREN’S HOSPITAL

Background: The ACGME Clinical Learning Environment Review (CLER) has focused on six areas of trainee working and learning environments, two of which are safety and quality improvement (QI).  Exposure to practical safety and QI training [...]

By | 2017-04-20T17:23:51-04:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on SAFETY IN NUMBERS: RESULTS FROM THE RESIDENT-LED SAFETY PROGRAM AT DUKE CHILDREN’S HOSPITAL