Patient Safety

A DATA MINING APPROACH TO DETECTING MEDICATION ORDER NEAR MISSES ASSOCIATED WITH ELECTRONIC ORDER SETS

Background: Adverse drug events (ADEs) are responsible for up to 770,000 inpatient injuries and deaths annually in the United States, most of which are from prescribing errors. Electronic order sets are designed to improve quality [...]

By | 2018-03-19T15:44:29+00:00 March 19th, 2018|Patient Safety, Research, Uncategorized|Comments Off on A DATA MINING APPROACH TO DETECTING MEDICATION ORDER NEAR MISSES ASSOCIATED WITH ELECTRONIC ORDER SETS

BIGGER IS NOT ALWAYS BETTER WHEN OBTAINING VENOUS ACCESS IN HOSPITALIZED PATIENTS

Background: Venous access is commonly required in hospitalized patients for the administration of intravenous fluids and medications and blood products. Peripherally inserted central catheters (PICCs) and central venous catheters (CVCs) are required for the administration [...]

By | 2018-03-19T13:05:08+00:00 March 19th, 2018|Hospital Medicine 2018, Patient Safety, Research|Comments Off on BIGGER IS NOT ALWAYS BETTER WHEN OBTAINING VENOUS ACCESS IN HOSPITALIZED PATIENTS

BRIDGING THE GAP BETWEEN SYSTEMS-BASED AND COGNITIVE CONTRIBUTIONS TO DIAGNOSTIC ERROR

Background: Diagnostic error in medicine is increasingly recognized as “the next frontier for patient safety”. Current research has explored the etiologies of diagnostic errors in two unique dimensions: as systems-based or cognitive-based causes. One study, [...]

By | 2018-03-19T12:55:17+00:00 March 19th, 2018|Hospital Medicine 2018, Patient Safety, Research|Comments Off on BRIDGING THE GAP BETWEEN SYSTEMS-BASED AND COGNITIVE CONTRIBUTIONS TO DIAGNOSTIC ERROR

CHARACTERISTICS OF PERIPHERALLY INSERTED CENTRAL CATHETER PLACEMENT IN HOSPITALIZED PATIENTS WITH CHRONIC KIDNEY DISEASE

Background: Peripherally inserted central catheters (PICCs) are associated with central vein stenosis and failure to establish a functioning arteriovenous fistula. Thus, guidelines recommend avoiding PICC placement when patients with chronic kidney disease (CKD) are likely [...]

By | 2018-03-19T12:55:29+00:00 March 19th, 2018|Hospital Medicine 2018, Patient Safety, Research|Comments Off on CHARACTERISTICS OF PERIPHERALLY INSERTED CENTRAL CATHETER PLACEMENT IN HOSPITALIZED PATIENTS WITH CHRONIC KIDNEY DISEASE

CONCURRENT NSAID AND WARFARIN USE IS ASSOCIATED WITH INCREASED BLOOD TRANSFUSIONS IN HOSPITALIZED PATIENTS

Background: Warfarin is commonly used in long-term anticoagulation and has a narrow therapeutic index. Dosing is dependent on intrinsic patient variables including cytochrome P450 2C9 (CYP2C9) and VKORC1 polymorphisms. High protein binding and CYP-dependent clearance [...]

By | 2018-03-19T15:44:14+00:00 March 19th, 2018|Patient Safety, Research, Uncategorized|Comments Off on CONCURRENT NSAID AND WARFARIN USE IS ASSOCIATED WITH INCREASED BLOOD TRANSFUSIONS IN HOSPITALIZED PATIENTS

Does EKG-Guided Peripherally Inserted Central Catheter Insertion Reduce Risk of Deep Vein Thrombosis?

Background: The position of the tip of a peripherally inserted central catheter (PICC) is associated with deep vein thrombosis (DVT). Optimal position of the tip is the cavoatrial junction; more proximal tip positions are associated [...]

By | 2018-03-19T15:43:52+00:00 March 19th, 2018|Patient Safety, Research, Uncategorized|Comments Off on Does EKG-Guided Peripherally Inserted Central Catheter Insertion Reduce Risk of Deep Vein Thrombosis?

Effectiveness of rapid response system to identify critically ill patients in an outpatient setting.

Background: Rapid response system (RRS) was developed in recent decades for the timely identification and treatment of clinically deteriorating patients. Appropriate use of RRS will decrease the incidence of cardiac arrest and mortality. Although efficacy [...]

By | 2018-03-19T13:07:04+00:00 March 19th, 2018|Hospital Medicine 2018, Patient Safety, Research|Comments Off on Effectiveness of rapid response system to identify critically ill patients in an outpatient setting.

HOW OFTEN ARE HEALTHCARE PERSONNEL HANDS COLONIZED WITH MULTI-DRUG RESISTANT ORGANISMS? A SYSTEMATIC REVIEW AND META-ANALYSIS

Background: The hands of hospitalists are often the source for transmitting multidrug resistant organisms (MDROs), and as such are the target of numerous hand hygiene interventions. Despite this focus, the prevalence of various MDROs on [...]

By | 2018-03-19T15:44:21+00:00 March 19th, 2018|Patient Safety, Research, Uncategorized|Comments Off on HOW OFTEN ARE HEALTHCARE PERSONNEL HANDS COLONIZED WITH MULTI-DRUG RESISTANT ORGANISMS? A SYSTEMATIC REVIEW AND META-ANALYSIS

I’VE GOT MY EYES ON YOU!

Background: According to CDC estimates, Hospital-Acquired Infections (HAI) account for an estimated 1.7 million infections and 99,000 deaths each year. Studies have shown that using alcohol-based or chlorhexidine-based hand hygiene (HH) is associated with decreased [...]

By | 2018-03-19T13:06:48+00:00 March 19th, 2018|Hospital Medicine 2018, Patient Safety, Research|Comments Off on I’VE GOT MY EYES ON YOU!

Measuring and Reporting Central Line-Associated Bloodstream Infection: More Than Meets the Eye?

Background: Although central line-associated bloodstream infection (CLABSI) rates are publicly reported, whether these data correlate to clinical documentation or practice is not known. Using data from a large hospital collaborative, we hypothesized that physician [...]

By | 2018-03-21T16:17:45+00:00 March 19th, 2018|Patient Safety, Research, Uncategorized|Comments Off on Measuring and Reporting Central Line-Associated Bloodstream Infection: More Than Meets the Eye?

OPTIMAL DOSING OF 4-FACTOR PROTHROMBIN COMPLEX CONCENTRATE FOR REVERSAL OF WARFARIN ASSOCIATED COAGULOPATHY

Background: While anticoagulants are the core treatment plan for preventing strokes in patients with atrial fibrillation and managing patients with thromboembolic disease, there is a dichotomy of efficacy and harm with their use. Rapid inpatient [...]

By | 2018-03-19T13:16:22+00:00 March 19th, 2018|Hospital Medicine 2018, Patient Safety, Research|Comments Off on OPTIMAL DOSING OF 4-FACTOR PROTHROMBIN COMPLEX CONCENTRATE FOR REVERSAL OF WARFARIN ASSOCIATED COAGULOPATHY

READMISSION AND MORTALITY TRENDS AFTER THE MEDICARE HOSPITAL READMISSION REDUCTION PROGRAM AT PENALIZED AND NON-PENALIZED HOSPITALS

Background: Higher rates of 30-day readmissions are associated with lower quality hospital care, and readmissions may put patients at risk for worse health outcomes including death. Historically, 20% of hospitalized Medicare beneficiaries were readmitted within [...]

By | 2018-03-22T15:45:08+00:00 March 19th, 2018|Finalist Posters, Hospital Medicine 2018, Patient Safety, Research|Comments Off on READMISSION AND MORTALITY TRENDS AFTER THE MEDICARE HOSPITAL READMISSION REDUCTION PROGRAM AT PENALIZED AND NON-PENALIZED HOSPITALS

WARFARIN QUALITY METRICS FOR HOSPITALIZED OLDER ADULTS: A RETROSPECTIVE STUDY

Background: Warfarin-associated adverse drug events are dangerous, common, and costly. Anticoagulation safety is a national priority. While multiple tools exist for warfarin management in the outpatient setting, there is a dearth of guidance with regard [...]

By | 2018-03-19T13:14:59+00:00 March 19th, 2018|Hospital Medicine 2018, Patient Safety, Research|Comments Off on WARFARIN QUALITY METRICS FOR HOSPITALIZED OLDER ADULTS: A RETROSPECTIVE STUDY