Patient Safety

ADVERSE EVENTS EXPERIENCED BY PATIENTS HOSPITALIZED WITHOUT DEFINITE MEDICAL ACUITY: A RETROSPECTIVE COHORT STUDY

Background: There is evidence that physicians consider a variety of “non-medical” factors (e.g. lack of social support, barriers to access) in hospital admission decision-making out of concern for patient safety, and that patients are hospitalized [...]

By | 2019-03-11T14:21:21+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on ADVERSE EVENTS EXPERIENCED BY PATIENTS HOSPITALIZED WITHOUT DEFINITE MEDICAL ACUITY: A RETROSPECTIVE COHORT STUDY

ANTIBIOTIC STEWARDSHIP TEAMS AND CLOSTRIDIOIDES DIFFICILE INFECTION PREVENTION PRACTICES IN UNITED STATES HOSPITALS: A NATIONAL SURVEY IN THE JOINT COMMISSION ANTIMICROBIAL STEWARDSHIP STANDARD ERA

Background: Clostridioides difficile infection (CDI) can be prevented through infection prevention practices and antibiotic stewardship. We found in a 2013 national survey (571 hospitals, 71% response rate) that while infection prevention practices for CDI were [...]

By | 2019-03-11T14:21:27+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on ANTIBIOTIC STEWARDSHIP TEAMS AND CLOSTRIDIOIDES DIFFICILE INFECTION PREVENTION PRACTICES IN UNITED STATES HOSPITALS: A NATIONAL SURVEY IN THE JOINT COMMISSION ANTIMICROBIAL STEWARDSHIP STANDARD ERA

APPLYING MAGIC TO IMPROVE PICC APPROPRIATENESS IN 42 MICHIGAN HOSPITALS

Background: A substantial proportion of peripherally inserted central catheters (PICCs) are placed for inappropriate indications. We performed a multi-hospital intervention to improve the appropriateness of PICC use.Methods: We conducted a collaborative cohort study of hospitals [...]

By | 2019-03-18T13:25:43+00:00 March 11th, 2019|Finalist Posters - Research, Hospital Medicine 2019, Patient Safety, Research|Comments Off on APPLYING MAGIC TO IMPROVE PICC APPROPRIATENESS IN 42 MICHIGAN HOSPITALS

ARE MIDLINES SAFER THAN PICCS IN HOSPITALIZED PATIENTS? COMPARISON OF OUTCOMES OF PERIPHERALLY INSERTED CENTRAL CATHETERS (PICCS) VS MIDLINES FROM A STATEWIDE COLLABORATIVE

Background: Midlines are peripheral vascular devices inserted in the veins of the upper extremity with the tip located at or below the axillary vein. Complications associated with peripherally inserted central catheter (PICC) along with documented [...]

By | 2019-03-11T14:21:23+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on ARE MIDLINES SAFER THAN PICCS IN HOSPITALIZED PATIENTS? COMPARISON OF OUTCOMES OF PERIPHERALLY INSERTED CENTRAL CATHETERS (PICCS) VS MIDLINES FROM A STATEWIDE COLLABORATIVE

ASSESSING DOCUMENTATION OF CLINICAL REASONING IN ADMISSION NOTES OF PHYSICIANS WORKING IN HOSPITAL MEDICINE

Background: High quality clinical documentation is essential for patient safety. Thoughtful clinical documentation transmits one’s clinical reasoning and is considered to be a professional responsibility. There are no accepted standards for assessing documentation with respect [...]

By | 2019-03-11T14:21:05+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on ASSESSING DOCUMENTATION OF CLINICAL REASONING IN ADMISSION NOTES OF PHYSICIANS WORKING IN HOSPITAL MEDICINE

BAD MEDICINE: MEDICAL ERROR IN MEDICAL TELEVISION DRAMAS

Background: Since 1951, medical television dramas have impacted how the public views, understands, and learns about the medical profession. Previous studies have examined how these shows depict topics such as cardiopulmonary resuscitation; other studies have [...]

By | 2019-03-11T14:20:46+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on BAD MEDICINE: MEDICAL ERROR IN MEDICAL TELEVISION DRAMAS

DO CLINICIANS KNOW WHICH OF THEIR PATIENTS HAVE PERIPHERAL INTRAVENOUS CATHETERS?

Background: Peripheral Intravenous Catheters (PIVs) are the most frequently used invasive device in hospitalized patients. Although they are often considered low risk, complications associated with peripheral IVs include phlebitis, bloodstream infection, extravasation. They are also [...]

By | 2019-03-11T14:20:37+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on DO CLINICIANS KNOW WHICH OF THEIR PATIENTS HAVE PERIPHERAL INTRAVENOUS CATHETERS?

DO HOSPITALIZED PATIENTS RECEIVE APPROPRIATE VENOUS THROMBOEMBOLISM PROPHYLAXIS?

Background: Medical patients can be risk stratified using the Padua Prediction Score for venous thromboembolism (vte). It is important to then use the appropriate prophylaxis, chemical, mechanical or none. Studies have not found an added [...]

By | 2019-03-11T14:21:13+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on DO HOSPITALIZED PATIENTS RECEIVE APPROPRIATE VENOUS THROMBOEMBOLISM PROPHYLAXIS?

EMERGENCIES IN DIALYSIS: A RETROSPECTIVE REVIEW OF MEDICAL EMERGENCY TEAM UTILIZATION IN HOSPITALIZED PATIENTS WITH END-STAGE RENAL DISEASE

Background: Medical Emergency Teams (METs) are utilized in an inpatient setting to identify patients who exhibit signs of clinical deterioration. Patients, family, or staff activate the team by calling a Code MET when there is [...]

By | 2019-03-11T14:21:10+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on EMERGENCIES IN DIALYSIS: A RETROSPECTIVE REVIEW OF MEDICAL EMERGENCY TEAM UTILIZATION IN HOSPITALIZED PATIENTS WITH END-STAGE RENAL DISEASE

FREQUENCY OF INPATIENT DEATHS DUE TO MEDICAL ERROR: A SYSTEMATIC REVIEW AND META-ANALYSIS

Background: Since the publication of the Institute of Medicine report To Err Is Human in 1999, preventable inpatient deaths in the United States have been estimated as between 44,000 and 98,000 deaths annually. A more [...]

By | 2019-03-11T14:21:16+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on FREQUENCY OF INPATIENT DEATHS DUE TO MEDICAL ERROR: A SYSTEMATIC REVIEW AND META-ANALYSIS

I-PSI: A CAMPAIGN TO INCREASE PATIENT SAFETY REPORTING BY HOUSESTAFF

Background: Voluntary incident reporting systems are an essential component of a high reliability organization (HRO). Historically, housestaff contribute just 1% of all patient safety intelligence (PSI) events reported at our tertiary care academic institution. This [...]

By | 2019-03-11T14:20:58+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on I-PSI: A CAMPAIGN TO INCREASE PATIENT SAFETY REPORTING BY HOUSESTAFF

IDENTIFYING RISK FACTORS FOR HYPOGLYCEMIA TO PREVENT ADVERSE OUTCOMES AMONG HOSPITALIZED PATIENTS

Background: Diabetes affects 30.3 million people in the US, and 25% of total hospital days are incurred by patients with diabetes. Among hospitalized adults, diabetes is considered a chronic secondary diagnosis. As the population of [...]

By | 2019-03-11T14:21:06+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on IDENTIFYING RISK FACTORS FOR HYPOGLYCEMIA TO PREVENT ADVERSE OUTCOMES AMONG HOSPITALIZED PATIENTS

IMPLEMENTATION OF AN EARLY WARNING SYSTEM IMPROVES PATIENT SAFETY, BUT IS IT WORTH THE COSTS?

Background: Numerous early warning systems (EWS) exist as potential tools to improve patient safety. Our system recognized higher than peer rates of rapid response (RRT) utilization as well as higher than desired out-of-ICU code blue [...]

By | 2019-03-11T14:20:55+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on IMPLEMENTATION OF AN EARLY WARNING SYSTEM IMPROVES PATIENT SAFETY, BUT IS IT WORTH THE COSTS?

PAIN ASSESSMENT TOOLS IN PATIENTS WITH CHRONIC OPIOD USE: A SYSTEMATIC REVIEW

Background: It is often challenging to assess pain in patients on chronic opioids either in acute care setting or in outpatient centers. Pain assessment in this group is more challenging especially if they are hospitalized [...]

By | 2019-03-11T14:21:24+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on PAIN ASSESSMENT TOOLS IN PATIENTS WITH CHRONIC OPIOD USE: A SYSTEMATIC REVIEW

PATIENTS’ ACCEPTANCE OF INCORPORATING THEIR PHOTOGRAPH INTO THE ELECTRONIC HEALTH RECORD

Background: Wrong-patient order entry errors are common and often have the potential to cause patient harm. The Office of the National Coordinator for Health Information Technology Patient Identification SAFER Guide recommends displaying patient photographs in [...]

By | 2019-03-11T14:21:14+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on PATIENTS’ ACCEPTANCE OF INCORPORATING THEIR PHOTOGRAPH INTO THE ELECTRONIC HEALTH RECORD