Patient Safety

A Comprehensive, Multidisciplinary Approach to Reducing Excessive Telemetry Alarms on Med-Surg Units

Background: Alarm fatigue is a serious patient safety issue and represents a 2015 National Patient Safety Goal.  False alarms can mask true alarms, and may contribute to suboptimal patient care practices.  Cardiac telemetry monitoring in [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Patient Safety|Comments Off on A Comprehensive, Multidisciplinary Approach to Reducing Excessive Telemetry Alarms on Med-Surg Units

Creation and Growth of a Hospitalist-Led Medicine Procedure Service: A 2-Year Experience

Background: The American Board of Internal Medicine expects all general internists to be competent, at least “with regard to their knowledge and understanding,” in bedside paracentesis, thoracentesis, central venous catheterization, and lumbar puncture, among other [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Patient Safety|Comments Off on Creation and Growth of a Hospitalist-Led Medicine Procedure Service: A 2-Year Experience

Do You Know Your New Medication? A Novel Approach to Improve Patient Medication Education

Background: Medication education for patients and caregivers can significantly impact patient safety. New medications are often introduced during a patient’s acute hospitalization. Without proper education, patients may not recognize these medications, their indications or their [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Patient Safety|Comments Off on Do You Know Your New Medication? A Novel Approach to Improve Patient Medication Education

Hospital Horror Story: Situational Awareness to Assess Interns’ Recognition of Safety and Low-Value Hospital Hazards

Background:  While many institutions train housestaff to mitigate hospital hazards, few have exploited the crucial concept of situational awareness (i.e. mindfulness of the patient environment) to teach patient safety. One method to promote situational awareness [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Patient Safety|Comments Off on Hospital Horror Story: Situational Awareness to Assess Interns’ Recognition of Safety and Low-Value Hospital Hazards

Improving Physician-Nursing Pager Communicaton Safety and Reliability

Background: We observed that clinical pages in our institution on both medical and surgical services do not always reach the primary inpatient provider. Because we use pagers to communicate critical, time-sensitive information, delayed or misdirected [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Patient Safety|Comments Off on Improving Physician-Nursing Pager Communicaton Safety and Reliability

Life After Death: Integrating Patient Safety and Evidence-Based Medicine Into Your Morbidity and Mortality Conference

Background: Morbidity and Mortality (M&M) Conference is a traditional forum that provides residents with an opportunity to discuss medical errors, adverse events and near misses. Conventionally, most of the allotted time is spent on case [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Patient Safety|Comments Off on Life After Death: Integrating Patient Safety and Evidence-Based Medicine Into Your Morbidity and Mortality Conference

Pilot of a Low-Resource, Ehr-Based Protocol for Sepsis Monitoring, Alert, and Intervention

Background: In-hospital mortality attributable to sepsis is higher than overall population mortality (Gaieski DF et al, 2013; Dombrovskiy VY, 2007). Furthermore, the rates of severe sepsis are increasing annually (Dombrovskiy VY,2007). Early detection and early [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Patient Safety|Comments Off on Pilot of a Low-Resource, Ehr-Based Protocol for Sepsis Monitoring, Alert, and Intervention

Real-Time Padua: An Automated Ehr Integrated Venous Thromboembolism Risk Assessment Tool

Background: Venous thromboembolism (VTE) is a serious and all too frequent hospital complication, therefore assessing each patient’s individual risk of VTE is an important part of their care.  Multiple models are available for risk assessment, [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Innovations Abstracts, Patient Safety|Comments Off on Real-Time Padua: An Automated Ehr Integrated Venous Thromboembolism Risk Assessment Tool

Redesigned Morbidity and Mortality Conference Emphasizes Patient Safety

Background: Discussion of medical errors in patient care is often not formally taught in most residencies or medical schools.  Yet the skill set needed for addressing patient adverse events when they occur and preventing similar [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Patient Safety|Comments Off on Redesigned Morbidity and Mortality Conference Emphasizes Patient Safety

Why Use Two When One Will Do: A Project to Minimize Opioid Therapeutic Duplication in the Hospital Setting

Background: Therapeutic duplication is the practice of prescribing multiple medications within the same class without a clear indication to use one over the other. Also referred to as “drug stacking”, this prescribing behavior is a [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Patient Safety|Comments Off on Why Use Two When One Will Do: A Project to Minimize Opioid Therapeutic Duplication in the Hospital Setting