Patient Safety

HM2016 Abstract Number: 169

Systematic Review of Physiologic Monitor Alarm Characteristics and Pragmatic Interventions to Reduce Alarm Frequency

Background: Clinicians rely on physiologic monitor alarms to notify them of their patients’ changing vital signs. Currently, alarms occur very frequently and usually do not warrant clinical intervention. High alarm burden can lead to alarm [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Systematic Review of Physiologic Monitor Alarm Characteristics and Pragmatic Interventions to Reduce Alarm Frequency

HM2016 Abstract Number: 167

Management of Laboratory Tests Pending at Discharge: A Systematic Review

Background: Failure to follow-up results of laboratory tests pending at discharge (TPADs) can lead to patient harm. Numerous interventions have been proposed to improve follow-up. The Laboratory Medicine Best Practices (LMBP™) workgroup, sponsored by the [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Management of Laboratory Tests Pending at Discharge: A Systematic Review

HM2016 Abstract Number: 163

Predictors of Occlusion in Peripherally Inserted Central Catheters: Evidence from the Michigan Hospital Safety Consortium

Background: Catheter occlusion is often encountered when using peripherally inserted central catheters (PICCs). Patients who experience catheter occlusion are at risk of interruption of therapy, thrombolytic instillment, and complications such as VTE. Whether rates of [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Predictors of Occlusion in Peripherally Inserted Central Catheters: Evidence from the Michigan Hospital Safety Consortium

HM2016 Abstract Number: 162

Change in Prescription Habits After Federal Rescheduling of Hydrocodone Combination Products

Background: According to the most recent data released by the Centers for Disease Control, forty-six Americans die every day due to narcotic prescription drug overdose. Nationally, health care providers wrote two hundred and fifty-nine million [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Change in Prescription Habits After Federal Rescheduling of Hydrocodone Combination Products

HM2016 Abstract Number: 160

Reinitiation of Antithrombotic Therapy After Emergency Procedures or After an Emergent Bleeding Event: Additional Interim Experience from the Re-Verse Ad Trial

Background: Oral anticoagulation is effective for reduction of risk for stroke and systemic embolism in patients with nonvalvular atrial fibrillation, but there may be uncertainty about how to manage anticoagulation in and following an emergency [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Patient Safety, Research Abstracts|Comments Off on Reinitiation of Antithrombotic Therapy After Emergency Procedures or After an Emergent Bleeding Event: Additional Interim Experience from the Re-Verse Ad Trial

HM2016 Abstract Number: 159

Delayed Paracentesis and Spontaneous Bacterial Peritonitis – No Increase in Mortality

Background: Spontaneous Bacterial Peritonitis (SBP) is associated with high mortality.  A recent article[1] showed that, in the setting of SBP, delayed paracentesis was associated with increased mortality.  Because of the clinical ramifications of this association, [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Delayed Paracentesis and Spontaneous Bacterial Peritonitis – No Increase in Mortality

HM2016 Abstract Number: 158

Analysis of Severe Gastrointestinal Bleed in Patients on Anticoagulation for Atrial Fibrillation and Abnormal Endoscopic Evaluation

Background: Widespread use of new oral anticoagulants (NOAG) for Atrial Fibrillation (A-Fib) has increased the annual incidence of gastrointestinal bleed (GIB) in recent years. These NOAG agents in our study include Rivaroxaban, Apixaban and Dabigatran. [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Analysis of Severe Gastrointestinal Bleed in Patients on Anticoagulation for Atrial Fibrillation and Abnormal Endoscopic Evaluation

HM2016 Abstract Number: 156

Statin Use and the Risk of New Onset Diabetes Mellitus: An Evidence Based Review

Background: It is estimated that nearly 20 million people are taking Statins (HMG-CoA Reductase Inhibitors) currently in the United States. The benefits of statins to treat and prevent cardiovascular disease are accepted universally. However, recent [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Statin Use and the Risk of New Onset Diabetes Mellitus: An Evidence Based Review

HM2016 Abstract Number: 155

Severe Hypophosphatemia: Its Prevalence and Predictors Associated with In-Hospital Mortality

Background: It has been unclear about prevalence and in-hospital mortality of severe hypophosphatemia among hospitalized medical patients. Predictors for in-hospital mortality have not yet been determined in terms those may include serum nadir phosphate level, [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Severe Hypophosphatemia: Its Prevalence and Predictors Associated with In-Hospital Mortality

HM2016 Abstract Number: 154

Teamstepps®-Based Daily Safety Briefs: A Common Denominator for Improving Patient Safety

Background: Quality and patient safety initiatives are often role-specific with minimal emphasis on cross-discipline collaboration and communication. Prior to project implementation, each discipline’s patient care plans were made in silos without an aligned emphasis on [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Teamstepps®-Based Daily Safety Briefs: A Common Denominator for Improving Patient Safety

HM2016 Abstract Number: 153

Assessing Staff Utilization of the Braden Scale Score As a Risk Stratification Tool at a Tertiary Care Teaching Hospital: An Observational Study

Background: The total cost for treatment of pressure ulcers in the United States is estimated at more than $11 billion annually. The Braden Scale is a risk stratification tool that assesses a patient's risk of [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Assessing Staff Utilization of the Braden Scale Score As a Risk Stratification Tool at a Tertiary Care Teaching Hospital: An Observational Study

HM2016 Abstract Number: 152

Kick-Starting a Culture of Safety: How Teamstepps and Simulation Transformed Attitudes on the Medicine Service

Background: TeamSTEPPS (Strategies and Tools to Enhance Performance and Patient Safety) has been shown to improve patient safety by improving teamwork and communication skills amongst all members of the interdisciplinary team. Methods: We developed a [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Kick-Starting a Culture of Safety: How Teamstepps and Simulation Transformed Attitudes on the Medicine Service

HM2016 Abstract Number: 149

Should Patients Be Able to Activate Rapid Response Teams?

Background: Active patient engagement improves patient  outcomes.  Patient activated rapid response teams are one potential method to encourage patient involvement, however outcomes of this intervention have not been evaluated.  The University of Pittsburgh Medical Center [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Should Patients Be Able to Activate Rapid Response Teams?

HM2016 Abstract Number: 148

An Electronic Health Record-Based Severe Sepsis Alert to Improve Sepsis Treatment Performance: Randomized Evaluation

Background: Sepsis, severe sepsis, and septic shock combined, are estimated to affect between 650,000 and 750,000 Americans annually, and has an associated mortality rate between 20 to 50%.  Early identification of patients with sepsis is [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Patient Safety, Research Abstracts|Comments Off on An Electronic Health Record-Based Severe Sepsis Alert to Improve Sepsis Treatment Performance: Randomized Evaluation

HM2016 Abstract Number: 145

Limiting the Number of Lumens in Peripherally Inserted Central Catheters to Improve Outcomes and Reduce Cost: A Simulation Study

Background: The number of peripherally inserted central catheter (PICC) lumens has been associated with thrombotic and infectious complications. Policies that limit use of multi-lumen PICCs may improve safety and reduce cost. In this simulation-based study, [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Patient Safety, Research Abstracts|Comments Off on Limiting the Number of Lumens in Peripherally Inserted Central Catheters to Improve Outcomes and Reduce Cost: A Simulation Study

HM2016 Abstract Number: 146

Do Antimicrobial Peripherally Inserted Central Catheters Reduce the Risk of Central Line-Associated Bloodstream Infection? A Systematic Review and Meta-Analysis

Background: While peripherally inserted central catheters (PICCs) are important in caring for patients, they are associated with central line-associated bloodstream infection (CLABSI). Antimicrobial PICCs are novel devices that may reduce the risk of CLABSI, but [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Do Antimicrobial Peripherally Inserted Central Catheters Reduce the Risk of Central Line-Associated Bloodstream Infection? A Systematic Review and Meta-Analysis

HM2016 Abstract Number: 141

Discharging a Patient Ama, What Do You Do?

Background: Discharge against medical advice (AMA) occurs in up to 2% of all medical admissions.  These patients risk morbidity and mortality when being discharged AMA.  Given the frequency of AMA discharges and their potential consequences, [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Discharging a Patient Ama, What Do You Do?

HM2016 Abstract Number: 140

Incidence of Venous Thromboembolism (Vte) in Patients Prescribed Megestrol for Appetite Stimulation

Background: Cachexia and anorexia occur in 50-80% of cancer patients. In cancer patients, it is associated with shorter survival, treatment failure, early treatment termination, declining functional status, and reduced quality of life. Megestrol acetate is [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Incidence of Venous Thromboembolism (Vte) in Patients Prescribed Megestrol for Appetite Stimulation