Patient Safety

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

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

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

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

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

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

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

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

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

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

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

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

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