Patient Safety

/Tag:Patient Safety

A HYPOTENSION GROUP OBSERVED STANDARDIZED CLINICAL ENCOUNTER: ESTABLISHING A CULTURE OF PATIENT SAFETY FOR NEW INTERNS

Background: Incoming interns must understand the specific culture of safety at their new institution as well as processes that they are expected to know on day 1 of residency. As part of an immersive half-day [...]

By | 2018-03-19T13:16:56+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Research|Comments Off on A HYPOTENSION GROUP OBSERVED STANDARDIZED CLINICAL ENCOUNTER: ESTABLISHING A CULTURE OF PATIENT SAFETY FOR NEW INTERNS

A SIMULATED FIRST NIGHT ON CALL: ESTABLISHING COMMUNITY AND A CULTURE OF PATIENT SAFETY FOR INCOMING INTERNS

Background: The transition from medical student to intern presents a major patient safety concern. Incoming interns must understand the specific culture of safety at their new institution and processes that they are expected to perform [...]

By | 2018-03-19T13:16:51+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Research|Comments Off on A SIMULATED FIRST NIGHT ON CALL: ESTABLISHING COMMUNITY AND A CULTURE OF PATIENT SAFETY FOR INCOMING INTERNS

ADDRESSING DIAGNOSTIC ERRORS PROACTIVELY USING E-TRIGGERS TO MITIGATE HARM DURING INPATIENT EPISODES OF CARE

Background: Diagnostic error in acute care represents an unresolved safety issue: error rates range from 4.8 to 49.8%. If the diagnosis is delayed or incorrect, the patient may not get correct treatment in a timely [...]

By | 2019-03-11T14:20:52+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Patient Safety|Comments Off on ADDRESSING DIAGNOSTIC ERRORS PROACTIVELY USING E-TRIGGERS TO MITIGATE HARM DURING INPATIENT EPISODES OF CARE

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

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

An Interdisciplinary Approach to Quality Improvement on the Inpatient Teaching Unit

Background: Interdisciplinary communication, quality improvment, and patient safety, are integral components to providing quality healthcare. Furthermore, the ACGME recognizes the importance of the learning and working environment, a culture of safety, and providing opportunities for [...]

By | 2018-03-19T13:23:02+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Innovations|Comments Off on An Interdisciplinary Approach to Quality Improvement on the Inpatient Teaching Unit

An Interdisciplinary Team to Support Implementation of a “System-of-Systems” to Identify, Assess, and Mitigate Threats to Patient Safety in Real-Time

Background: Implementing technology with the goal of eliminating preventable hospital-acquired conditions (e.g., CAUTI, CLABSI, etc.) in the acute care setting is an ongoing challenge, but it is crucial to creating a safer healthcare system. Increasingly, [...]

By | 2018-03-19T13:24:46+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Patient Safety|Comments Off on An Interdisciplinary Team to Support Implementation of a “System-of-Systems” to Identify, Assess, and Mitigate Threats to Patient Safety in Real-Time

An Unnecessary Procedure in a Sickle Cell Patient with Acute Chest Syndrome

Case Presentation: A 28-year-old woman with sickle cell disease and chronic pain who required inpatient care several times yearly presented with worsening nausea, emesis and uncontrolled pain to the emergency department (ED). Symptoms were typical [...]

By | 2018-03-19T15:43:54+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on An Unnecessary Procedure in a Sickle Cell Patient with Acute Chest Syndrome

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

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

AUGMENTED INTELLIGENCE: AUTOMATION OF VANCOMYCIN MONITORING TO IMPROVE PATIENT SAFETY

Background: Medical error is now the third leading cause of death in the United States. Approximately 4% of hospitalized patients experience an adverse event with 20% of these adverse events being medication-related, three-fourths of which [...]

By | 2019-03-11T14:25:11+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Technology in Hospital Medicine|Comments Off on AUGMENTED INTELLIGENCE: AUTOMATION OF VANCOMYCIN MONITORING TO IMPROVE PATIENT SAFETY

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

BEE QUIET: AN INNOVATIVE STRATEGY TO IMPROVE SLEEP QUALITY AND REDUCE FALLS

Background: Sleep disturbance has negative impact on physical coordination, metabolism, cognitive performance, immune function, coagulation cascade, cardiac risk and is associated with an increased risk of falls in hospitalized patients. The number of adverse events [...]

By | 2019-03-11T14:22:08+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on BEE QUIET: AN INNOVATIVE STRATEGY TO IMPROVE SLEEP QUALITY AND REDUCE FALLS

CHARACTERIZING INAPPROPRIATE PROPHYLACTIC TRANSFUSION OF BLOOD PRODUCTS IN HOSPITALIZED PATIENTS UNDERGOING PARACENTESIS FROM 2004 TO 2012 IN THE UNITED STATES

Background: Patients with ascites due to cirrhosis frequently have some degree of thrombocytopenia and prolongation of prothrombin time. However, major bleeding rates from paracentesis are reported to be less than 1% without use of any [...]

By | 2019-03-11T14:23:45+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on CHARACTERIZING INAPPROPRIATE PROPHYLACTIC TRANSFUSION OF BLOOD PRODUCTS IN HOSPITALIZED PATIENTS UNDERGOING PARACENTESIS FROM 2004 TO 2012 IN THE UNITED STATES

COMBINING LEAN SIX-SIGMA QUALITY IMPROVEMENT METHODS WITH SAFETY BARRIER ANALYSIS TO DEVELOP INTERVENTIONS THAT REDUCE HOSPITAL-ACQUIRED VENOUS THROMBOEMBOLISM (HA-VTE)

Background: The U.S. healthcare system has a poor safety record when compared to other major industries. For example, at 250,000 per year, medical errors are the 3rd leading cause of death according to the CDC. [...]

By | 2019-03-11T14:23:46+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on COMBINING LEAN SIX-SIGMA QUALITY IMPROVEMENT METHODS WITH SAFETY BARRIER ANALYSIS TO DEVELOP INTERVENTIONS THAT REDUCE HOSPITAL-ACQUIRED VENOUS THROMBOEMBOLISM (HA-VTE)