Background: GLP1RAs have been proven beneficial for weight loss in patients with NAFLD with or without Diabetes. However, such use is limited due to cost and limited insurance coverage in those without diabetes. Methods: Retrospective chart review of patients with NAFLD seen at Multidisciplinary NAFLD clinic in Low SES community. Results: A total of 11 [...]

Background: Approximately one-third of patients with acute ischemic stroke (AIS) develop hyperglycemia regardless of pre-existing history of diabetes [1]. Hyperglycemia is associated with increased risk of hemorrhagic transformation and can be considered as a predictor of poor functional outcome after intravenous thrombolysis (IVT) and mechanical thrombectomy (MT) [2]. Additionally, risk of death, hemorrhagic complications, and [...]

Background: As of 2020, COVID-19 is the third leading cause of death after heart disease and cancer. COVID-19 accounted for more than a million hospitalization in the USA since the onset of the pandemic. Our aim is to investigate the impact of racial disparities on the outcome of COVID-19 admissions. Methods: We queried the National [...]

Background: Thromboembolic events (TE) have been increasingly reported among patients with COVID-19, causing significant morbidity and mortality. Additionally, it has been established that patients with cancer are at an increased risk of venous thrombotic embolism (VTE), with the annual incidence of VTE being nearly five times higher than in the general population (0.5% compared with [...]

Background: Diagnostic and clinical reasoning errors are common and a source of harm to our patients. Improving clinical reasoning skills is challenging due to the absence of feedback. Care transitions have been recognized as an area of vulnerability for hospitalized patients, however, they also represent opportunities for error recognition and improvement as the oncoming clinician [...]

Background: Current literature shows that many graduating health-professional students are not adequately trained to identify safety hazards [1]. With early integration of patient safety education in medical student education, we hope to reduce the occurrence of adverse events longitudinally throughout an individual’s medical career. Data demonstrates that patient safety simulations are an effective method to [...]

Background: Attention to the quality of glycemic management during the hospital stay, including care transitions, has grown with increasing evidence linking inpatient and post-discharge glycemic control to clinical outcomes, widespread use of glucometric benchmarking, and impending pay-for-performance measures. Clinical inertia (nonadherence to guidelines) and therapeutic inertia (failure to adjust medications as indicated) or CTI among [...]

Background: Diagnostic errors (DEs) are common and can lead to preventable harm in hospitalized patients.[1] To address this problem as part of our AHRQ-funded Patient Safety Learning Laboratory, we characterized diagnostic process failures that contribute to DEs.[2,3] Next, we refined three interventions (Figure 1) that addressed common process failures and were embedded into our electronic [...]

Background: CMS launched the Hospital Value-Based Purchasing (VBP) Program in 2010 as part of their initiatives to incorporate healthcare quality into Medicare payment structures. Participating hospitals are assessed according to four domains: Clinical Care, Person and Community Engagement, Safety, and Efficiency and Cost Reduction. Interventions to improve patient safety such as hand hygiene, contact precautions, [...]

Background: In-hospital venous thromboembolism (VTE) remains an important preventable cause of morbidity/mortality. Multiple risk assessment models (RAMs) for VTE in hospitalized medical patients have been developed, validated, and endorsed by several national societies. Despite evidence and guidelines supporting risk stratification for VTE prevention, data suggest that prophylactic measures are not appropriately utilized. In a nation-wide [...]