Background: Post-surgical procedure-related mortality is a critical area of healthcare, frequently linked to complications such as excessive bleeding, sepsis, organ failure or adverse reactions to anesthesia. Given the devastating nature of these complications and their effects on patient safety, the importance of robust surgical protocols and post-op monitoring is highlighted. This study analyzed trends and [...]

Background: Hypoglycemia occurs frequently in hospitalized adults with diabetes, and is associated with adverse clinical events, increased use of rapid response teams, prolonged hospital length of stay, and higher healthcare costs (1). Identifying risk of hypoglycemia in hospitalized adults is vital to preventing adverse events and maximizing patient safety. However, there are no tools/models to [...]

Background: The Saga Fall Risk Model 2 (SFRM-2) is a simple fall prediction model using eight easily evaluated items upon admission in acute care hospitals (Figure 1). In a prospective validation study conducted at two acute and chronic care hospitals, the overall area under the curve (AUC) of SFRM2 was 0.793. However, it varied between [...]

Background: Diagnosis of complications is important for patient care, diagnostic quality, and safety. Paracentesis is a common procedure among hospitalized patients. The use of ultrasound decreases complications and improves safety. We aimed to characterize the complication rate observed among paracenteses performed by a hospital medicine bedside procedures service (MPS) before and after a transition to [...]

Background: Although 88% of inpatients with falls do not sustain injuries, those with fall-related injuries experience limitations in activities of daily living, residual disabilities, and additional medical costs. Therefore, predicting fall-related injuries is crucial. We previously developed a prediction model for fall-related injuries, the Saga Fall Injury Risk Model (SFIRM), in an acute care hospital [...]

Background: Hospital-acquired venous thromboembolism (VTE) is a common complication that leads to prolonged hospitalizations 1 and increased morbidity and mortality 2. Data analyzed from the Computerized Registry of Patients with VTE (RIETE) suggests that 1 in every 3-4 patients with VTE develop this condition in the hospital 3. A study done using data collected from [...]

Background: Medical misadventure, defined as unintended harm caused during medical care or procedures, is an increasingly significant concern in patient safety and healthcare quality. Recent decades have seen heightened awareness and reporting of such incidents globally, including in the United States. This study quantifies trends in medical misadventure-related mortality and morbidity by examining regional disparities [...]

Background: Preoperative diastolic dysfunction has been proposed as an independent predictor of major adverse cardiac events (MACE) and death after non-cardiac surgery. However, most studies supporting this association have included non-emergent procedures and utilized E/e’ ratio as the predominant echocardiographic variable evaluating diastolic function. Compared to patients undergoing elective surgeries, hip fracture surgery patients are [...]

Background: The midline catheter (midline) has emerged as a reliable vascular access device for peripherally compatible infusates. Current guidelines recommend midlines when the intended dwell is ≤14 days since little is known about its safety beyond this period. We sought to describe characteristics and outcomes of midlines that dwell for >14 days. Methods: Trained abstractors [...]

Background: This umbrella meta-analysis assesses the safety of left atrial appendage (LAA) closure by minimal invasive procedures compared to oral anticoagulants (OACs) in patients with atrial fibrillation (AF), concentrating on adverse events and overall clinical outcomes. The results seek to elucidate the most effective treatment. This umbrella meta-analysis intends to evaluate the safety and efficacy [...]