Session Type
Meeting
Search Results for Patient Safety
Abstract Number: G23
SHM Converge 2022
Background: Communication related to medications is an important metric on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey to measure patient experience after discharge from the hospital. There are many factors which can lead to poor communication about medications (Figure 1). Over 20% of readmissions can be related to medications, and of […]
Abstract Number: I21
SHM Converge 2022
Background: Appropriate and timely documentation of rapid response events has been shown to have a significant impact on patient care and outcomes. Prior to January 2021, our institution did not have a standardized rapid response note template to facilitate best clinical documentation practices. A review of rapid response events at our institution that occurred during […]
Abstract Number: J11
SHM Converge 2022
Background: The COVID-19 pandemic required physicians to care for a new disease with uncertain and evolving characteristics while also adhering to physical and social distancing practices, and under conditions of extreme duress – all factors likely to lead to missed or delayed diagnoses among patients admitted ‘under investigation’ for COVID-19. Methods: We carried out a […]
Abstract Number: K11
SHM Converge 2022
Background: Lumbar punctures are an important diagnostic and therapeutic tool for internists. While rates of major complications are low, success rates in the literature are widely variable and dependent on patient body habitus, patient positioning, operator experience, and use of ultrasound guidance.1 Many trainees report discomfort with their skill in performing and supervising bedside procedures, […]
Abstract Number: K17
SHM Converge 2022
Background: Patient safety indicators (PSI) are hospital quality measures designed by the Agency for Healthcare Research and Quality (AHRQ) to capture potentially-preventable adverse events. PSI-12 is defined as perioperative pulmonary embolism (PE) or deep vein thrombosis (DVT). It is unclear how active COVID-19 infection, which is known to be associated with coagulopathy, has impacted PSI-12 […]
Abstract Number: M20
SHM Converge 2022
Background: Nursing facility (NF) quality of care is the subject of many innovations. The Centers for Medicare and Medicaid Services (CMS) allows for public comparison of quality measures. New Mexico (NM) consistently explores how to improve care in these areas. There are 70 NFs in NM; half are scattered in isolated rural areas. The shortage […]
Abstract Number: N20
SHM Converge 2022
Background: There has been a national push over the last few decades to integrate patient safety within clinical care delivery. Despite an increased focus by educators and accrediting bodies, successful involvement of learners in high fidelity event review resulting in systems-level improvement lags behind expectations. Specific areas for improvement include faculty skillset development, involving interprofessional […]
Abstract Number: O20
SHM Converge 2022
Background: Continuing medical education (CME) sessions that teach the principles of root cause analysis (RCA) and offer CME credit to attendees are already widely available (1.) However, to our knowledge, no institutions offer physicians CME credit for participation in actual RCAs that are conducted to investigate real adverse events. A 2015 review recommended increasing the […]
Abstract Number: O21
SHM Converge 2022
Background: Evidence-based guidelines/protocols for electrolyte replacement that safely encourage oral (PO) and/or intravenous (IV) dosing attain goal levels more successfully than standard care. PO is generally more comfortable and less dangerous than IV. Between 5/2017-11/2017, our institution dosed ~300,000 doses of potassium (K) and magnesium (Mg), with 30% and 19% of doses being PO, respectively. […]
Oral Presentations
Abstract Number: OP4
SHM Converge 2022
Background: Prior studies have tested interventions to redesign aspects of the care delivery system for hospitalized medical patients, but the majority have evaluated the effect of single interventions. We sought to implement a set of complementary interventions and evaluate the effect on interprofessional teamwork and patient safety. Methods: The REdesigning SystEms to Improve Teamwork and […]