Session Type
Meeting
Search Results for Patient Safety
Abstract Number: 264
SHM Converge 2023
Background: Hospitalized patients with COVID-19 who improve clinically but have ongoing oxygen requirements are often discharged with home oxygen. There are important considerations for home monitoring, follow-up and education at the time of discharge for these patients who must manage new equipment at home. This project aimed to describe discharge planning for COVID-19 patients with […]
Abstract Number: 332
SHM Converge 2023
Background: The Accreditation Council for Graduate Medical Education’s (ACGME) Clinical Learning Environment Review (CLER) program’s Pathways to Excellence framework includes the expectation that “residents and fellows engage in inter-professional, experiential patient safety event investigations that include analysis” (1, 2). However, as noted by the CLER program national reports, trainee participation in patient safety event analyses […]
Abstract Number: 348
SHM Converge 2023
Background: A working group was created to look at the care of behavioral patients in the hospital. This group focused primarily on the rapid response teams (RRTs) related to behavioral emergencies in this patient population. Currently if a patient decompensates psychiatrically, rather than their psychiatric issue be addressed promptly, an RRT gets called and many […]
Abstract Number: 350
SHM Converge 2023
Background: Accurate and reliable medication reconciliation (MedRec) is an indispensable step ensuring patient safety and minimizing medical errors during transitions of care. Yet, it is one of the most challenging aspects in healthcare quality and safety. In fact, inaccurate MedRec accounts for 40 % of medication errors, up to 20% of which result in harm […]
Abstract Number: 352
SHM Converge 2023
Background: Documentation shortcut tools in electronic health records, such as dot phrases, are essential in a busy clinical environment to promote efficiency and standardize care, but are known to carry risks. The extent to and mechanism by which dot phrase errors occur are poorly characterized. In addition, there are no defined interventions for hospitalists to […]
Abstract Number: 370
SHM Converge 2023
Background: Many studies have demonstrated the negative effects of emergency department (ED) crowding on outcomes, including increased length of stay, inpatient mortality, and risk of readmission. Early evidence suggests effective and timely triage of patients with hospitalist input can mitigate some of the detrimental effects of ED crowding. In contrast to prior studies focused on […]
Abstract Number: 378
SHM Converge 2023
Background: Morbidity and Mortality (M&M) conferences are ubiquitous among internal medicine (IM) residency programs, but often fail to improve patient safety and foster learning.1,2 One key determinant of a successful M&M conference is the choice of patient safety event (i.e. M&M case) that is analyzed or presented. However, the characteristics of an effective M&M case […]
Abstract Number: 381
SHM Converge 2023
Background: Lost or improperly labeled specimens may be medically detrimental to patients and have legal implications for the medical professionals and healthcare facility involved. Endoscopy is an especially high-risk location for specimen errors given the large number of biopsies obtained and the high volume of patients served daily by the same team. A 61-year-old male […]
Abstract Number: 407
SHM Converge 2023
Background: Adverse events (AE) are common during care transitions (19-28%) in patients with multiple chronic conditions (MCC) and often lead to unanticipated healthcare resource utilization after discharge. While early indicators of these AEs include new and worsening symptoms, systematic monitoring of patient-reported symptoms is lacking. The 21st Century Cures Act mandates the healthcare industry to […]
Abstract Number: 498
SHM Converge 2023
Case Presentation: A 63-year-old male with severe COPD (on 3L NC at baseline), coronary artery disease, obesity, and history of tobacco abuse initially presented to the emergency room with chest pain after a fall. A chest x-ray revealed multiple rib fractures. He had worsening hypoxia over the next few days, and a CT chest revealed […]