Session Type
Meeting
Search Results for Safety
Abstract Number: 171
SHM Converge 2023
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 […]
Abstract Number: 172
SHM Converge 2023
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, […]
Abstract Number: 174
SHM Converge 2023
Background: Hospitalized patients may require central venous access devices (CVADs) for inadequate intravenous (IV) access. CVADs have known complications, including peri-procedural trauma and central line associated bloodstream infections (CLABSI). CLABSI is of concern for patients and hospital systems, as it is largely preventable and used as a quality measure. A CVAD alternative is a short […]
Abstract Number: 180
SHM Converge 2023
Background: Almost three-quarters of hospitals with 50 or more beds have a palliative care program, and the percentage of annual hospital admissions receiving an initial palliative care consultation is more than 5%. Methylnaltrexone (MNTX) is a peripherally acting µ-opioid receptor antagonist indicated for opioid-induced constipation (OIC) in patients with advanced illness who are receiving palliative […]
Abstract Number: 185
SHM Converge 2023
Background: Physical restraint use among patients hospitalized with dementia and behavioral disturbances has not been studied on a national level in the United States. We aimed to determine rates of physical restraint use among hospitalized patients with dementia and behavioral disturbances and to characterize associations with mortality and utilization metrics. Methods: National Inpatient Sample database […]
Abstract Number: 187
SHM Converge 2023
Background: Failure to follow-up on lab tests and radiology results can lead to major patient safety concerns due to missed or delayed diagnoses and can be a cause for litigation for health care practitioners. With increasing patient loads, the volume of follow-up testing and clarifications to documentation needed for billing can be a significant burden […]
Abstract Number: 242
SHM Converge 2023
Background: With the broad implementation of electronic health records, clinical documentation integrity continues to be under increasing scrutiny. On average, physicians spend over a third of their time documenting patient data¹; this burden has been extensively correlated to burnout². Leveraging automated note templates with integrated safety rounding checklists, we attempted to standardize more efficient documentation […]
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 […]