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Search Results for PAT
Abstract Number: 361
SHM Converge 2024
Background: Although hospitals and hospitalists often engage in work to improve patient care and quality, rarely does such work directly seek engagement from patients and communities. Even when direct to patient surveys are distributed, historically marginalized populations are often underrepresented. Understanding how to authentically engage with communities is integral to improving patient experience and ensuring […]
Abstract Number: 364
SHM Converge 2024
Background: Patient experience (PEX) is not only a metric guiding a hospital’s performance-based compensation-system and STAR rating, but also a very important indicator of personalized care and hospital staff’s relationship with patients. Challenges in the post- COVID healthcare climate (increased staff burnout, disengagement, financial strains on patients and health systems) have been affecting overall PEX. […]
Abstract Number: 373
SHM Converge 2024
Background: Critical event management skills are required for resident training. Critical events include rapid response events, acute clinical decompensation, and code blue events. Evidence supports simulation-based training to improve mastery and retention of these skills. We recognized a need for resident training in critical event management following concerns raised by interprofessional teams and safety event […]
Abstract Number: 374
SHM Converge 2024
Background: Background: As healthcare systems evolve to provide more efficient and patient-centered care, the utilization of ambulatory surgery centers (ASCs) has become increasingly common. These centers offer a convenient and cost-effective alternative to traditional inpatient hospitalization for a wide range of surgical procedures. However, proper preoperative evaluation and decision-making are critical to ensure patients are […]
Abstract Number: 382
SHM Converge 2024
Background: Critical illness requires initiation of several classes of medications to treat or prevent different conditions. These include nebulizers, PPIs, antipsychotics, antibiotics, steroids, anticoagulants, opioids, benzodiazepines, & several others. Continuation of these medications upon transfer from MICU to the floor is a common occurrence with downstream implications including side effects or potential harm to patients, […]
Abstract Number: 386
SHM Converge 2024
Background: Burnout is prevalent among healthcare workers (HCW) within the United States and has only increased since the COVID-19 pandemic.1,2,3,4 Approximately 52% of HCWs–including physicians, nurses, pharmacists, and physical therapists–reported burnout during the COVID-19 pandemic.1 Social isolation is an important factor associated with burnout among HCWs.5 Despite the rise in burnout, interventions to address burnout […]
Abstract Number: 389
SHM Converge 2024
Background: Communication between team members is fundamental to providing high quality care to hospitalized patients (1). Breakdowns in communication lead to compromised patient safety, delays in care, and poor utilization of resources (2). Our Veterans Affairs (VA) hospital has about 200 inpatient beds, primarily staffed by resident physician teams. Bedside nurses use the admission order […]
Abstract Number: 391
SHM Converge 2024
Background: The traditional Morbidity and Mortality Conference (MMC) is known for its punitive aspects. Some programs have met the ACGME Internal Medicine (IM) requirement for MMC or Quality Improvement (QI) conferences by focusing on general principles of patient safety. We describe the impact of a QI-based MMC on resident perceptions of psychological safety and the […]
Abstract Number: 393
SHM Converge 2024
Background: Medication reconciliation (MR) is foundational to patient safety during and after a hospital admission. Frequently, MR can be delayed at the time of hospital admission due to incomplete records, patient health literacy, barriers to patient communication such as language or mental status, and unavailability of family or primary care providers. Electronic health records (EHR) […]
Abstract Number: 399
SHM Converge 2024
Background: The diagnostic process, inherently fraught with uncertainty and susceptible to errors, has been associated with adverse outcomes when physicians exhibit lower tolerance for uncertainty (1,2). The Diagnostic Time-Out (DTO) serves as a structured tool to outline a problem representation, prioritize the differential diagnosis, and communicate diagnostic uncertainty in high-risk situations for diagnostic errors. In […]