Session Type
Meeting
Search Results for Fatigue
Abstract Number: 4
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Communicating to physicians about electronic health record (EHR) software updates is important for maintaining clinical workflow and preserving patient safety. However, reaching providers with mass e-mails is challenging; the optimal strategy for educating providers about EHR updates remains unclear. Purpose: Modify our communication strategy to improve inpatient physicians’ understanding of EHR software updates. Description: […]
Abstract Number: 133
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Multiple professional societies recommend red blood cell transfusions for hospitalized patients based on the presence of symptoms of anemia, like fatigue. These recommendations endorse the idea that the severity of anemia symptoms are due to a patient’s nadir or reduced hemoglobin (Hb) concentration, and that correcting the Hb concentration with a transfusion will improve […]
Abstract Number: 143
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Alarm fatigue is a serious patient safety issue and represents a 2015 National Patient Safety Goal. False alarms can mask true alarms, and may contribute to suboptimal patient care practices. Cardiac telemetry monitoring in particular has been a focus in the Choosing Wisely campaign and at our institution. Purpose: A comprehensive, multidisciplinary approach was […]
Abstract Number: 169
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Clinicians rely on physiologic monitor alarms to notify them of their patients’ changing vital signs. Currently, alarms occur very frequently and usually do not warrant clinical intervention. High alarm burden can lead to alarm fatigue, often observed as a slower response or unintentional ignoring of clinically important alarms. For this reason, alarm fatigue has […]
Abstract Number: 242
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Critical lab values are those results that require rapid notification to clinical staff so that urgent interventions can be made to avoid morbidity or mortality. The Joint Commission requires that hospitals have an effective critical lab value process in place. The process is a time-consuming multi-step progression of phone calls with associated documentation. The […]
Abstract Number: 284
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Previous studies examining continuous patient monitoring in the ICU and emergency department suggest that substantial telemetry alarm burden combined with a high proportion of false positive alerts may jeopardize patient outcomes. Currently, little is known about the burden and value of specific alarms on the general wards. Methods: As part of a quality improvement […]
Abstract Number: 378
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: In 2004, the American Heart Association (AHA) published recommendations on the use of cardiac monitoring in the hospital setting. It provided a rating system for its indications (Class I-III), which stratify the likelihood of benefit. In June 2013, The Joint Commission approved NPSG.06.01.01, a patient safety goal on clinical alarm use in the hospital […]