Session Type
Meeting
Search Results for Safety
Abstract Number: 151
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Discussion of medical errors in patient care is often not formally taught in most residencies or medical schools. Yet the skill set needed for addressing patient adverse events when they occur and preventing similar occurrences in the future is instrumental for the practice of medicine. A Morbidity and Mortality Conference (M&M) is one way […]
Abstract Number: 152
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: TeamSTEPPS (Strategies and Tools to Enhance Performance and Patient Safety) has been shown to improve patient safety by improving teamwork and communication skills amongst all members of the interdisciplinary team. Methods: We developed a 4-hour TeamSTEPPS multi-disciplinary training session, conducted in our simulation center. We invited 90 core members of the medicine service to […]
Abstract Number: 154
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Quality and patient safety initiatives are often role-specific with minimal emphasis on cross-discipline collaboration and communication. Prior to project implementation, each discipline’s patient care plans were made in silos without an aligned emphasis on quality and safety initiatives. With implementation of a daily interdisciplinary safety brief based on a shared mental model, our aim […]
Abstract Number: 165
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: We observed that clinical pages in our institution on both medical and surgical services do not always reach the primary inpatient provider. Because we use pagers to communicate critical, time-sensitive information, delayed or misdirected communication can adversely impact patient care. Purpose: Our goal was to quantify the frequency with which pages did not reach […]
Abstract Number: 166
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: While many institutions train housestaff to mitigate hospital hazards, few have exploited the crucial concept of situational awareness (i.e. mindfulness of the patient environment) to teach patient safety. One method to promote situational awareness is through the embedding of safety and low-value care hazards into simulation-based training exercises. Purpose: To assess incoming interns’ ability […]
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: 188
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Venous thromboembolism (VTE), both pulmonary embolism (PE) and deep vein thrombosis (DVT), causes morbidity and mortality in hospitalized patients. The duration of VTE risk in trauma, particularly after discharge, is not well understood, especially in the context of shortened hospital stays. Although guidelines provide recommendations for extended VTE prophylaxis after major orthopedic surgery, such […]
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: 299
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Driven by meaningful use (MU) incentives, many safety net systems have adopted patient portals, which offer patients online access to their health information. Portal use correlates with increased engagement and better health outcomes, but there are many challenges to effectively engage patients and meet MU metrics in safety net settings. Purpose: We implemented a […]