Session Type
Meeting
Search Results for Patient Safety
Abstract Number: 299
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Discharge of hospitalized patients is a multistep process, involving communication amongst numerous healthcare providers. Delays in discharge cause a backlog of patients in the ED and ICUs, leading to prolonged patient wait times and overcrowding in the ED. Furthermore, many discharges occur in the evening hours, when there is a covering provider. Our institution […]
Abstract Number: 328
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Patients with ascites due to cirrhosis frequently have some degree of thrombocytopenia and prolongation of prothrombin time. However, major bleeding rates from paracentesis are reported to be less than 1% without use of any prophylactic blood products (plasma and/or platlets) and the mortality rate is 0.016%. Consequently, practice guidelines recommend against prophylactic transfusion of […]
Abstract Number: 329
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The U.S. healthcare system has a poor safety record when compared to other major industries. For example, at 250,000 per year, medical errors are the 3rd leading cause of death according to the CDC. This is in stark contrast to the safety record of commercial jet airlines. With zero fatalities, fiscal year 2017 was […]
Abstract Number: 337
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Pressure injuries are tissue damage caused by pressure and shear. Susceptible patients are the elderly, acute, critically ill and malnourished. Pressure injuries severely deplete hospital performance measures in the U.S. Currently, over 2.5 million patients develop pressure injuries at a national cost of about $25 billion each year and are implicated in 50,000 deaths. […]
Abstract Number: 383
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Sub-optimal discharge preparation during hospitalization may adversely impact safety and lead to a poor patient experience. As part of an AHRQ-funded study, we designed and developed interactive digital health tools (Figure 1) to engage patients and caregivers in self-assessing discharge preparedness: an educational video and 16-item discharge checklist addressing 4 domains (understanding the plan, […]
Abstract Number: 388
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Medical error is now the third leading cause of death in the United States. Approximately 4% of hospitalized patients experience an adverse event with 20% of these adverse events being medication-related, three-fourths of which are prescribing and administration errors. Vancomycin has been reported to account for one-fourth of the medication errors. Prescribing vancomycin is […]
Abstract Number: 418
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The ACGME identifies care transitions as both a core competency and focus area for the Clinical Learning Environment Review, but there is a scarcity of literature on standardized curricula designed to teach residents how to facilitate safe discharges. While focusing on the patient as the central locus of the transition is important, an under […]
Abstract Number: 435
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Most patients hospitalized with community-acquired pneumonia (CAP) can be safely treated with 5-days of antibiotic therapy. However, many are not. We aimed to determine whether a hospitalist-focused collaborative could reduce excessive antibiotic use in patients hospitalized with CAP through a combination of collaboration with antibiotic stewardship, data feedback, pay-for-performance, and sharing best practices. Methods: […]
Abstract Number: 439
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hemoglobin and hematocrit, routinely measured in hospitalized patients, are likely affected by shifts in plasma volume related to posture. This could have important ramifications on hemoglobin trends overnight, resulting in over diagnosis of anemia and potentially unnecessary anemia work-up and treatment. We hypothesized that hemoglobin measured in early morning (supine) samples, after plasma shifts […]