Background: As many as 3.7% of patients experience preventable adverse events in health care facilities nationwide. Patient safety requires both effective training methods and an interprofessional culture of safety. The “Room of Hazards” is a simulation developed to assess skills in identification of safety hazards amongst staff of different health care disciplines. Methods: In our [...]

Background: Korean children are often treated in intensive care units (ICUs) rather than in pediatric intensive care units (PICUs). However, pediatric critical care (PCC) in ICUs other than in PICUs may have an effect on patient outcome. The objective of this study is to compare the PCC outcomes of pediatric patients in the PICU than [...]

Background: The ACGME instituted duty hour restrictions in 2003, leading to re-organization and re-structuring of resident schedules and educational opportunities. In response to these regulations, many programs, including our institution, initiated night float rotations. After noting decreased resident attendance at didactic sessions due to this model, our institution implemented various interventions to offer educational opportunities [...]

Background: Mortality and morbidity (M&M) rounds have traditionally been held to allow physicians to discuss adverse events and medical errors. In our hospital, M&M rounds are conducted by individual departments, selected from mortality cases and discussions are centred around a diagnosis or topic. There is increasing recognition that this is a missed opportunity for teaching [...]

Case Presentation: 85-year-old woman with a past medical history of hypertension, severe peripheral vascular disease, atrial fibrillation on Coumadin was hospitalized to have lower extremity above knee amputation for long standing infection of the left lower extremity. Patient was started on cefepime and linezolid for her left lower extremity wound (cultures growing pseudomonas, vancomycin resistant [...]

Case Presentation: A 36 year old African-American gentleman with a history of asthma presented to the Emergency Department with dizziness, numbness of both lower extremities, gait imbalance, bowel and bladder incontinence which had been worsening since the last 2 months. MRI thoracic spine revealed Focus of abnormal T2 signal within the upper thoracic spinal cord [...]

Case Presentation: A 70 year old female with past medical history of COPD on 2 liters oxygen at baseline presented with acute hypoxic respiratory failure due to COPD exacerbation secondary to metapneumovirus infection. Her hospitalization was prolonged from Methicillin sensitive Staphylococcus aureus pneumonia which required prolonged intubation, antibiotics and finally a tracheostomy. She was noted [...]

Case Presentation: A 79-year-old woman with hypertension and rheumatoid arthritis presented with generalized fatigue and decline in her functional status over 6 months. Her symptoms progressed in the month preceding admission to nausea, vomiting, right upper quadrant pain, and intolerance to solids and liquids for several days. An outpatient abdominal ultrasound revealed only hepatic steatosis. [...]

Case Presentation: A 55 year-old man with a history of MSSA Bacteremia, Type II Diabetes, and Hypertension was admitted with pseudomonas bacteremia. Physical exam was notable for a cushingoid appearance. Laboratory studies were remarkable for hypernatremia, hyperkalemia and metabolic alkalosis. Serum morning cortisol was 162 mcg/dL and serum morning ACTH was 297 pg/mL (normal 7-63 [...]

Case Presentation: Headache is one of the most common complaint of patients, yet over 65% of patients with tension-type headaches don’t present to their primary care doctor. When it’s not just a typical headache is when it’s imperative to make the diagnosis early to prevent detrimental complications. A 46-year-old-male presented with a chief complaint of [...]