Background: Hospitalized patients are at risk for a number of preventable complications. Utilization of indwelling urinary catheters (IUCs) and central venous catheters (CVCs) can increase the risk of infection while provision of venous thromboembolism (VTE) prophylaxis can reduce the risk of VTE. Checklists have been used in a number of clinical situations to standardize practice […]

Background: Diagnostic error is commonly defined as a missed or delayed diagnosis and has been described as among the most important patient safety hazards. Diagnostic errors also account for the largest category of medical malpractice high severity claims and total payouts. Despite a large literature on the incidence of inpatient adverse events, no systematic review […]

Case Presentation: A 54‐year‐old woman with hyperlipidemia and prior transient ischemic attack (TIA) 2 months ago presented to our hospital with vaginal bleeding after an intentional overdose of a study drug of clopidogrel versus placebo. She was diagnosed with possible TIA 2 months prior after presenting with right‐sided weakness and dysarthria resolving after 4 hours. […]

Background: Chronic Obstructive Pulmonary Disease (COPD) is the 4th leading cause of death and a major driver of healthcare utilization worldwide. Established guidelines exist for hospitalized patients with COPD yet adherence to these has been found in multiple studies to be low. Our question is which Quality Improvement system changes best reduce healthcare utilization and […]