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Search Results for Patient
Abstract Number: 245
SHM Converge 2021
Background: Diagnostic errors are often attributed to cognitive and systems factors, including breakdowns in patient-clinician communication. The COVID-19 pandemic has limited this communication due to institutional infection control policies and physical distancing mandates, potentially increasing risk of diagnostic error. Virtually administered questionnaires that engage patients in assessing their experience with the diagnostic process have potential […]
Abstract Number: 248
SHM Converge 2021
Background: The possibility of outpatient evaluation of suspected transient ischemic attack has previously been considered in studies, and some have suggested that outpatient evaluation of suspected TIA may be safe and cost-effective in patients at lower risk of stroke as measured by the ABCD2 score. However, no consensus has been reached on the optimal strategy […]
Abstract Number: 271
SHM Converge 2021
Background: Preventable medical errors are currently the third leading cause of death in the United States following heart disease and cancer (1). In light of this, integration of formal patient safety education into undergraduate medical education has been encouraged by the World Health Organization in order to address issues of quality of care (2). Early […]
Abstract Number: 272
SHM Converge 2021
Background: Noninvasive ventilation (NIV) is frequently used to treat patients admitted with acute respiratory failure in both the intensive care and progressive care settings. While often perceived to be safer than invasive mechanical ventilation, many pitfalls and technical difficulties can arise when this modality is used in a setting that is less monitored than the […]
Abstract Number: 365
SHM Converge 2021
Case Presentation: Our patient is a 74-year-old male with a history of thrombocytopenia thought secondary to ITP, hypothyroidism, and prior spontaneous coronary artery dissection requiring cardiac bypass who was transferred from an outside hospital for acute kidney injury and abdominal distention. A few weeks prior to admission, the patient experienced congestion, cough and low-grade fever […]
Abstract Number: 569
SHM Converge 2021
Case Presentation: A 78-year-old man with medical comorbidities of CAD with PCI to LAD and LCx, persistent A. fib, COPD, HTN, and Type 2 Diabetes Mellitus was admitted to our hospital for worsening epigastric pain, nausea, and vomiting. Prior to the presentation, he was treated for an upper gastrointestinal bleed secondary to duodenal ulcers. Dabigatran […]
Abstract Number: 603
SHM Converge 2021
Case Presentation: A 57-year-old male with history of C5-6 spinal cord injury (SCI) presented with recurrent episodes of sweating, flushing, headache, and hypertensive episodes over the past week, with concern for autonomic dysreflexia (AD). The patient is tetraplegic following traumatic SCI 38 years ago associated with remote episodic AD due to neurogenic bladder and adynamic […]
Oral Presentations
Abstract Number: Oral
SHM Converge 2021
Background: “Hospital at Home” (HaH) models of care have existed for over 20 years in the U.S. Demand for healthcare value has driven renewed attention to HaH, including from the Centers for Medicare and Medicaid Services. The COVID-19 pandemic has only magnified consideration of alternative sites of care. Where studied, HaH models have had desirable […]
Oral Presentations
Abstract Number: Oral
SHM Converge 2021
Background: A small number of patients account for a disproportionate number of hospital readmissions. The Complex High Admission Management Program (CHAMP) is designed to improve care and reduce hospitalizations for frequently readmitted patients. Non-randomized studies of CHAMP found reductions in readmission but may be subject to regression to the mean. We conducted a randomized trial […]
Oral Presentations
Abstract Number: Oral
SHM Converge 2021
Background: Procedural complications are a common source of adverse events in hospitalized patients(1, 2). In academic centers, bedside procedures have traditionally been performed by trainees, often without experienced proceduralist supervision, or referred to interventional radiology or consultant services, often with an associated delay in procedure performance. Many trainees report discomfort with their skill in performing […]