Session Type
Meeting
Search Results for Safety
Abstract Number: 206
SHM Converge 2021
Background: Care of the pediatric patient does not end after the family exits the hospital doors. Post-discharge issues can lead to significant consternation for families, unnecessary risk to the patient, and re-utilization of healthcare resources. Despite careful preparation for transfer of care to the primary care physician (PCP), some post-discharge issues are unanticipated and lead […]
Abstract Number: 219
SHM Converge 2021
Background: Falls are associated with significant morbidity and increased healthcare expenses for hospitalized patients. There are hundreds of thousands of inpatient falls every year. There are multiple validated scores to guide the need of imaging for patients presenting to ED after, but no such score exists for hospitalized patients who suffer a fall event. This […]
Abstract Number: 223
SHM Converge 2021
Background: With the rising predominance of shift work in healthcare, provider handoffs are important to facilitate the flow of patient information in a way that supports continuity and quality patient care. The Joint Commission has identified poor communication at handoffs as a major source of adverse events (1) which has led to significant work in […]
Abstract Number: 233
SHM Converge 2021
Background: The occurrence of adverse events due to unsafe health care is thought to be one of the 10 leading causes of death and disability in the world. The harm can be caused by a range of adverse events, with nearly 50% of them preventable. Broad adoption of electronic health records (EHR) should ideally harness […]
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: 256
SHM Converge 2021
Background: It is typical for new advanced practice providers (APPs) to onboard within our hospital medicine division for at least six months. With the arrival of the first Covid-19 surge in Spring 2020, we onboarded a dozen off-service APPs on a much shorter timeline, typically one week. This required intensive precepting and teaching. As the […]
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: 731
SHM Converge 2021
Case Presentation: Pyroglutamic acid (5-oxoproline) is a rare cause of metabolic acidosis most often associated with sub-acute or chronic acetaminophen intake in the presence of unique risk factors. Discussion: A 25-year old female with Crohn’s disease presented with one month of worsening abdominal pain, diarrhea, and anorexia with reported 20 kg weight loss. She developed […]