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Search Results for Adverse
Abstract Number: 173
Hospital Medicine 2020, Virtual Competition
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 […]
Abstract Number: 183
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Antipsychotics are frequently used in the hospital setting for managing both acute and chronic psychiatric disorders. However, antipsychotics have been associated with higher rates of mortality due to their cardiovascular risk factors, such as QT prolongation. This study aimed to determine the association between cumulative dose of antipsychotics (first and second-generation) and QT prolongation, […]
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: 231
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: There is evidence that physicians consider a variety of “non-medical” factors (e.g. lack of social support, barriers to access) in hospital admission decision-making out of concern for patient safety, and that patients are hospitalized even in the absence of a level of medical acuity warranting admission. The rationale underlying this decision may overvalue the […]
Abstract Number: 235
SHM Converge 2021
Background: Medical errors and adverse events are leading causes of morbidity and mortality in the United States. Reporting errors – both those that do and do not cause harm to patients – is paramount to preventing recurrences within the medical system and, therefore, reducing future harm. However, physicians may be reluctant to disclose errors due […]
Abstract Number: 259
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Perioperative management of anticoagulant in mechanical valve patients is challenging, Current recommendations focus on management in patients undergoing elective surgery, while the data in patients hospitalized for emergency/urgency non-cardiac surgery is limited. We aimed to identify thromboembolic and bleeding events after anticoagulant interruption in patients with mechanical heart valves hospitalized for emergency/urgent non-cardiac surgery. […]
Abstract Number: 294
SHM Converge 2024
Background: Adverse events (AEs) occur in 19-28% of hospitalized patients in the 30 days after discharge [1,2]. Though new or worsening symptoms (NWS) reported by patients are often an early indicator of post-discharge AEs, they are not systematically captured in electronic health record (EHR) documentation or via patient portals. Higher fidelity capture of patient-reported NWS […]
Abstract Number: 323
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Guidelines recommend in-hospital evaluation with cardiac monitoring and transthoracic echocardiogram (TTE) to assess syncope in patients that are considered high-risk for major adverse cardiovascular events. We sought to identify variables associated with performing TTE in patients presenting with syncope. Methods: We abstracted demographic and clinical data from all patients evaluated for syncope at the […]
Abstract Number: 370
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: An estimated 68,000 Americans died of opioid-related overdoses between March 2017-2018. In Monroe County NY heroin/fentanyl deaths are up 200% from 2015- 2017. Guidelines recommending naloxone co-prescription for high-risk patients on opioid pain medications have been issued. The inpatient setting provides unique opportunities for identifying patients at risk for opioid adverse events (OAE) and […]
Abstract Number: 407
SHM Converge 2023
Background: Adverse events (AE) are common during care transitions (19-28%) in patients with multiple chronic conditions (MCC) and often lead to unanticipated healthcare resource utilization after discharge. While early indicators of these AEs include new and worsening symptoms, systematic monitoring of patient-reported symptoms is lacking. The 21st Century Cures Act mandates the healthcare industry to […]