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Search Results for Error
Abstract Number: 79
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Although diagnostic errors are common in hospitals, little is known about the resulting economic burden. Whether the increasing attention to patient safety has led to a decrease in diagnostic error-related claims and cost over time is also unknown. Using a publicly available dataset, we examined incidence costs and outcomes associated with diagnostic errors in […]
Abstract Number: 93
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: While understanding the cognitive contributions to diagnosis has become important, few studies have aimed to understand physician diagnostic reasoning in real-time. Using a case-based approach, we sought to: (a) characterize differences in diagnostic reasoning among hospitalists; and (b) identify factors associated with diagnostic accuracy. Methods: A total of 10 hospital medicine attending physicians from […]
Abstract Number: A2
SHM Converge 2022
Background: Diagnostic errors (DE) often occur in the hospital and can lead to preventable harm. As part of our AHRQ-funded Patient Safety Learning Laboratory, we previously estimated the prevalence of DE to be 22.7% in a stratified cohort of patients hospitalized on the general medicine service. Using a structured electronic health record (EHR) chart review […]
Abstract Number: H1
SHM Converge 2022
Background: Error reporting is an integral component in the safety program of hospitals. Residents in training programs are encouraged and expected to participate in error reporting as part of the clinical learning environment. Previous studies identified barriers to resident reporting including knowledge of how to submit reports and understanding how reports affect institutional safety culture. […]
Abstract Number: M2
SHM Converge 2022
Case Presentation: A 44-year-old man with multiple myeloma and cardiac amyloidosis on chemotherapy, and atrial fibrillation on apixaban, presented with three days of worsening shortness of breath and edema. He was admitted to the emergency room observation unit for treatment of a mild heart failure exacerbation. He was noted on admission to have rapidly developed […]
Abstract Number: 128
SHM Converge 2021
Background: Diagnostic errors (DE) – defined as incorrect, missed, or delayed diagnoses not made within a timeframe consistent with standard clinical practice – are common and can lead to harm, especially in acute care settings. One cause of DEs is suboptimal clinical reasoning in the diagnostic process. Electronic clinical documentation has been suggested to potentially […]
Abstract Number: 129
SHM Converge 2021
Background: To date, attempts at estimating diagnostic error (DE), as defined as missed, incorrect, or delayed diagnoses, have focused on the identification of all types of adverse events, not specifically DE. Retrospectively identifying and ascertaining DE for hospitalized patients has been further challenged by (1) variability in operational definitions of DE; (2) use of non-standardized […]
Abstract Number: 137
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Transitions of care, whether between or within institutions, are an important source of errors, inefficiency, and unnecessary costs. Inter-hospital transfers are complicated by incongruent information systems, indirect and asynchronous communication, and geographical distance all in settings of high patient complexity and acuity. We developed a large database of patients transferred between hospitals to identify […]
Abstract Number: 153
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Residents, because they are on the frontlines of the provision of care, are integral to improving care. Yet the Accreditation Council for Graduate Medical Education (ACGME) has reported residents are not as engaged in improving patient safety as they could be, noting, “Though most residents and fellows were aware of their [clinical learning environment]’s […]
Abstract Number: 162
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Diagnostic error in medicine is increasingly recognized as “the next frontier for patient safety”. Current research has explored the etiologies of diagnostic errors in two unique dimensions: as systems-based or cognitive-based causes. One study, however, suggests that roughly half of all errors stem from both domains. Using a focused ethnographic approach, we sought to […]