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Search Results for Error
Abstract Number: 215
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Diagnostic errors have been cited as a potential contributor to hospital readmissions, particularly early readmissions (e.g. within 7 days). A single prior study of early readmissions applied a binary (yes/no) metric to assess for diagnostic error in early readmissions, but this may be an insensitive method. Past studies of diagnostic error in primary care […]
Abstract Number: 218
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The electronic health record (EHR) and health care provider workflow process may contribute to patient misidentification or wrong-patient errors. When self-caught by the provider, these errors are classified as near-miss errors. When these errors reach the patient, they can result in serious harm. The Office of the National Coordinator for Health Information Technology Patient […]
Abstract Number: 219
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: High quality clinical documentation is essential for patient safety. Thoughtful clinical documentation transmits one’s clinical reasoning and is considered to be a professional responsibility. There are no accepted standards for assessing documentation with respect to clinical reasoning. We therefore undertook this study to establish a metric to evaluate hospitalists’ documentation of clinical reasoning in […]
Abstract Number: 222
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Increasing attention has been paid to diagnostic patient safety vulnerabilities, which account for 6 to 17% of hospital adverse events. In 2015, the National Academies of Medicine published a report on diagnostic safety errors, including their causes and evidence to-date on how to intervene to reduce the harm associated with them. In this report, […]
Abstract Number: 224
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Mortality review committees are charged with identifying areas of potential improvement, with the goal of decreasing preventable death. This laudable aim is accompanied by secondary goals of interest to the organization like improving diagnostic error, fostering teamwork, optimizing information technology, or supporting other quality improvement efforts. At our institution, we developed an interdisciplinary mortality […]
Abstract Number: 226
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Wrong-patient order entry errors are common and often have the potential to cause patient harm. The Office of the National Coordinator for Health Information Technology Patient Identification SAFER Guide recommends displaying patient photographs in Electronic Health Records (EHRs) to reduce wrong-patient errors; however, only a small proportion of hospitals nationally utilize patient photographs. A […]
Abstract Number: 227
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Since the publication of the Institute of Medicine report To Err Is Human in 1999, preventable inpatient deaths in the United States have been estimated as between 44,000 and 98,000 deaths annually. A more recent review concluded that the number of preventable deaths was over 250,000 cases annually. Critics have pointed out that these […]
Abstract Number: 238
SHM Converge 2023
Background: The importance of accurate patient care records for effective communication and medical education is well documented. However, medical documentation as a tool for financial compensation is not emphasized in graduate medical education. We performed a review and analysis of resident charting errors during inpatient rotations to determine the potential revenue loss and economic impact. […]
Abstract Number: 248
SHM Converge 2023
Background: A problem list serves as a central place for hospital-based clinicians to obtain a comprehensive and concise view of the patient’s active medical conditions. Use of the hospital problem list has many potential benefits: it provides a mental model of patient’s health status; streamlines the documentation process; makes chart review more efficient; facilitates communication […]
Abstract Number: 254
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Patients are discharged home on medications different than those they were taking before admission. New and discontinued medications as well as dosage changes contribute to medication-related adverse events. Purpose: To help address this problem, interns in our program developed a standard process during their quality improvement (QI) curriculum to ensure that at least 95% […]