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Abstract Number: 259
SHM Converge 2021
Background: The diagnostic process is fraught with diagnostic uncertainty. Typically, discussions about diagnostic uncertainty occur upon admission and during rounds, which are increasingly conducted virtually during the COVID-19 pandemic. Furthermore, key dimensions in the diagnostic process (history taking, physical examination, interpretation of diagnostic tests) are affected by breakdowns in communication between patients and clinicians, physical […]
Abstract Number: 259
SHM Converge 2024
Background: Current surveillance approaches underestimate harmful diagnostic errors (DE) in hospitalized patients. A recent study of 2809 admissions observed that while one or more adverse events (AE) occurred in 23.6% of cases, only 10 AEs (0.1%) were attributable to DEs (1). Studies using the Safer Dx instrument have observed harmful DE rates of 5-7% (2). […]
Abstract Number: 266
SHM Converge 2024
Background: Diagnostic uncertainty, defined as the subjective perception of an inability to provide an accurate explanation of the patient’s health problem, has been implicated in diagnostic error.1 Clinician notes, such as the admission notes, often include hedging terms, uncertainty phrases, and diagnostic differentials that can be used to assess uncertainty in unstructured documentation.1,2 Quantifying diagnostic […]
Abstract Number: 266
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Transitioning patient care between hospitals and skilled nursing facilities (SNFS) brings many challenges. Patient and family anxiety, unfamiliarity and even misinformation about SNFs increase the opportunity for unsatisfactory outcomes and readmissions to the hospital.. Previous research has demonstrated frequent and potentially harmful medication discrepancies during hospital to nursing home transitions, and low frequency of […]
Abstract Number: 266
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The Joint Commission (TJC) included medication reconciliation (MedRec) as a 2005 National Patient Safety Goal to reduce errors related to medication omissions, duplications and interactions. Medication errors and harms continue to be one of the most widely reported healthcare problems. TJC’s sentinel event database includes > 350 medication errors resulting in death or major […]
Abstract Number: 291
SHM Converge 2024
Background: Medication errors during hospital discharge can lead to adverse outcomes, medication-related readmissions, and increased healthcare costs [1,2]. Pharmacist-led medication reconciliation at discharge (PMRD) has emerged as a potential solution to mitigate poor outcomes and optimize medication safety [3-7]. The main objectives of this study were to determine the number of errors identified at discharge […]
Abstract Number: 309
Hospital Medicine 2020, Virtual Competition
Background: Obtaining the Best Possible Medication History (BPMH) is the protocolized gold standard in obtaining medication histories and well known to decrease the total number of medication errors during transitions in care. Trained technicians require an average of 15-30 minutes to collect a BPMH [2]. Our facility conducted a categorical analysis and within subject study […]
Abstract Number: 310
Hospital Medicine 2020, Virtual Competition
Background: Medication reconciliation programs are a well-recognized important tool in reducing medication discrepancies and subsequently decreasing patient harm, particularly at transitions of care. Medication reconciliation programs have demonstrated error reductions upward of 66% [1-4]. 39% of prescription medication history errors have the potential to cause moderate or severe discomfort or deterioration in a patient’s condition […]
Abstract Number: 311
Hospital Medicine 2020, Virtual Competition
Background: With growing importance placed on patient safety, it has become necessary to elevate past processes and rethink rolls for experienced healthcare professionals. One of the primary goals identified by The Joint Commission is to “maintain and communicate accurate patient medication information” to “safely prescribe medications in the future” [1]. This task is often complicated […]
Abstract Number: 350
SHM Converge 2023
Background: Accurate and reliable medication reconciliation (MedRec) is an indispensable step ensuring patient safety and minimizing medical errors during transitions of care. Yet, it is one of the most challenging aspects in healthcare quality and safety. In fact, inaccurate MedRec accounts for 40 % of medication errors, up to 20% of which result in harm […]