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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: 214
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Voluntary incident reporting systems are an essential component of a high reliability organization (HRO). Historically, housestaff contribute just 1% of all patient safety intelligence (PSI) events reported at our tertiary care academic institution. This is a missed opportunity, as housestaff spend a significant amount of their time in direct patient care and can see […]
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: 225
SHM Converge 2023
Background: Cancer is a risk factor for readmissions. We aimed to describe the potentially preventable 7-day unplanned readmissions in patients admitted to the hospital medicine service at a tertiary comprehensive cancer center. There is currently no defined criteria for potentially preventable readmissions among the cancer population. Methods: This was a retrospective analysis performed by a […]
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: 235
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Clostridioides difficile infection (CDI) can be prevented through infection prevention practices and antibiotic stewardship. We found in a 2013 national survey (571 hospitals, 71% response rate) that while infection prevention practices for CDI were common in U.S. hospitals, only 52% had an antibiotic stewardship program (ASP). On 1 January 2017, The Joint Commission required […]
Abstract Number: 258
SHM Converge 2023
Background: Emergency department (ED) crowding has been proven to worsen outcomes and increase mortality for patients presenting to the ED. Our innovative ED Surge program works collaboratively with our ED to transfer lower acuity patients to an on-site, same-day ambulatory setting after initial evaluation in the ED. We aim to characterize the impact of our […]
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. […]