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Search Results for Event
Abstract Number: 260
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Delirium affects 20-60% of the general hospitalized patients, and up to 85% of intensive care unit (ICU) patients. Its occurrence is associated with higher morbidity and mortality, long-term institutionalization, worse long-term cognitive outcomes, and increased hospital length of stay and costs. It is often missed due to lack of standardization in assessment and diagnostic […]
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: 332
SHM Converge 2023
Background: The Accreditation Council for Graduate Medical Education’s (ACGME) Clinical Learning Environment Review (CLER) program’s Pathways to Excellence framework includes the expectation that “residents and fellows engage in inter-professional, experiential patient safety event investigations that include analysis” (1, 2). However, as noted by the CLER program national reports, trainee participation in patient safety event analyses […]
Abstract Number: 337
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Pressure injuries are tissue damage caused by pressure and shear. Susceptible patients are the elderly, acute, critically ill and malnourished. Pressure injuries severely deplete hospital performance measures in the U.S. Currently, over 2.5 million patients develop pressure injuries at a national cost of about $25 billion each year and are implicated in 50,000 deaths. […]
Abstract Number: 352
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Delirium is an acute change in mental status affecting 10-64% of hospitalized patients, and may be preventable in 30-40% cases. There was no standardized protocol for delirium at our hospital prior to 2014. In October 2013, we formed a task force for delirium prevention and early identification across 18 medical-surgical units in our hospital. […]
Abstract Number: 353
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Patients evaluated after sexual assault may require non-occupational post-exposure prophylaxis (nPEP) to prevent infection with human immunodeficiency virus (HIV), depending on the assessed risk of HIV transmission in each case1-4. Access to nPEP medications, patient counseling, and follow-up care should be offered in a systematic, comprehensive, and compassionate setting. Unfortunately, multiple barriers may impede […]
Abstract Number: 362
SHM Converge 2024
Background: Microaggressions and bias events in the clinical environment are widespread and have both individual and structural consequences. Microaggressions are brief and mundane verbal, environmental, or behavioral slights that communicate bias, hostility, or prejudice toward any group. Microaggressions can occur in a variety of interactions between the physician and patients, learners, colleagues, and staff. Studies […]
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: 382
Hospital Medicine 2020, Virtual Competition
Background: Event reporting has been the cornerstone of patient safety culture since the IOM report “To Err is Human” was published. Over the past 20 years, the medical literature has focused on improving the overall rates, but not the quality, of reporting. To inform change, event reports must have a standard quality of content for […]