Meeting
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: 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: 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 […]
Abstract Number: 386
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The United States is responsible for 43% of lab expenditures worldwide, and up to 30% of lab tests may be unnecessary. Purpose: This project aims to determine if a human “best practice alert (BPA)” could decrease the number of unnecessary labs ordered by residents at a major academic medical center. Description: Three internal medicine […]