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Search Results for Harm
Abstract Number: 270
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Discharging patients in an efficient manner improves patient satisfaction and hospital throughput. In this project, we sought to improve patient throughput as well as benefit resident education. Prior to our project, 75% of patient discharges were delayed more than two hours after the patient was determined to be medically ready for discharge; 21% were […]
Abstract Number: 286
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Electronic prescribing (eRx) at discharge enhances safety and quality of care transitions. It results in improved medication adherence and a decreased chance of readmission. Stage 3 Meaningful Use goals include discharge eRx rates of greater than 25%. As of September 2017, our large academic medical center had a year-to-date discharge eRx rate of 18.3%, […]
Abstract Number: 287
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Medication errors harm 1.5 million patients yearly, designating medication reconciliation a National Patient Safety Goal. The average hospitalized patient is subject to at least 1 medication error per day (IOM,2007), with 70% of patients experiencing a medication discrepancy at either admission or discharge(Leapfrog,2018). Medication Reconciliation, creating the most accurate list of medications patients take […]
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: 306
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Venous thromboembolism (VTE), including deep vein thrombosis (DVT) and pulmonary embolism (PE), affects one to two per one thousand persons annually in the US. Treatment of VTE consists of anticoagulation therapy, and evidence supports treating patients with low-risk VTEs as outpatients. Novel oral agents such as rivaroxaban, an oral factor Xa inhibitor, require less […]
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: 346
Hospital Medicine 2020, Virtual Competition
Background: Timely and efficient communication between pharmacists and physician providers in the hospital setting is integral to patient care. Inpatient care involves discussions regarding medication dosing, timing, contraindications, side-effect surveillance, and medication reconciliation during admission and discharge, often requiring pharmacy consultation. The current system of communication in our institution relies on electronic pages to be […]
Abstract Number: 450
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 65-year-old woman with hepatitis C-induced liver cirrhosis status-post liver transplantation, coronary artery disease and gout, presents with one week of progressive fatigue, weakness, and severe pain in her right leg and left shoulder. She was on atorvastatin for cardiac disease and had recently started Ledipasvir/Sofosbuvir for hepatitis C two months prior. She […]
Abstract Number: 518
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 63 year old female with a past medical history significant for rheumatoid arthritis, COPD, hypertension, hypothyroidism who was admitted with the chief complaint of a rash. It was present for two months and was predominantly distributed on the extremities and gluteal region. It was painful and at times even pruritic. There were […]
Abstract Number: 683
Hospital Medicine 2020, Virtual Competition
Case Presentation: 48-year-old African American (AA) male with history of Non-ischemic cardiomyopathy on milrinone (EF: 15%), after CHOP therapy for his lymphoma, diabetes mellitus, polysubstance abuse was admitted with an acute exacerbation of chronic systolic heart failure with cardiogenic shock. He was being managed with milrinone drip and lasix in the CCU and considered a […]