Session Type
Meeting
Search Results for Patient Safety
Abstract Number: 365
SHM Converge 2021
Case Presentation: Our patient is a 74-year-old male with a history of thrombocytopenia thought secondary to ITP, hypothyroidism, and prior spontaneous coronary artery dissection requiring cardiac bypass who was transferred from an outside hospital for acute kidney injury and abdominal distention. A few weeks prior to admission, the patient experienced congestion, cough and low-grade fever […]
Abstract Number: 370
SHM Converge 2023
Background: Many studies have demonstrated the negative effects of emergency department (ED) crowding on outcomes, including increased length of stay, inpatient mortality, and risk of readmission. Early evidence suggests effective and timely triage of patients with hospitalist input can mitigate some of the detrimental effects of ED crowding. In contrast to prior studies focused on […]
Abstract Number: 373
SHM Converge 2024
Background: Critical event management skills are required for resident training. Critical events include rapid response events, acute clinical decompensation, and code blue events. Evidence supports simulation-based training to improve mastery and retention of these skills. We recognized a need for resident training in critical event management following concerns raised by interprofessional teams and safety event […]
Abstract Number: 375
Hospital Medicine 2020, Virtual Competition
Background: Time motion studies are often conducted to describe activities of physicians caring for hospitalized patients with the goal of improving efficiency and patient safety. Prior work has mostly focused on trainees at academic medical centers. However, with the growth of hospital systems, most academic hospitals now have a similar number of patients cared for […]
Abstract Number: 378
SHM Converge 2023
Background: Morbidity and Mortality (M&M) conferences are ubiquitous among internal medicine (IM) residency programs, but often fail to improve patient safety and foster learning.1,2 One key determinant of a successful M&M conference is the choice of patient safety event (i.e. M&M case) that is analyzed or presented. However, the characteristics of an effective M&M case […]
Abstract Number: 381
SHM Converge 2023
Background: Lost or improperly labeled specimens may be medically detrimental to patients and have legal implications for the medical professionals and healthcare facility involved. Endoscopy is an especially high-risk location for specimen errors given the large number of biopsies obtained and the high volume of patients served daily by the same team. A 61-year-old male […]
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: 383
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Sub-optimal discharge preparation during hospitalization may adversely impact safety and lead to a poor patient experience. As part of an AHRQ-funded study, we designed and developed interactive digital health tools (Figure 1) to engage patients and caregivers in self-assessing discharge preparedness: an educational video and 16-item discharge checklist addressing 4 domains (understanding the plan, […]
Abstract Number: 384
Hospital Medicine 2020, Virtual Competition
Background: In March 2019, the CEO of our public teaching hospital set a goal for the institution to become a high reliability organization. At that time, the hospital’s rates of catheter associated urinary tract infections (CAUTIs), central line associated blood stream infections (CLABSIs), and hospital acquired pressure injuries (HAPIs) were above the national average. Evaluation […]
Abstract Number: 385
Hospital Medicine 2020, Virtual Competition
Background: Hospital based providers are often tasked with leading cardiopulmonary arrest resuscitations known as code blues. This responsibility can be stress provoking and poorly executed without appropriate training resulting in poor patient outcomes. At our academic medical center, internal medicine residents on their inpatient hospital based rotations are responsible for this assignment. The process of […]