Session Type
Meeting
Search Results for Patient Safety
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 […]
Abstract Number: 388
Hospital Medicine 2020, Virtual Competition
Background: Morbidity and Mortality Conference (MMC) has been recognized as a valuable educational resource in training programs to improve patient safety. Traditional MMCs are often poorly defined in terms of format, goals, and outcomes, leading to ineffective reflection, discussion and action. Increasing evidence suggests that a structured and transparent approach to MMCs results in measurable […]
Abstract Number: 388
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Medical error is now the third leading cause of death in the United States. Approximately 4% of hospitalized patients experience an adverse event with 20% of these adverse events being medication-related, three-fourths of which are prescribing and administration errors. Vancomycin has been reported to account for one-fourth of the medication errors. Prescribing vancomycin is […]
Abstract Number: 389
Hospital Medicine 2020, Virtual Competition
Background: Preventable medical errors are currently the third leading cause of death in the United States following heart disease and cancer (1). Because of this, patient safety has become an important concern for healthcare systems due to the high costs associated with medical errors as well as the impact on reputation and mortality and morbidity […]
Abstract Number: 389
SHM Converge 2024
Background: Communication between team members is fundamental to providing high quality care to hospitalized patients (1). Breakdowns in communication lead to compromised patient safety, delays in care, and poor utilization of resources (2). Our Veterans Affairs (VA) hospital has about 200 inpatient beds, primarily staffed by resident physician teams. Bedside nurses use the admission order […]
Abstract Number: 391
SHM Converge 2024
Background: The traditional Morbidity and Mortality Conference (MMC) is known for its punitive aspects. Some programs have met the ACGME Internal Medicine (IM) requirement for MMC or Quality Improvement (QI) conferences by focusing on general principles of patient safety. We describe the impact of a QI-based MMC on resident perceptions of psychological safety and the […]
Abstract Number: 392
Hospital Medicine 2020, Virtual Competition
Background: Engaging residents and fellows in institutional quality and safety initiatives is essential for providing optimal care for patients. However, there is no standardized way to accomplish this and the sharing of information is challenging. While patient safety councils exist across institutions, they feature differing curriculum and occur in a variety of formats: hospital-wide vs. […]
Abstract Number: 393
SHM Converge 2024
Background: Medication reconciliation (MR) is foundational to patient safety during and after a hospital admission. Frequently, MR can be delayed at the time of hospital admission due to incomplete records, patient health literacy, barriers to patient communication such as language or mental status, and unavailability of family or primary care providers. Electronic health records (EHR) […]
Abstract Number: 397
Hospital Medicine 2020, Virtual Competition
Background: The Society of Hospital Medicine (SHM)’s Quality Improvement Special Interest Group’s (QI SIG) mission is “to create and maintain a community that promotes quality improvement by connecting quality improvement enthusiasts to each other and the resources necessary to develop and hone quality improvement skills.” The QI Initiative subgroup of QI SIG was charged with […]
Abstract Number: 399
SHM Converge 2024
Background: The diagnostic process, inherently fraught with uncertainty and susceptible to errors, has been associated with adverse outcomes when physicians exhibit lower tolerance for uncertainty (1,2). The Diagnostic Time-Out (DTO) serves as a structured tool to outline a problem representation, prioritize the differential diagnosis, and communicate diagnostic uncertainty in high-risk situations for diagnostic errors. In […]