Session Type
Meeting
Search Results for Patient Safety
Abstract Number: K8
SHM Converge 2022
Background: Bone marrow biopsies (BMB) are a relatively frequent procedure needed in the inpatient setting, especially in a tertiary care center. BMB are a straightforward procedure with a generally low complication rate. In lieu of using specialists (eg, oncologists) or computed tomography (CT) guidance with radiology, procedure-focused hospitalists can provide an excellent option for doing […]
Abstract Number: P9
SHM Converge 2022
Background: Central venous catheters (CVC), including temporary dialysis catheters, are a relatively frequent procedure needed in the inpatient setting. Historically in our institution, CVC have been placed in the intensive care unit (ICU) by critical care staff or in the radiology suite by interventional radiology staff. The reasons for this placement preference have included the […]
Abstract Number: 103
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Respiratory rate (RR) is an independent predictor of in-patient mortality, intensive care unit admission and cardiac arrest across a variety of conditions. It is also an integral component of many risk prediction calculators (such as the pneumonia severity index). Thus, accurate assessment of RR is necessary to recognize disease severity and prognosis among hospitalized […]
Abstract Number: 106
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Sepsis is a common, costly, and mortal clinical syndrome. Many delays in sepsis recognition and intervention are due to “data latency,” the period of time between data suggestive of sepsis being entered in the EHR to identification and interpretation by a care provider. The magnitude of this delay can be significant, as the diagnostic […]
Abstract Number: 113
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Emergency Department (ED) overcrowding and delays in ED throughput have several important consequences , such as boarding of admitted patients in the ED, longer hospital stays and delay in effective inpatient discharge planning (1). Longer ED boarding time and delay in inpatient discharge process are parts of a vicious cycle of internal bottleneck contributing […]
Abstract Number: 115
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Intravenous low-molecular weight iron dextran is indicated for patients with iron deficiency who are unable to take oral iron or experience insufficient efficacy with oral replacement. Adverse effects have been reported, including anaphylaxis and death. The primary purpose of this study was to determine the proportion of patients experiencing adverse reactions in a wide […]
Abstract Number: 116
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Hospital associated injury is the third leading cause of death in the United States. Lack of communication about patient safety issues among care team members and with patients is a key source of hospital errors and patient harm, and making errors more visible is a key strategy to reduce negative outcomes. Electronic health record […]
Abstract Number: 122
SHM Converge 2021
Background: Although in-person hospitalist presence, increasingly staffed by dedicated nocturnists, has become the norm overnight in the hospital (1-2), the scope of nocturnist practice and the typical workload has not been defined. Methods: In November 2019 a survey was created by a panel of nocturnists made up of members of the SHM Night Medicine Special […]
Abstract Number: 123
SHM Converge 2021
Background: Studies indicate that physicians do not clean their stethoscopes regularly, and stethoscope surfaces become contaminated with bacteria. Neither the frequency with which stethoscopes deserve cleaning nor simple, practical cleaning approaches have been well-established for hospitalists or other inpatient clinicians. Our aim was to determine bacterial contamination of stethoscopes directly from a hospital doctor’s white […]
Abstract Number: 126
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Given the widespread adoption of electronic health record systems, the majority of patient orders are now enacted through electronic orders. We aimed to describe the average number of electronic orders entered for medicine patients hospitalized at different levels of care and determine if electronic ordering patterns reflected patient acuity and severity of illness. Methods: […]