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Abstract Number: 205
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Adverse events (AEs) are a major concern in the inpatient setting, with many considered preventable. The Patient Safety Learning Lab implemented a Patient Safety Dashboard integrated with our electronic health record as part of a suite of health information technology tools to reduce inpatient AEs. The goals of this evaluation were to understand patterns […]
Abstract Number: 209
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Heparin-Induced Thrombocytopenia (HIT) is an antibody-mediated pro-thrombotic disorder which occurs after exposure to heparin product. Diagnosis of HIT type II is rather challenging as affected individual often has other causes of thrombocytopenia and a delayed discontinuation of heparin in HIT type II is associated with a mortality rate of 20-30%. 4Ts score is a […]
Abstract Number: 209
Hospital Medicine 2020, Virtual Competition
Background: Spontaneous bacterial peritonitis (SBP) is a commonly encountered complication of end stage liver disease that carries a high morbidity and mortality. Risk factors for SBP are defined by the American Association for the Study of Liver Diseases (AASLD) as a prior history of SBP, active gastrointestinal bleeding, and low ascites total protein (< 1.5 […]
Abstract Number: 209
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The daily progress note is the foundation of inpatient documentation and communication for healthcare providers. With the advent of the electronic medical record, copy-and-pasting, note bloat, inconsistencies, erroneous data, and lack of cognitive processing have become widespread leading to difficult to read and inaccurate progress notes. Purpose: At Bassett Medical Center, it was determined […]
Abstract Number: 211
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospitalized patients receiving direct oral anticoagulants (DOACs) sometimes require bridging with unfractionated heparin (UFH). Monitoring UFH with anti-Xa assays has been shown to correlate with better outcomes. However, DOACs interfere with anti-Xa assays resulting in inappropriate UFH dose adjustments that can negatively impact patient care. In 2015, we deployed an electronic health record (EHR) […]
Abstract Number: 218
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The electronic health record (EHR) and health care provider workflow process may contribute to patient misidentification or wrong-patient errors. When self-caught by the provider, these errors are classified as near-miss errors. When these errors reach the patient, they can result in serious harm. The Office of the National Coordinator for Health Information Technology Patient […]
Abstract Number: 223
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Since the advent of Electronic Health Record(EHR) and subsequent workload of clinical documentation, Hospital Medicine physicians are finding themselves spending more time in front of the computer and less with their patients. The implementation of EHR was intended to help physicians improve productivity and quality, however, data shows we are spending up to 25% […]
Abstract Number: 226
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Wrong-patient order entry errors are common and often have the potential to cause patient harm. The Office of the National Coordinator for Health Information Technology Patient Identification SAFER Guide recommends displaying patient photographs in Electronic Health Records (EHRs) to reduce wrong-patient errors; however, only a small proportion of hospitals nationally utilize patient photographs. A […]
Abstract Number: 227
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Hospital admission presents an important opportunity to engage with patients about goals of care (GOC) and advanced care planning. The significant and sensitive nature of GOC conversations requires that documentation of a patient’s goals be accurate, clear, and easily found in the medical record. This has become increasingly relevant in the setting of frequent […]
Abstract Number: 229
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Risk stratifying patients for potential development of hospital-related venous thromboembolism (VTE) is an important aspect of inpatient safety and is recommended by current guidelines. Many risk stratification tools are cumbersome and require significant time to complete. Developments have been made to partially or fully automate risk stratification tools, however there are restrictions within the […]