Background: Kidney Dialysis is a vital treatment for patients with end-stage renal disease. But lately, there has been an alarming increase in deaths related to this procedure. This study analyzed mortality trends and disparities among adults aged 15 and older from 1999 to 2020. Methods: The study examined post- kidney dialysis complications-related mortality in the [...]

Background: Diagnostic errors (DE) are common in patients who die or go to the ICU and are caused by gaps in diagnostic processes. Few data describe whether this observation holds true among patients with sepsis, a disease that progresses quickly and requires a range of clinical information to diagnose correctly. The objective of our study [...]

Background: Unintentional ingestion of cannabis products among children and adolescents is well described, but we found no summary of presentations among adults. Methods: We performed a scoping literature review of presenting symptoms, sources of exposure, and clinical courses of adults who seek medical care following unintentional ingestion of psychoactive cannabis or intentional ingestion of cannabidiol [...]

Background: Adverse events (AEs) after discharge occur in 19–28% of hospitalized patients.(1) Understanding whether patient-reported and clinical factors from the electronic health record (EHR) can predict post-discharge AEs is increasingly important given the growing population of hospitalized adults with multiple chronic conditions (MCC) being discharged home. This AHRQ-funded study aimed to develop an interoperable prediction [...]

Background: Delirium is a common clinical syndrome, particularly among elderly patients in the inpatient hospital setting, and carries considerable associated morbidity. These patients can display symptoms of inattention, agitation, and restlessness, often necessitating the use of chemical or physical restraints to ensure the safety of the patient and staff. Unfortunately, these interventions are not without [...]

Background: Diagnostic error may occur in up to 5% of all adult hospitalizations, leading to prolonged length of stay, higher cost, and significant morbidity and mortality. Improving diagnostic safety requires measurement, analysis, and learning accelerated by dissemination. While safety is at the forefront of hospital priorities, organizational readiness to address diagnostic safety lacks consistent deployment [...]

Background: Intravenous vancomycin treatment is often necessary beyond hospitalization. Peripherally inserted central catheters (PICCs) are usually placed for this indication. Whether the less invasive midline catheters (midlines) are safe alternatives for outpatient parenteral antimicrobial therapy (OPAT) with vancomycin is unclear. We compared the safety of midlines and PICCs among patients receiving vancomycin for OPAT. Methods: [...]

Background: Diagnostic error is a major threat to the safety of hospitalized patients, affecting as many as 1 in 4 patients and leading to 7% of inpatient deaths. However, diagnostic error remains difficult to identify and measure, particularly in the hospital setting, where determination of an error relies on medical record review. Measurement difficulty also [...]

Background: Medical errors are the third leading cause of death in the United States yet physicians report minimal education on how to disclose errors and adverse events. To Err is Human shed light on the severity of errors. As a result, communication and resolution programs were developed over the past two decades to attempt to [...]

Background: Inequitable healthcare is delivered to those who are incarcerated and have a history of incarceration. Incarceration has a significant multiplicative impact on the health of those who experience it – worsening outcomes related to chronic illness and shortening life expectancy. Hospital based providers tend to interact sporadically with individuals who are incarcerated, limiting the [...]