Background: Diagnostic errors (DE), defined as missed opportunities to make a correct or timely diagnosis based on the available evidence, are a critical but understudied cause of patient harm. While previous efforts have focused on examining the incidence and factors contributing to DEs in ambulatory and emergency room settings, fewer studies have examined incidence of […]

Background: Prior studies have tested interventions to redesign aspects of the care delivery system for hospitalized medical patients, but the majority have evaluated the effect of single interventions. We sought to implement a set of complementary interventions and evaluate the effect on interprofessional teamwork and patient safety. Methods: The REdesigning SystEms to Improve Teamwork and […]

Background: Diagnostic errors (DE) often occur in the hospital and can lead to preventable harm. As part of our AHRQ-funded Patient Safety Learning Laboratory, we previously estimated the prevalence of DE to be 22.7% in a stratified cohort of patients hospitalized on the general medicine service. Using a structured electronic health record (EHR) chart review […]

Background: Central line associated bloodstream infection (CLABSI) is the 8th leading cause of death in the United States, causing 100,000 deaths annually. Each CLABSI costs about $56,000 per patient and increases length of hospital stay by an average of 3 weeks. Femoral lines have been shown to have the highest risk of infection compared to […]

Background: Pediatric abusive head trauma (AHT), frequently seen in Shaken Baby Syndrome (SBS), refers to brain injury resulting from a violent shaking of a child’s intracranial contents or skull, and these injuries are the most common cause of traumatic death in children under 2 years old. National studies indicate that SBS and AHT cause injuries […]

Background: Guillain barre syndrome(GBS) has been recently associated with COVID-19 disease. Usually, GBS cases are associated with immune stimulation and reported after taking different vaccines, however, there is no confirmed evidence that this is a causal association. In this systematic review, we are investigating cases of GBS that have been reported following the COVID-19 vaccination. […]

Background: Security emergency responses (SERs) are utilized by hospitals to ensure the safety of patients and staff but can cause unintended morbidity. The presence of racial inequities in SER utilization has not been clearly elucidated. We sought to determine whether Black and Latinx patients experience higher rates of SER and physical restraints than white patients […]

Background: Over two-thirds of workplace assaults in the United States occur in healthcare and social services settings. Patients/visitors are the most common source of workplace violence (WPV), called type II WPV. Nurses, clinicians working in the emergency room, behavioral and psychiatry wards are at high risk for type II WPV. National and international organizations recommend […]

Background: Blood transfusion practices is an important topic that may significantlyreduce maternal mortality and morbidity. This study assessed the incidence, demographics,obstetric profile, and indications of transfusion of blood products among women admitted forobstetric care, in a tertiary care hospital. Methods: This Cross-sectional study at Southern Railway Head Quarters hospital, Perambur, Chennai was conducted with women […]

Background: Medical providers are often hesitant to perform bedside procedures in patients with an INR >2 or in patients who have received chemoprophylaxis or therapeutic anticoagulation, despite previously conducted studies suggesting cirrhotic patients with elevated INRs are not at higher risk for complications from a paracentesis or thoracentesis (1)(2). The Hospital Medicine Advanced Practice Provider […]