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REPAIR Project Steering Committee. Acad Med. 2022;97(12):1753-1759.
AMA J Ethics. 2022;24(8):e715-e816.
Betsy Lehman Center for Patient Safety. June 2, 2022.
Health Care Futures. June-July 2022.
Patient Safety Movement Foundation.
A 65-year-old man with metastatic cancer and past medical history of schizophrenia, developmental delay, and COPD was admitted to the hospital with a spinal fracture. He experienced postoperative complications and continued to require intermittent oxygen and BIPAP in the intensive care unit (ICU) to maintain oxygenation. Upon consultation with the palliative care team about goals of care, the patient with telephonic support of his long time caregiver, expressed his wish to go home and the palliative care team, discharge planner, and social services coordinated plans for transfer home. Altho
A 52-year-old woman with a known history of coronary artery disease and ischemic cardiomyopathy was admitted for presumed community-acquired pneumonia. The inpatient medicine team obtained a “curbside” cardiology consultation which concluded that the worsening left ventricular systolic functioning was in the setting of acute pulmonary edema. Two months post-discharge, a nuclear stress test was suggestive of infarction and a subsequent catheterization showed a 100% occlusion.
Institute for Healthcare Improvement. March 10. 2020.
Institute for Healthcare Improvement. Principles for Improving Patient Safety Measurement.