Two of our PGY-2s, Ally Higgins and Jessica Slostad, presented at our morbidity and mortality conference this week. This conference happens twice a month and discusses errors, near misses, and poor patient outcomes in an open, confidential manner. These conferences are designed to look at systems issues that led to events and outcomes in a patient case.
Jessica and Ally did a great job of focusing on patient safety during transfers from an ICU to a general care setting. Their M&M presentation titled "Transfer with Care" featured a stakeholder review, root cause analysis, and a discussion of possible interventions to avoid similar systems issues in the future.
Dr. Jeremy Clain from the Division of Pulmonary and Critical Care Medicine followed their presentation as our expert discussant. He reviewed the use of corticosteroids in septic shock with multiple jokes along the way! He chronicled the use of stress dose steroids in shock from its inception to present day in current guidelines. All this...and a pretty tasty ham and cheddar sandwich! Hannah went for the smokehouse club.
Tags: Patient Safety
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