Using a Direct Observation Tool (TOC-CEX) to Standardize Transitions of Care by Residents at a Community Hospital.

High-quality transitions of care are crucial for patient safety in hospitals, yet few undergraduate curricula include transition-of-care training. In 2012, the Wayne State University Office of Graduate Medical Education (WSUGME) required its residency programs to use the SAIF-IR mnemonic (summary, active issues, if-then contingency planning, follow-up activities, interactive questioning, readback) to ensure accurate and uniform handoffs. Subsequent program evaluations indicated that resident awareness and adoption of the mnemonic at our primary clinical site, Ascension Providence Rochester Hospital (APRH), could be improved.

Severe cellulitis and bacteremia caused by following a traumatic freshwater injury.

is a gram-negative bacillus that most commonly causes self-limited diarrhea in humans. Extraintestinal manifestations of , including skin and soft tissue infections, are extremely uncommon. We present a case of severe cellulitis and bacteremia in an 80-year-old female caused by following a traumatic freshwater injury in Michigan, USA.