Improving Outcomes in Patients of Color Admitted for SJS/TEN

Andrew Tran and Sarah Williamson, chief dermatology residents at Metro Health Medical Center, presented a quality improvement project aimed at enhancing clinical outcomes for patients of color diagnosed with Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN), both severe skin disorders often triggered by medications. They noted a higher mortality risk among patients of color compared to non-Hispanic white patients, likely due to delayed diagnosis linked to inadequate education on recognizing these conditions in darker skin types. The project involves creating a standardized triage protocol, developing an EMR smart set for admissions and discharges, and conducting educational sessions for emergency medicine residents focused on SJS/TEN in patients with skin of color. Data analysis indicated lower rates of dermatology consultations and longer hospital stays for Black patients. Initial results from their educational efforts showed improved confidence among residents in identifying SJS/TEN in diverse patient populations. Future steps include evaluating patient outcomes after implementing their protocols and expanding training to other medical staff, enhancing care for this vulnerable group.