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  • Journal Reviews

    Hsu J, Reed M, Brand R, et al. Cost sharing: Patient knowledge and effects on seeking emergency department care. Med Care 2004; 42:290-296. Saketkhoo DD, Bhargavan M, Sunshine JH, et al. Emergency department image interpretation services at private community hospitals. Radiology 2004; 231:190-197. Lyons MS, Lindsell CJ, Trott AT. Emergency department pelvic examination and Pap testing: Addressing patient misperceptions. Acad Emerg Med 2004; 11:405-408.
  • More Antibiotic Resistance — Now Syphilis

    Azithromycin therapy failed in a patient in San Francisco with a primary syphilitic chancre which subsequently resolved after administration of a single dose of benzathine penicillin. Sequencing of the 23S rRNA genes of Treponema pallidum from 2 San Francisco patients who had failed azithromycin therapy revealed the presence of a mutation identical to that previously associated with macrolide resistance in a single isolate (T. pallidum, Street 14 strain).
  • Full May 1, 2004 Issue in PDF

  • Hospitalist use increases: What is the benefit for EDs?

    Hospitalists are becoming much more common in American health care and soon could change the way EDs work with physicians, says Ron Greeno, MD, chief medical officer and senior vice president of physician services at Cogent Healthcare in Laguna Hills, CA, one of several companies that provide hospitalist services across the country.
  • Want to improve service? Promise a 30-minute wait

    Even if you dont want to offer a service guarantee like those EDs that promise to treat patients in 30 minutes or less, you probably wouldnt mind streamlining your ED and improving patient flow through. So how do those hospitals promising fast service improve their EDs enough to make that promise possible?
  • Bioterror system reveals other patterns and illnesses in EDs

    These are some of the patterns and unusual illnesses detected by the bioterrorism surveillance system being used in some Florida hospitals.
  • Diversion crisis eases, but strategies still critical

    Fast-track systems and 23-hour observation units are helping EDs across the country reduce ambulance diversions, but more effort is needed, one analyst says. A hospitalwide focus on more efficient use of beds also is helping ease the problem, she adds.
  • EMTALA Q & A: Emergency care: What if it’s on campus, outside ED?

    Question: Should we have a plan for responding to patients on the hospital property, but not in the ED area, when they need or request emergency care? The final rule seems to make clear that we are not obligated to rush out of the ED to provide care for anyone who does not come to a dedicated emergency department, but were not clear on what should happen when that person is elsewhere on the campus.
  • ED Accreditation Update: Joint Commission surveys: It’s a brand new world

    As an ED manager, you may be accustomed to handling the brunt of responsibility for accreditation surveys. But under the new Shared Visions New Pathways process from the Joint Commission on Accreditation of Healthcare Organizations, surveyors will be talking with your staff and your patients. How on earth can you prepare for that?
  • ED Accreditation Update: Wary of unannounced surveys? Try these tips

    Many ED managers are unsure of how to prepare for unannounced surveys from the Joint Commission of Accreditation of Healthcare Organizations, which began for all facilities on Jan. 1. Here are insights from those who have had firsthand experience with the process.