Articles Tagged With:
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Communication Failures Let Multidrug-resistant Bug Spread Between Settings
An outbreak of extremely drug-resistant Acinetobacter baumannii at multiple facilities in Oregon underscores an open secret as bad bugs move across the healthcare continuum: There are disincentives to telling the receiving facility that the patient has a history of a drug-resistant bacteria or other problematic pathogens.
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Unit-based Case Management Model Works Best for Organization
Once upon a time, a hospital’s case manager performed all case management responsibilities and utilization review work. Social workers performed a lot of the discharge planning. All worked fairly well, but something was missing: Case managers were limited in their ability to care for patients.
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Q&A With the Nurse Who Wrote the Book on Case Management
Case Management Advisor asked Catherine M. Mullahy, RN, CCM, president of Mullahy & Associates of Huntington, NY, and author of The Case Manager’s Handbook, Sixth Edition, published in June 2016, to discuss case management tools and strategies.
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Study Offers Puzzle Piece to Paying for Integrated Care
Integrating mental health into primary care practice settings needs both research and a payment structure that works.
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Risk Stratification Can Help in Population Health Environment
Risk-stratified care management can help bridge the distance between providing effective care and finding efficient ways to do so.
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Take Steam Out of Plaintiff’s Missed Fracture Claim
About 2% of minor trauma patients presenting to a Belgian ED leave with a missed diagnosis, according to a recent study. Of 56 minor trauma patients with missed diagnoses, the most frequently missed diagnoses were ankle, wrist, and foot fractures.
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Excessive ED Waits Are Trigger for Malpractice Lawsuits
EPs can expect wait times to become an issue in any litigation in which an ED patient was diagnosed with a time-sensitive disease process.
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Some Plaintiffs' ‘Experts’ Have Never Worked in ED
It’s never easy for an EP to listen to an expert witness testify that their care was negligent, but it’s harder to take coming from someone who hasn’t worked in an ED in many years — or ever.
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ECG Overload? EP Might Miss Subtle STEMI
It’s not uncommon for EPs to be presented with dozens of ECGs during a shift. The large number of ECGs performed at triage could lead to an unintended legal consequence: increasing the possibility of missed ST-elevation myocardial infarction (STEMI), especially those that are subtle or atypical presentations.
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Surprising New Data on Missed Acute Coronary Syndrome in EDs
Lack of “typical” symptoms cannot rule out acute coronary syndrome, and “atypical” symptoms should raise the EP’s index of suspicion, according to a recent review of the literature.