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Just a wrist sprain? After reading this issue, you may want to look at that X-ray again.
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Care for a patient who undergoes an amputation is often complicated and is time-sensitive. A lot of thought goes into whether replantation is attempted or not, but those decisions are reserved for the replantation team. The role of the emergency provider is to expediently evaluate the patient and prepare him or her for care by the replantation team.
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More often than not, when the Centers for Medicare & Medicaid Services (CMS) issues a proposed new rule, the comment period is opened and several months later a final rule emerges that bears fairly close resemblance to the original.
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Communication among caregivers is always important, but never more so than in the emergency department. A collaboration among hospitals across the country and a leading malpractice insurer has produced several simple but effective ways to improve communication.
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Medicare spends about $17 billion a year on hospital readmissions that could have been prevented, experts say.
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With The Joint Commission and other organizations noting that poor communications are often at the heart of bad outcomes and that care must become more patient-centered, it's not surprising that facilities are seeking to improve the ways that providers deliver information to and share care plans with their patients.
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A New York City hospital is taking patient identification into the 21st century by using palm scans to avoid identity confusion and improve patient safety.
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When it comes to helping their patients or clients learn to take responsibility for their own healthcare, the first thing case managers have to do is to get to know them and become familiar with their family situation, says B.K. Kizziar, RN-BC, CCM, CLP, owner of B.K. & Associates, a Southlake, TX, case management consulting firm.
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New initiatives being developed as a result of healthcare reform, such as the patient-centered medical home and the accountable care organization, are new models of care delivery, but the concepts are not new to case managers, says Mary Beth Newman, MSN, RN-BC, CMAC, CCP, MEP, CCM, program manager, case management, WellPoint Centers of Medical Excellent, based in Mason, OH, and president of the Case Management Society of America (CMSA) with headquarters in Little Rock, AR.