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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.
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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.
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These are some of the patterns and unusual illnesses detected by the bioterrorism surveillance system being used in some Florida hospitals.
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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?
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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.
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One of the best ways to gain hospitalwide commitment to performance excellence is through participation in a self-assessment using the criteria of the Malcolm Baldrige Quality award.
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Would you like to improve retention and satisfaction of nursing staff and make patients safer at the same time? The two goals are intrinsically linked, according to Diana Berkland, MS, RN, vice president of clinical administrative services and chief nurse executive at Sioux Valley Hospital USD Medical Center in Sioux Falls, SD.
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If your hospital is a large urban facility, you may have large numbers of staff with individual departments responsible for performance improvement, patient safety, and data collection and abstracting. Unfortunately, many quality managers at smaller facilities are not so lucky.
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