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New infection control standards by the Joint Com-mission describe a widely supported and collaborative program that represents one of a hospitals top priorities.
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When Haywood Regional Medical Center in Clyde, NC, began tracking case management interventions, staff began by looking at variances in care and documenting them to see how they could improve patient care.
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A few years ago, the masters prepared social workers (MSWs) and RN case managers at Hoag Memorial Hospital Presbyterian in Orange County, CA, were having the usual disagreements over who should do what for which patient and who was carrying the heavier load.
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A process begun four years ago when the Medical University of South Carolina (MUSC) in Charleston took a hard look at pending discharges has led to a cutting-edge bed management program and a best practice designation from two national benchmarking organizations.
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With nursing units swamped in the afternoon with unscheduled admissions, nurses at the Medical University of South Carolina in Charleston were complaining about the arduous database they had to complete on admission of each patient, notes Maureen McDaniel, RN, manager, bed management, in the patient access services department.
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Access managers continue to debate the intricacies of the Emergency Medical Treatment and Labor Act (EMTALA), despite the publication of an EMTALA final rule on Sept. 9, 2003 by the Centers for Medicare & Medicaid Services (CMS). The rule became effective Nov. 10, 2003.
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In part II of this two-part series, the Antibiotic Therapy in Bacterial Sinusitis (ATBS) Clinical Consensus Panel outlines risk-directed strategies for management of patients with acute bacterial rhinosinusitis. Outlining specific symptomatic, historical, and host criteria that prompt empiric antibiotic therapy, and a sequencing strategy for antimicrobial drug selection, this review provides practical, evidence-based strategies for patient management.
