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  • Legal Exposure if EMS Are Noncompliant with Stroke Guidelines

    If clinicians miss a stroke diagnosis or delay care for that condition, plaintiff attorneys are going to scrutinize everything ED providers could have done differently. However, whatever problems there are or were all could have started well before the patient arrived at the facility. In fact, most patients receive prehospital stroke care from EMS that is noncompliant with American Stroke Association guidelines.

  • Integrate Youth Violence Prevention into Busy ED Workflow

    There is an opportunity to intervene with young patients when they present to the ED for treatment of violence-related injuries. However, much less is known about how facilities can effectively seize this opportunity, considering the often-frantic pace of a busy department.

  • Understanding Each COVID-19 Test’s Strengths and Weaknesses

    Considering that testing over multiple days is not practical in the ED, clinicians with access to relatively rapid RT-PCR testing probably will opt for the more sensitive test. However, the antigen test offers a good option to urgent care centers or EDs that lack access to a sophisticated lab.

  • Emergency Nurses Aim to Improve Care of OUD Patients

    When armed with appropriate screening questions, nurses can better identify and assist patients with opioid use disorder. Because nurses often are the first care team member a patient sees, an interdisciplinary approach makes sense to ensure all components of a patient’s health are addressed.

  • As Opioid Epidemic Continues Unabated, EDs Mobilize to Save Lives

    Investigators have made remarkable progress in identifying patients with opioid use disorder when they present to the ED, and convincing frontline providers to initiate these patients on medication-assisted treatment. Further, they have been regularly documenting their ongoing improvement efforts to offer other EDs a potential roadmap for how to improve in this area and sustain that progress.

  • Post-COVID-19 Behavioral Health for Patients and Providers

    Questions about mental and behavioral health have been at the forefront of many minds, especially as the COVID-19 pandemic continues. Of course, the problem did not start with COVID-19.
  • Best Practices in Utilization Management

    Ideally, the case manager’s utilization management role integrates discharge planning, care coordination, and resource management. It takes place on the unit where the case manager can interact directly with the care delivery team. It also is important for departments and hospitals to develop policies for utilization management procedures at the outset.
  • Dementia Model Can Help Patients with Alzheimer’s

    Patients with dementia face barriers to care, particularly for underserved communities. One possible solution is a community-based partnership approach and expansion of existing institutional and local resources.
  • How a Transitional Care Leader’s Organization Survived the Pandemic Chaos

    In this Q&A, Hospital Case Management asked Vera Usinowicz, APN-C, supervisor of The Center for Comprehensive Heart Failure Care at The Valley Hospital in Ridgewood, NJ, to discuss how her transitional care unit kept heart failure patients out of the emergency department and hospital during the COVID-19 pandemic.
  • Stroke Care Transitions Program Benefits from Social Work Case Managers

    When social workers helped stroke patients and their caregivers transition from the hospital to home, these case managers found some anecdotal benefits over a 90-day period.