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The Institute of Medicine has called for a patient centered model of care in which patients and families are kept informed about their care. Many ICU patients are unable to communicate and, therefore, family members are called upon for decision-making.
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Systemic corticosteroids are immunosuppressive and associated with serious long-term side effects. Primarily for these reasons, clinicians have long avoided their use in patients with known infections.
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A few years ago, cardiac stress testing would not have been an important subject for emergency physicians. With the growth of observation units run by emergency physicians, however, more of us are ordering these tests and then acting on the results.
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In anticipation of unannounced survey visits by The Joint Commission, the ED at St. Jude's Medical Center in Fullerton, CA, created a "Code JUDE," or Joint Commission Unannounced Disruption Event, drill to help it prepare.
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Involving the patient in their own care, an important component of the National Patient Safety Goals for several years, including 2009, also can be a big help for EDs looking to control hospital-acquired infections (HAIs), says Christopher Beach, MD, vice chair, Department of Emergency Medicine, at the Northwestern University Feinberg School of Medicine and Northwestern Memorial Hospital in Evanston, IL. So can education, he adds.
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With The Joint Commission's 2009 National Patient Safety Goals focusing on hospital-acquired infections (HAIs), ED managers say the key to compliance remains one of the most basic but difficult to implement strategies of all: hand washing.
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In the wake of a flash flood in June that forced the closing of Columbus (IN) Regional Hospital, the ED reopened about two weeks later in a mobile unit called the Carolinas Mobile Emergency Department-1 (MED-1).
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ED managers should be pleased with the proposed increases in ambulatory payment classifications (APCs) for fiscal year 2009, says Dennis Beck, MD, FACEP, CEO of Beacon Medical Services in Denver and chair of the quality and performance committee of the American College of Emergency Physicians (ACEP).
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At first glance, it sounds like only good news for ED managers who are frustrated at their inability to have specialty services adequately covered.