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"Spoil 'em rotten, pay 'em lots of money, let 'em do what they want, and then cut their throats if they don't give you what you need."
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"It's a constant struggle." Reducing door to doc times in the emergency department, that is. And though Iowa has traditionally ranked among the top three states for low ED wait times in Press Ganey reports, it still faces the never-ending challenge all EDs face: managing overcrowding, wait times, and patient satisfaction.
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For the first time, newly proposed guidance puts a number and a cost to the respirators needed to protect health care workers during an influenza pandemic: 480 respirators at a cost of about $240 to protect a single employee, or a single reusable elastomeric respirator with three filters at a cost of $40 per employee.
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Even if you offer a variety of costly programs to get employees to exercise, participation is probably not what you wish for.
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How would you like to boast that one of your company's wellness programs got these results for diabetics: A 21% increase in employees achieving the American Diabetes Association goal of an A1C level under 7.0, an increase from 43.8% to 57.7% in participants meeting National Cholesterol Education Program goals for LDL cholesterol, and a 15.7% increase in the number of employees meeting recognized goals for systolic blood pressure?
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Diabetic ketoacidosis (DKA) is a state of metabolic decompensation, secondary to insulin deficiency/resistance that is coupled with counter-regulatory hormone excess and results in varying degrees of hyperglycemia, ketoacidemia, hypertonic dehydration, and sometimes, alterations in mental status.
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Controversy continues to swirl around the appropriateness of emergency physicians writing holding orders (or bridge orders, as they are sometimes called) for admitted patients.
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Crowding is increasingly becoming a factor in litigation involving emergency department care, putting nurses and physicians at increased risk for being named in a lawsuit.
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The Centers for Medicare and Medicaid Services (CMS) recently proposed changes to the Emergency Medical Treatment and Active Labor Act (EMTALA) regulations that would allow "community call" programs to be established by groups of hospitals in self-designated referral areas to help address the shortage of ED on-call specialists.