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Reducing falls is a constant worry for risk managers, and sometimes it seems there are no new ideas. But many health care providers are finding the most success with an approach that includes a wide range of efforts, everything from special equipment and monitoring systems to making sure every employee is empowered to prevent falls.
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It's a constant worry for risk managers: Do you have enough physicians taking emergency department (ED) call duty? Will those on call actually respond when summoned? Are they taking ED calls from other hospitals at the same time?
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A man presented to the hospital complaining of a painful headache. A CT scan was ordered, but the CT scanner was not working properly. After an hour and a half of trying to repair the machine, staff made arrangements to use a backup CT scanner at an imaging center across the street, but that machine also was inoperable.
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Police in Atlanta report they have arrested a man posing as an emergency physician in a hospital, and authorities in Jacksonville, FL, say they still are hunting for a man seen impersonating a doctor in a children's hospital.
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Everyone can use a little TLC, and at Baptist Health, a multifacility health system based in Jacksonville, FL, staff get it from a program called "Transferring and Lifting with Care" or TLC.
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While there certainly are times when doctors just shirk their duties, it is important to remember that they may have justification for not wanting to take ED calls.
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During an October 2003 survey conducted at Fort Lauderdale, FL-based Broward General Medical Center by The Joint Commission, surveyors recommended improvements with the organization's pediatric sedation process. In particular, they found fault with the administration of sedation for outpatient diagnostic procedures.
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Nearly half (43%) of hospitals surveyed in the first half of 2007 were not compliant with The Joint Commission's standard requiring medications be properly and safely stored, and 20% were non-compliant with the requirement for medication orders to be written clearly and transcribed accurately.
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Have you ever presented physicians with carefully analyzed data to demonstrate areas in need of improvement and then discover that your findings are disputed?
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In a dramatic effort to expand its quality program for hospital inpatient services in fiscal year 2009, The Centers for Medicare and Medicaid Services (CMS) has proposed the addition of 43 new quality measures for which hospitals will have to report data in order to receive the full annual payment update for their services.