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Six in 10 emergency physicians surveyed report the increase in psychiatric patients is negatively affecting access to emergency medical care for all patients, causing longer wait times, fueling patient frustration, limiting the availability of hospital staff, and decreasing the number of available ED beds.
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Many of the new skills ED managers can use to oversee their departments more effectively and engender more fruitful relationships with upper management are offered in a new continuing medical education course from the Dallas-based American College of Emergency Physicians (ACEP) the Emergency Department Directors Academy (EDDA).
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Three or four years ago, St. Johns Health Center in Santa Monica, CA, would typically receive one letter every week or two complaining about some aspect of care in the ED; perhaps once a month, it might get a letter complimenting that service. Today, We get one letter a week complimenting the staff, and I mean a great letter, says Russ Kino, MD, FACEP, FACEM, medical director of emergency services.
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Qualifications & Major Responsibilities/Functions
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The Centers for Medicare & Medicaid Services (CMS) has unveiled a new program to provide $1 billion over four years to help hospitals and other providers recoup the costs of providing needed medical care to uninsured patients who cannot pay their hospital bills regardless of the patients citizenship status.
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Many ED managers complain that their department is the Rodney Dangerfield of the hospital because they cant get any respect from upper management. But respect is earned, not given, says Gregory Henry, MD, FACEP, risk management consultant at Emergency Physicians Medical Group in Ann Arbor MI.
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Question: Under what conditions can a tertiary care center that usually receives patients refuse transfer?
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An outbreak of food poisoning by Yersinia pseudotuberculosis<?I> in Finland in October/November1998 involved 46 cases and was traced to locally grown iceberg lettuce.
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A carbapenem (most often imipenem) was found in a prospective observational study to be the optimal choice for therapy of bacteremia due to ESBL-producing Klebsiella pneumoniae.
