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Is ED Patient Rude or Insulting? Risk Mitigation Needed
Patients who behave in this manner could be at risk for a missed diagnosis caused by poor communication with the treatment team. They may be so difficult to tolerate that they receive less attention and nursing care than they would have otherwise. The best approach is to recognize the risks with these types of patients and mitigate them.
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Emergency Medicine Residents Should Be Aware of Legal Exposure
To alleviate malpractice risks involving residents, attendings should implement a reasonable and adequate plan for the patient along with the resident; review the patient’s lab and imaging results; and, ultimately, be the decision-maker as to the patient’s ultimate disposition.
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Ensuring Compliance in Case Management Is Critical
Many compliance issues in the CMS Conditions of Participation for utilization review and discharge planning need attention. Ensuring compliance is critical for improving patient care, preventing financial penalties or sanctions, and avoiding trouble with governmental authorities by identifying and correcting compliance issues early.
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Consider the Burden for Those Caring for Older Trauma Patients
Family caregivers of older people who have experienced a serious fall or another traumatic event sometimes are unprepared for the role. The authors of a recent study found close to one-third of family caregivers of older trauma patients experience high caregiver burden up to three months after the patient’s discharge.
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Pandemic-Era Care Transitions Led to ED Overcrowding
Researchers found that adult patients who visited EDs in a North Carolina health system between March 1, 2020, and March 1, 2022, faced significantly longer stays if they were transitioned from the ED directly to a skilled nursing facility (SNF) instead of transitioning to a hospital bed and then to a SNF.
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Targeted Case Management Helps Patients Experiencing Homelessness
The lack of affordable housing is a crisis affecting Americans in all age groups, in every city, in every state. Nearly half of Americans say finding affordable housing in their community is a major problem, according to Pew Research. A case management model in Philadelphia helps a local homeless population by connecting people with the healthcare they need as well as finding them stable housing.
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Case managers are well-positioned to help prevent rehospitalization of sepsis survivors by ensuring a smooth transition to post-acute care services. They can provide follow-up to ensure patients are receiving the home health services, therapies, and primary care visits they need.
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Sepsis Patients Need Transition Support to Prevent Rehospitalization
Post-acute care is crucial for sepsis survivors. It helps patients with functional recovery and can prevent readmissions. Research suggests post-acute care services may be underused. Fewer than half the patients discharged from the hospital receive care in skilled nursing facilities, with home health services, or in long-term care facilities.
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Nonhormonal Treatment for Menopausal Vasomotor Symptoms: A Phase III Study of Fezolinetant
More than 500 women with moderate to severe menopausal vasomotor symptoms received either 45 mg of fezolinetant, 30 mg fezolinetant, or placebo. Both fezolinetant doses significantly reduced the frequency and severity of menopausal symptoms at four and 12 weeks of treatment vs. placebo.
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Oral Penicillin Challenge vs. Skin Testing: Diagnosing Low-Risk Patients with Reported Penicillin Allergy
In a comparison of direct oral penicillin challenge in low-risk patients to skin testing followed by oral challenge, researchers reported no significant differences. Direct oral penicillin challenge appears to be a safe and effective way to delabel a penicillin allergy.