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Even if asymptomatic, early elective aortic valve replacement should be considered for increasingly symptomatic patients with severe aortic valve stenosis because they have a poor prognosis with a high event rate and a risk of rapid functional deterioration, especially if the peak aortic jet velocity is above 5.5 m/sec.
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Recognizing and re-emphasizing the fact that children are a distinct population of patients in the ED, the American Academy of Pediatrics, the American College of Emergency Physicians (ACEP), and the Emergency Nurses Association (ENA) have released a joint policy statement that includes guidelines for the care of children in emergency departments.
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There was mostly good news for quality professionals in The Joint Commission's latest annual report on quality and patient safety.
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Winners of quality and safety awards often have much in common, but there is something about Eastern Maine Healthcare System in Brewer, recent recipient of The VHA Foundation and National Business Group on Health's Patient Safety Leadership Award, that sets it apart: the way it measures success.
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When research suggests changes in standard medical practice, the public health community expects physicians and hospitals to adopt the new way and help improve patient outcomes.
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Joint guidelines from the American Academy of Pediatrics, the American College of Emergency Physicians (ACEP), and the Emergency Nurses Association (ENA) cover several major areas including staff competencies; improving patient safety; policies, procedures, and protocols; transfer agreements; support services; and equipment, supplies, and medications.
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Eastern Maine Healthcare System in Brewer, recent recipient of The VHA Foundation and National Business Group on Health's Patient Safety Leadership Award, pursues its "zero defect" goal by employing various steps in a quality pyramid. (See pyramid.)
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How's this for a practice gap? It's estimated that 1 in 10 suicide victims are people seen in the emergency department within 2 months of dying. Suicide is an issue of public health, which, in today's medical system, is often the domain of the emergency physician (EP).