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Influenza takes an enormous toll on humanity with respect to mortality, hospitalization, and medically attended illness. Despite the licensure of antiviral medications, immunization is the best control measure of influenza. Because patients eligible for influenza vaccine frequent EDs, health care providers working in this arena should offer the vaccine or appropriately recommend and refer patients following current guidelines to sites where the vaccine is obtainable.
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Would you rather move a seriously ill patient with chest pain and shortness of breath from one room to the next so he or she can be monitored or bring the monitor to that patient?
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Is your patient falls reduction program up to par? If not, you could have problems during your next survey by the Joint Commission on Accreditation of Healthcare Organizations. One of the new National Patient Safety Goals for 2005 requires you to reduce the risk of patient harm resulting from falls by assessing and periodically reassessing each patients risk for falling and taking action to address any identified risks.
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Community influenza outbreaks and emergency department ambulance diversion and Impact of a rapid rule-out protocol for pulmonary embolism on rate of screening, missed cases, and pulmonary vascular imaging in an urban U.S. emergency department.
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Although nurses cant be held individually liable under EMTALA, they can still be held liable under their states Nurse Practice Act and be named in medical malpractice lawsuits, says Shelley Cohen, RN, CEN, an educator for Health Resources Unlimited, a Hohenwald, TN-based consulting company specializing in ED triage and health care leadership.
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In recent years, the analysis of complex system errors, such as medical errors occurring in the ED, has changed from simply labeling and punishing individuals to understanding the underlying systems that contribute to medical error. In this issue of Emergency Medicine Specialty Reports, error in the ED and its contributing factors will be discussed, as well as steps to develop a culture of safety.
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Greenfield RH. Manipulative therapy for shoulder pain. Altern Med Alert 2004;7(12):144.
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The American Heart Association dietary recommendations. Altern Med Alert 2004;7(suppl 12):S1-S2.
