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  • Code Stroke Protocol

    This retrospective review, performed at Carolinas Medical Center, a large, community teaching hospital with an annual ED census of more than 100,000, looked at its experience with intravenous tPA for stroke during a 56-month time period and compared its experience with that of the National Institute of Neurological Disorders and Stroke trial.
  • CT in your ED? Make sure you’ve got enough space

    Although purchasing a new computed tomography (CT) scanner and associated software can cost upward of $1 million (used and/or refurbished machines may cost half that), money may not be the biggest obstacle to putting a CT scanner in your ED, say experts.
  • Proposed new rule boosts ED payments

    Under a proposed rule from the Centers for Medicare & Medicaid Services (CMS), the nations EDs will see payment rate increases of between 3.2% and 5% for services provided.
  • Patient or visitor, mentally disturbed individuals may pose a safety threat

    When an intruder with a rifle entered Alaska Regional Hospital in Anchorage on March 10, 2004, the ED staff followed the hospitals procedures, which confined him to a corridor leading to the ED and kept ED staff and patients from being harmed. The gunman eventually shot himself, became a patient in the ED, and died from his wounds.
  • Full July issue in PDF

  • Report on ART approved by pro-choice advocates

    The recent report on assisted reproductive technology (ART) by the Presidents Council on Bioethics has been drawing a favorable reception from groups advocating womens health and reproductive choice.
  • Poor health care quality is a national problem

    A study shows only 50%-60% get recommended care. A recent analysis of data collected by the RAND Corp, a Santa Monica, CA-based health policy think tank, indicates that people in all parts of the nation are at risk for receiving poor health care.
  • AMA and consumer group debate tort reform efforts

    Although the researchers themselves focused on deficiencies in the delivery of health care, officials with the nonprofit consumer protection group, Public Citizen, claim the new analysis of health care quality conducted by the RAND Corp. demonstrates that the malpractice insurance crisis is not as great as tort reform advocates claim.
  • Workplace intimidation affects patient safety

    According to newly released survey data from the Huntington Valley, PA-based Institute for Safe Medication Practices (ISMP), intimidating behavior is a common element of many health care practice settings, and such behavior is a factor in the occurrence of many medication errors.
  • Mediation offers strategy for ethical conflicts

    Mediation long has been known as an alternative way of resolving civil legal disputes. But as the following case study illustrates, it is emerging as a new way to help resolve conflicts in medical settings.