ED Management
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Misconceptions About Homelessness Put Patients, EDs at Risk
Engage these patients in care plans the same as anyone else. Ensure the patient understands the treatment plan, and can carry it out if discharged.
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Legally Protective Charting Sticks to the Facts
Charts containing emotional statements, accusations, and speculations might be compelling reading, but they are legally problematic.
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Documentation Mistakes Lead to Significant Malpractice Awards
Ensure charts are generated honestly, and check to make sure key care decisions are carefully documented regarding consent.
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New Checklist Offers Roadmap for Improved Diagnostic Performance
Researchers created 10 high-priority practices they maintain are key to promoting diagnostic excellence.
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Call Patients to Reinforce Discharge Instructions, Stress Need for Follow-Up Care
Follow-up calls to patients after they have been discharged may be far down on the priority list for busy EDs. However new data suggest such calls can ensure patients understand their discharge instructions and prevent repeat visits.
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Remain Vigilant for Signs of Monkeypox
Emergency clinicians should include the possibility of monkeypox in any patient presenting with early symptoms suggestive of the illness and certainly for those with a new rash and epidemiological risk factors.
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The Case for a Team Approach to Manage Agitated Patients
While many EDs have instituted mechanisms to quickly trigger security staff, a Connecticut hospital created a unique team-based protocol that includes security and clinicians. Everyone works together to protect staff and prevent the need for restraints, sedatives, or other potentially harmful interventions. After three years, staff report they feel safer, and new data show the approach is associated with a lower rate of physical restraint use.
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Simulated Deposition Teaches Emergency Clinicians About Malpractice Claims
ED providers often worry about lawsuits, yet many lack basic knowledge of malpractice litigation. A simulation tool that teaches curricular objectives and reinforces medical knowledge on resuscitation, communication, procedural skills, and other topics could help fills the gaps.
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Educators Hope Emergency Nurse Residency Program Can Improve Retention, Prevent Burnout
What is the best way to prepare a new nurse for the challenges and requirements of an ED? The answer might be a comprehensive emergency nurse residency program capable of providing graduates and nurses new to the emergency environment with the judgment, skills, and resilience to launch long and successful careers.
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Decision Support Tool Boosts Outcomes for ED Patients with Pneumonia
The authors of a new study demonstrated that when deployed in the EDs of community hospitals, an electronic decision support tool for pneumonia can improve treatment while dramatically reducing mortality and inpatient utilization.