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ED Management

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  • Joint Commission Update: Use these tools to comply with patient safety goals

    Now that the Joint Commission on Accreditation of Healthcare Organizations has announced its 2003 National Patient Safety Goals, what are you doing to comply? Technology could be a crucial part of your strategy.
  • Are pediatric drug errors occurring in your ED? Act now before tragedy strikes

    If you fail to implement effective systems to prevent pediatric medication errors, there can be liability risks for you and your facility.
  • Journal Reviews

    Bentley PN, Wilson AG, Derwin ME, et al. Reliability of assigning correct current procedural terminology-4 E/M codes. Ann Emerg Med 2002; 40:269-274.
  • Guest Column: Work closely with coders or ED revenue may be lost

    Streamlining your ED coding and billing system isnt something you can do alone. It takes the expertise and cooperation of numerous individuals working together on each element of the process. However, the rewards are great both in the areas of improving revenue and assuring conformance with the hospital compliance program.
  • Deluged with inpatient holds? Avoid violations

    Are you giving admitted patients being held in your ED patients the same level of care they would receive in the critical care units? If not, you are violating standards from the Joint Commission on Accreditation of Healthcare Organizations that require the same standard of care be provided.
  • Trauma Reports Supplement: Current Strategies for Airway Management in the Trauma Patient

    This article, the second of two parts, deals with the potentially disastrous situation in which either the patients airway presents a substantial challenge or standard intubation methods have failed.
  • EMTALA Q & A

    Question: Some of our physicians insist on sending their patients to our ED for injections to treat ongoing medical conditions. One patient was scheduled for magnetic resonance imagine (MRI), but due to back pain, he was unable to lie still for the test. The physician ordered a narcotic injection to be given to assist the patient in getting through the test. Even though the MRI was scheduled and the injection order was included with the MRI order, we in the ED refused to administer the medication without a medical screening examination (MSE). The physician was irate, and the patient left unhappy. Did we do the right thing?
  • ED Accreditation Update: Surprise! Are you ready for a random survey?

    Your hospital successfully earned accreditation a year ago. But how ready would you be today if a team from the Joint Commission on Accreditation of Healthcare Organizations walked into your emergency department (ED) as part of a random, unannounced survey?
  • ED Accreditation Update: Joint Commission urges protocols for meningitis

    Meningitis is the most frequently missed diagnosis among sentinel events arising from delays in treatment in the emergency department (ED), according to a 2002 report from the Joint Commission on Accreditation of Healthcare Organizations, and ED managers can expect surveyors to ask about strategies for handling the potentially fatal disease.
  • EMTALA Q & A

    Question: For our psychiatric transfers, the receiving facility generally accepts the patients via an authorizing staff person. Does a physician at our facility have to speak with a physician at the receiving facility?