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A true test of the success of a process improvement initiative is whether the results can be sustained, and the ED at Hudson Valley Hospital Center in Cortlandt Manor, NY, has just celebrated the fifth anniversary of its "no wait" process. Most patients skip the waiting room entirely and go right to registration, and then to triage.
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Something had to give. After several years of stagnation or even decline in compensation for ED managers, salaries have begun to improve, according to the 2010 ED Management Salary Survey.
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The debate has been simmering for a while, but it came to a boil recently when the American Academy of Family Physicians (AAFP) threw down the gauntlet with its recent position paper,
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When the situation warrants it, The Joint Commission will re-visit a topic that it previously has covered in a Sentinel Event Alert to look at it from a different point of view.
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A study conducted in the ED at St. John Hospital and Medical Center in Grosse Pointe, MI, has found that ED staff placed unnecessary urinary catheters (UCs) in nearly half of women 80 or older. The study was published in the November 2010 issue of the American Journal of Infection Control.
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If there are any doubts that improving patient flow also enhances patient safety, the recent experience of the ED at Enumclaw (WA) Regional Hospital should dispel them.
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The term "over-triage" certainly sounds ominous and wasteful, but as researchers at the University of California, San Diego (UCSD) School of Medicine note in their recent paper in The Journal of Trauma, Injury, Infection, and Critical Care, it is anything but simple.
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[Editor's note: In this month's issue, we honor our second "gold star" winner. ED Management gives this award to ED teams that go above and beyond the expected to dramatically improve performance through unique and creative approaches. Would you like to nominate your ED or another facility for a Gold Star? If so, contact Steve Lewis, editor, at
[email protected].]
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A simple behavioral health consultation of 15-30 minutes has helped reduce the number of chronic pain patients who use the ED at Providence Newberg Medical Center in Newberg, OR, as their primary source of medical care.
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A new year is fast approaching, and with it comes unusual challenges for ED compliance. As recovery audit contractors (RAC) step up audit activities, many hospitals and ED practice groups are taking a second look at appropriate ways to ensure compliance without sacrificing revenue.
