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An ED manager must work closely with several other departments to ensure the success of a sepsis treatment program, says Tom Sweeney, MD, FACEP, vice chair of emergency medicine at Christiana Care Health Services of Wilmington, DE.
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Things were a little slower than normal on Tuesday evening, March 25, in the ED at Caritas Norwood (MA) Hospital.
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Since the hospitalist concept was introduced several years ago, proponents have lauded its potential advantages: all-day availability, greater familiarity with the hospital environment, improved clinical expertise through greater experience, increased incentives to reduce lengths of stay, and freeing up physicians with outside practices.
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In a warehouse owned by Fort Lauderdale, FL-based Broward Health, teams of nurses, physicians, and techs from the EDs at Coral Springs Medical Center and Imperial Point Medical Center, both in Fort Lauderdale, recently toured mock emergency treatment rooms as the final stage of preparation for construction of the new EDs at those Broward Health facilities.
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While the creators of the Psychiatric Transition Unit at Vanderbilt University Medical Center in Nashville, TN, could find no pre-existing models to emulate, the successful unit they created may now serve as a model for other EDs.
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A new psych unit, located within about 100 feet of the main ED at Vanderbilt University Medical Center in Nashville, TN, has freed up precious bed hours while improving staff and patient satisfaction.
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In a campaign that earned it the prestigious Ernest Amory Codman Award from The Joint Commission, Christiana Care Health Services of Wilmington, DE, reduced the mortality rate for patients with severe sepsis from 61.7% to 30.2%.
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If an emergency physician is arrested for assaulting a patient or for inappropriate sexual conduct, there is potential liability exposure for both the hospital where the ED is located and the emergency medicine (EM) group, says Thomas H. Taylor, a health care attorney at LaCrosse, WI-based Johns Flaherty.
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In the preamble to the new Emergency Medical Treatment and Labor Act (EMTALA) regulations of 2003, some commenters stated that some physicians may choose to come to a hospital to see private patients at times when they are not shown as being on call under the listing the hospital maintains for EMTALA purposes, notes Alan Steinberg, Esq., an attorney with Horty Springer in Pittsburgh.
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When patients are discharged from the ED at Rice Memorial Hospital in Willmar, MN, they never need to worry about how and where to obtain their take-home meds. Since Sept. 19, 2007, they have been able to obtain their prescription meds directly from a "vending machine" located in the department and operational 24 hours a day, seven days a week.
