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The New York State Supreme Court currently is hearing a case that addresses a dilemma many ED managers face every day: When is it permissible to force a patient to receive treatment?
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Every year The Joint Commission (TJC) identifies those standards and requirements that were most frequently identified as "not compliant" for the previous six-month period. For the most recent reporting period, Jan. 1, 2007, through June 30, 2007, the standard with the lowest compliance rate for hospitals was the National Patient Safety Goal for medication labeling, with a compliance rate of 17%.
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ED managers who treat pediatric patients should always have their staff weigh them in kilograms, since that method is the one used to arrived at dosing guidelines, noted experts speaking at a April 11, 2008, teleconference conducted by The Joint Commission.
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The world of emergency medicine was thrown into a state of turmoil on Feb. 10, 2008, when the Centers for Medicare & Medicaid Services (CMS), issued the following guidance: "If a hospital uses other written protocols or standing orders for drugs or biologicals that have been reviewed and approved by the medical staff, initiation of such protocols or standing orders requires an order from a practitioner responsible for the patient's care."
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Any persistent thoughts of or conversations about wanting to die or committing suicide should be taken seriously, advises the American College of Emergency Physicians (ACEP).
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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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"If a hospital permits physicians to selectively take call while the hospital's coverage for that particular service is not adequate, the hospital would be in violation of its EMTALA obligation by encouraging disparate treatment."
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The public safety room at St. Mary Medical Center, Langhorne, PA, has several special features to help ensure the safety of staff and patients in the ED, according to Harry Myers, director of safety, security, and parking. Here is his description of those features:
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On Sept. 29, 2005, the lives of the ED staff at St. Mary Medical Center in Langhorne, PA, were affected dramatically when a man arrested for DUI pulled a gun and shot an ED technician and two police officers one fatally.
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In early February 2008, all the ED physicians at St. Anthony's Medical Center in St. Louis, including ED medical director Ed Ferguson, MD, submitted their resignations over a dispute with the administration concerning the establishment of a physician group.