ED Management
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Address Social Determinants of Health with Multidisciplinary Team, Community Partnerships
An ED Social Medicine team tackles social issues that often sabotage positive health outcomes and prompt repeat ED visits. The team includes clinicians, social workers, mental healthcare providers, patient navigators, a pharmacist, and transitional care personnel.
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Using Trained Observers to Keep At-Risk Patients Safe
A background as a personal care attendant, medical assistant, or mental health worker is a plus.
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Experts Revisit Processes Surrounding Crisis Standards of Care
Throughout the COVID-19 pandemic, healthcare practitioners have observed challenges related to the implementation of crisis standards of care (CSC), a declaration that should be made only when all other options have failed. Experts report there has been a lack of consistency in such decision-making. In some cases, CSC decisions are made unnecessarily, putting patients at risk. They advise re-examining plans for CSC devised before the pandemic to incorporate recent lessons learned.
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Trump HHS Eases Standards Regarding Opioid Addiction Care; Biden Admin Reverses Course
More physicians would have been able to prescribe buprenorphine and other medication-assisted treatment for opioid use disorder, but the incoming administration reversed course.
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Tools Keep Tabs on Patients Remotely, Predicting Outcomes and Conserving Resources
Researchers developed an automated text messaging approach that can monitor patients who have been discharged from the ED. Other investigators have leveraged artificial intelligence to train an algorithm to help emergency clinicians better predict outcomes and manage resources.
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Leaders Plot How They Will Leverage the Lessons of COVID-19
Caregiver well-being, peer support, and accelerated technology should factor into what happens next after the pandemic.
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COVID-19 Exposed America’s Healthcare Faultlines. What Now?
Healthcare leaders and policymakers are working to correct these problems. They are reaching out to underserved communities to better understand their needs and concerns.
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Acupuncture as a Pain Management Alternative
The goal is to provide data that will convince payors to reimburse acupuncture treatment in the emergency environment, a stumbling block that has thus far prevented larger-scale implementation. Additionally, researchers hope their work leads to fewer unnecessary opioid prescriptions.
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Excessive Urine Testing Drives Unnecessary Antibiotic Use, Elongates Length of Stay
Investigators suspect this pattern may be related to the desire to establish an explanation for whatever symptoms have prompted patients to seek care. Clinicians and patients alike want clear diagnoses and definitive solutions to fix problems.
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Teletriage Applications Help EDs Improve Efficiency, Respond to COVID-19 Pandemic
As the demand for virtual care has accelerated, teletriage has melded well with other telemedicine innovations that may permanently change many of the ways in which emergency care is delivered. Some early adopters explain what pushed them out of the gate early, how teletriage has helped them manage the challenges posed by COVID-19, and how they see the approach evolving.