ED Management
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Work With Community Partners to Develop Solutions for Opioid Use Disorder Patients
While many emergency physicians are reluctant to tackle the issue of addiction, there is growing recognition that EDs offer a huge opportunity to identify patients with opioid use disorders and link them to meaningful care. The obstacles are many, but forward-thinking emergency medicine leaders in regions hit hard by the opioid epidemic are finding paths to success, often in partnership with other agencies or community groups.
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As Measles Cases Mount, Frontline Providers Urged to Remain Vigilant
As of late May, 940 measles cases had been confirmed in 2019, the most cases reported in the United States in 25 years.
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Trump Administration Outlines Steps Aimed at Eliminating HIV Epidemic
CDC Director: “This is going to be a whole-of-society initiative. We have an unprecedented opportunity to end the HIV epidemic in America, and that is why the time to act is now.”
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EDs, Community Partners Play Central Role in Slashing HIV Diagnoses in San Francisco
Emergency providers have played a strong role in helping San Francisco drastically reduce the number of new HIV infections as part of the city’s Getting to Zero initiative. In particular, the ED at Zuckerberg San Francisco General Hospital (ZSFGH) has identified 10% of all new HIV infections in the city. Working in partnership with Ward 86, the nation’s first HIV clinic, these patients and their partners have been connected to care quickly, greatly diminishing subsequent transmissions. It is a model that has been duplicated across the city to great effect.
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As Cannabis Use Proliferates, Investigators Probe What Brings Patients to the ED With Adverse Drug Events
Investigators are beginning to unearth important findings from a rich data set regarding cannabis-related ED visits at a large, academic medical center in Colorado. As states move to legalize recreational and/or medicinal cannabis use, the information is important to helping frontline providers understand how to recognize and treat such patients.
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Pilot Program in Pennsylvania Prompts EDs to Invest in Care Coordination
A more pronounced focus on care coordination is taking shape in the EDs at a cadre of rural hospitals that are participating in Pennsylvania’s new global budgeting pilot. The pilot is designed to provide a more secure revenue stream to hospitals that have been operating at a loss or with very small operating margins. However, it also signals a strong shift away from the traditional focus on volume toward value-based care and population health.
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When Handling Adverse Events, Experts Tout Benefits of Transparency
A small but growing number of health systems are implementing communication and resolution programs (CRP) to address adverse events that lead to patient harm. Experts note the approach involves a move away from a culture of deny and defend toward more openness and transparency with patients, families, and caregivers.
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Tool Helps Clinicians Determine When to Test Patients to Confirm Influenza
A new clinical decision guideline will help healthcare workers determine which patients should undergo testing to confirm whether they do have influenza or perhaps another respiratory condition that causes similar symptoms.
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Hospital Campus-Based Urgent Care Center Shares Staff, Resources With Nearby ED
The Mount Sinai Health System in New York City has opened a new urgent care center, dubbed Express Care, just 150 feet from the ED on the campus of Mount Sinai Hospital. The new center is staffed with board-certified emergency physicians and is designed to meet the unscheduled care needs of patients in the area. However, considering the proximity of the new center to the ED, it offers some unusual advantages over off-campus urgent care sites.
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Investigators Find Connection Between Health Information Exchange Use, Shorter ED Stays
Researchers have found that health information exchange (HIE) adoption is associated with a 10.2% reduction in length of stay (LOS). Further, they reported that this reduction in LOS increases to nearly 15% in an integrated healthcare system, which has stronger incentives for using an HIE.