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In 1999, the Institute of Medicine (IOM) published a report, "To Err is Human: Building a Safer Health System," that led to a radical shift in the way health care organizations and agencies address patient safety. Now the IOM has turned its attention to the nation's emergency care system.
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As outlined in the Institute of Medicine report, there are three major issues that are hindering patient safety and quality in our nation's EDs, says Mary M.
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The Institute of Medicine (IOM) report outlined three major dynamics a shortage of primary care physicians, a disconnect between growing ED patient demand and shrinking capacity, and a shortage of on-call specialists that are converging to create a dire situation for the emergency medicine work force.
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ED managers could be impacted by one newly announced National Patient Safety Goal and an extension of an existing goal, says Richard Croteau, MD, executive director for patient safety initiatives at the International Center for Patient Safety at the Joint Commission on Accreditation of Healthcare Organizations.
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ED managers who read these headlines in the three Institute of Medicine (IOM) reports on emergency care probably will feel as though they could have written them themselves.
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The Institute of Medicine (IOM) report is all about the future. However, when it comes to information technology and ED managers, "the future really means catching up with the past," says one expert.
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As the Institute of Medicine (IOM) addressed the issue of patient flow, "system" was once again the magic word.
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A new study from the Joint Commission on Accreditation of Healthcare Organizations finds that community-based preparation for and response to disasters will require more effective communication and planning among hospitals, public health agencies, and community first responders such as fire, police, and emergency medical services, than currently exists.
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Offering routine HIV testing to ED patients is something that probably sounds good to an ED manager with a strong sense of his or her public health mission. It also is, however, something more easily thought than done.
