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ED Management

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  • OPPS final rule holds no surprises

    The 2010 outpatient prospective payment system/ambulatory surgery centers (OPPS/ASC) final rule, just issued by the Centers for Medicare & Medicaid Services (CMS) as we go to press, is basically unchanged from the proposed rule in areas impacting EDs, according to observers.
  • ED-centric approach earns hospital award

    Having an ED physician as its president might not have been the only reason that Aurora BayCare Medical Center in Green Bay, WI, became the first U.S. hospital to be verified as an emergency center of excellence, but it sure didn't hurt.
  • Do EDs underutilize MET stones therapy?

    According to a new study published online and ahead of print in the journal Urology1, medical expulsive therapy (MET) for urinary stones is underused in American EDs despite evidence of its safety and efficacy.
  • At this center, 'staff' training means everyone

    [Editor's note: This is the first part of a two-part series on staff training at the chest pain center at Oregon Health & Science University Hospital. In this issue, we tell you about training for the valet, patient access service clerk, and triage nurses. In next month's issue, we'll tell you how they enhanced their care for ST-segment elevation myocardial infarction (STEMI) and how atomic clocks were purchased to synchronize door-to-balloon times.]
  • Telemedicine extends stroke experts' 'REACH'

    Proponents of telemedicine have long touted its ability to provide expert consultation for rural facilities that otherwise must deal with a dearth of subspecialists, and nowhere is such help more critical than in stroke care, where time is such a vital element.
  • Will reform make things even worse for EDs?

    With Congress seriously considering several pieces of health care reform legislation, two studies conducted in Massachusetts by the American College of Emergency Physicians (ACEP) have some observers worried that reform will mean even worse crowding conditions for the nation's already overburdened EDs.
  • National emergency declaration creates H1N1 options for EDs

    On Oct. 24, 2009, President Barack Obama signed a national emergency declaration to help the nation's health care providers to better respond to the H1N1 pandemic.
  • With HIN1 vaccine shortage expected, highest-risk groups go to front of line

    With a vaccine shortage projected for novel H1N1 influenza A, only the highest priority groups are likely to be offered the shot when initial lots are cleared for distribution this fall.
  • Scribes, EMR please docs, save $600,000

    Several EDs have introduced physician scribes to free up doctors to spend more time with their patients, but most of those departments use paper charting. At Tri-City Medical Center in Oceanside, CA, physician scribes work within the context of an electronic medical record (EMR).
  • Patient satisfaction is a best practice

    If ED physicians and nurses could choose only one strategy for avoiding lawsuits, it should be to keep patient satisfaction levels high, say several experts interviewed by ED Management.