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ED Management

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  • 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.
  • 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.
  • 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.
  • 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.]
  • 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.
  • 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.
  • 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.
  • Simple technology for complex work

    Given the complex tasks of the physician scribes at Tri-City Medical Center in Oceanside, CA, you'd think that the technology they use to interface with the department's electronic medical record (EMR) from Cerner Systems would be anything but user-friendly.
  • ED managers must dig beneath the surface to uncover all potential sources of liability

    (Editor's note: In this special issue, we highlight an all-important topic: avoiding litigation. We cover issues such as department-level risk assessments, preventive actions to reduce risk; key areas of risk; a three-step strategy for risk management; changes in your department's culture to reduce risk; the use of patient satisfaction as a best practice; best practices and tools for physician, nurses, and other practitioners; admission of mistakes; and the critical role of patient advocates. We know you'll find a host of important strategies to hone your risk management program.)
  • Get at root causes to reduce risk

    How can an ED manager reduce the risk of lawsuits once problem areas have been identified? Experts agree you've got to get to the root cause of those problems. Sometimes, they say, it might take the use of formal quality improvement tools such as root-cause analysis. Other times, it can be a simple as listening to patient complaints.