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A program that provides "critical care without walls," originally intended solely to support the intensive care units (ICUs) at Christiana Healthcare in Wilmington, DE, has been adapted to support the care of critically ill patients in two of the system's EDs. The staff assert that the program, called eICU for electronic ICU, has enhanced quality of care and speeded the resuscitation process.
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At Parkview Medical Center in Pueblo, CO, the introduction of an electronic medical record (EMR) in 2004 was a mixed blessing, at best, for the ED. Patient flow was slowed dramatically, and patient complaints rose because the staff seemed to be paying more attention to the computer than to the human beings they were treating.
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On May 1, 2006, Medical Mutual of Ohio (MMO), one of theï
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The move to abolish 10-codes from intradiscipline communications, which gained impetus in the wake of huge communication problems during 9/11 and Hurricane Katrina, may just be the first step in a move by the federal government to make clearer communications possible, says Bruce Clements, MPH, director of the Missouri Center for Emergency Response and Terrorism (CERT) in Jefferson City.
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By placing a pharmacist within the department to review medications being given to patients, the ED at Huntington Hospital in Pasadena, CA, has achieved more than a 50% reduction in errors in six months.
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If your hospital doesn't have a palliative care program yet, it soon will, and that may mean changes in the way you triage your patients.
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The Working Group on Emergency Mass Critical Care has released recommendations to help EDs meet the accreditation standard that requires their facilities to prepare to respond to an influx, or the risk of an influx, of infectious patients.1 The recommendations include the following:
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Garnering patient satisfaction scores in the 95th percentile is impressive, but doing it for 10 consecutive years really makes people sit up and take notice.
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The EDs at three Toronto area hospitals Mount Sinai, Toronto Western, and Toronto General now are able to perform beside ultrasounds using a hand-held device.