Emergency Department Management & Law
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Remote Facilities Can Avoid Unnecessary Pediatric Transfers by Leveraging Telemedicine
When critically ill children present to EDs in rural or community hospitals that lack access to specialty pediatric care, the solution often is to transfer them to a regional pediatric facility, which could be hours away from a patient’s home. This creates travel burdens and added expense for families and payors. But new research suggests that at least some of these interfacility transfers can be safely avoided by incorporating telemedicine consultations with pediatric specialists.
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Homeless Pediatric Patients Use EDs Frequently
Homeless children frequently use EDs, defined as four or more visits in a calendar year, compared to housed children. These patients require hospitalization more often than housed children when they visited the ED, including to ICUs. This underscore the critical influence of housing as a social determinant of health.
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Emergency Medicine Physician Groups Pledge to Tackle Workforce Challenges
Many experts note the burdens placed on frontline providers during the COVID-19 pandemic have taken a toll, and the apparent fall-off in demand for emergency medicine residency positions is not necessarily surprising. Nonetheless, there is concern suggesting solutions are needed to address multiple workforce challenges.
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Emergency Physician’s Testimony Could Legally Expose Hospital
Airing grievances against the department, hospital, or health system will not serve the defendant in the long term. If a patient experienced a delayed diagnosis because of long waits, some providers might editorialize in the chart about why the delays happened or describe their personal efforts to bring the boarding crisis to the attention of leaders. A “just the facts” approach is better.
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Unified Defense Not Always Possible in Malpractice Claim
Defense counsel must be aware of competing interests in any case. Attorneys should engage in frank discussions with the hospital and any employed staff who are named defendants. There must be a cohesive strategy. Individual staff members named in lawsuits should not be speculating on whether a staffing shortage existed, or whether a staffing shortage caused or contributed to a patient’s alleged injury.
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Legal Exposure for EDs if On-Call Consultant Refuses to See Patient
There are multiple tactics to secure a consult, even if a specialist is busy. However, if a bad outcome occurs because there was no consult, clinicians should not play the blame game.
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Wrongful Prolongation of Life Suits Persist, Even When a Patient’s Status Was DNR
Regardless of training or good intentions to preserve life, at the end of the day, this is the patient's choice.
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Florida Hospital Tests Safety Bundle to Improve Alarm Management
With better communication and training, staff on a surgical ICU improved their responses to emergency alarms and alleviated alert fatigue.
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Congressional Proposal Would Reward Clinicians Who Practice in Rural Areas
The bill would expand medical school loan forgiveness in exchange for working in remote, underserved areas.
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Feds Greenlight Expanded Naloxone Availability
The FDA has approved the nasal spray version of the opioid overdose reversal agent for over-the-counter sales.