Emergency Department Management & Law
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EMTALA Violations, Malpractice Claims Possible if ED Goes on Diversion Inappropriately
Diversion procedures should include community-based policies, created in agreement with EMS and other area hospitals, so everyone is handling the issue similarly. Create a formal activation procedure that specifies who must order diversion, acceptable reasons for diversion, how it is handled, and how the diversion is communicated to fire/EMS/police dispatch and other facilities.
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‘STRAUMA’ Protocol Activates Care for Patients with Concurrent Symptoms of Stroke, Trauma
Researchers designed STRAUMA specifically for patients who exhibit symptoms of stroke and show visible signs of trauma. Typically, EMS activates the protocol, but other emergency providers can call for it after an appropriate patient has presented to the ED. An activation pages stroke and trauma teams to respond so they can evaluate the patient jointly.
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Defuse Tensions and Protect Healthcare Workers with a Mix of Unique Tactics
The focus should be on de-escalating situations before they spiral out of control.
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TJC’s Revised Workplace Violence Prevention Requirements Take Effect
The revised standards address data collection and analysis, leadership oversight, training, and post-incident procedures. Recognizing incidents of workplace violence are underreported in healthcare, The Joint Commission created a comprehensive definition of workplace violence that should be incorporated into an organization’s policies and procedures.
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Creating Robust Solutions to Prevent Workplace Violence
Changing the way ordinary people think about how they interact with healthcare, how providers are there to help, not to be a subject of abuse, harassment, or violence, is vital.
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HHS Highlights No Surprises Act Benefits as Implementation Date Looms, Concerns Linger
Biden administration touts consumer protections, but lawmakers and advocacy groups remain concerned about interim final rule language.
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Moral Distress When Caring for Patients on Mechanical Circulatory Support
Clinicians pointed to palliative care and ethics consults as ways to mitigate moral distress.
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Discussions on Patient Care Could Become Discoverable
Evidence indicating the emergency physician conducted peer review diligently and in good faith could help the defense. Still, considering the possibility of discoverability, providers should avoid inaccurate, sarcastic, or unnecessary comments during peer review.
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Patients Offer Insight on ED Providers’ Communication Skills
With better communication, ED patients are more likely to follow recommendations and experience better outcomes.
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Cardiology, Stroke Malpractice Cases Involve ED Providers’ Communication Gaps
Cutting corners with poor communication can lead to devastating patient outcomes.