Emergency Department Management & Law
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For Some Patients with Valid DNRs, Confusion Results in Unwanted CPR
Some DNR orders were not documented anywhere in the medical record. ED staff sometimes failed to recognize DNR orders that were documented. Other patients had advance directives, but no valid DNR order.
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SPADE Method Quantifies Potential Harm of Misdiagnosis
Methodology improves accuracy of diagnostics for sepsis and acute myocardial infarction, lowers malpractice risk.
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Certain Patients Might Meet Criteria, Still Do Not Receive Formal Sepsis Diagnosis
This study highlights two competing risks: The risk of undertreating sepsis and the risk overresuscitating a patient with another cause of their symptoms.
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Two Similar Studies, Two Different Conclusions: What Is the Best Way to Treat Sepsis?
The authors of two recent studies of the performance of the Epic Sepsis Model (ESM), a commonly used early warning tool for sepsis, reached different conclusions: One research group found ESM fails to predict many sepsis cases beyond what clinicians detect on their own, but another research group reported the tool enhances care.
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Acknowledge Pandemic-Driven Moral Distress, Mitigate Harmful Effects
Clinicians experience a high level of moral distress when they know they are not providing optimal care to patients. However, investigators have found leaders can mitigate the effects of moral distress. Such information could not arrive at a better time as hospitals in many regions cope with surging COVID-19 case volumes amid a shortage of skilled nurses.
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The Steep Costs of Operating Under Crisis Standards of Care
New data shine a harsh light on what can happen when hospitals become so overcrowded that they have to resort to crisis standards of care, a level of care where practice standards are relaxed under the strain of scarce resources.
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Report: U.S. Hospitals Could Sustain $54 Billion Net Income Loss for 2021
Higher expenses, fewer outpatient visits, and sicker patients have put many healthcare facilities in the red.
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Real-Time Twitter Data Reveal Stress Patterns During Early Days of COVID-19 Pandemic
Investigators aggregated healthcare worker complaints to better understand triggers of PTSD and secondary traumatic stress.
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Initiative Focuses on Patient Harm Caused by Diagnostic Errors
The initiative will establish a benchmarking system, which will allow EDs to find out how they compare to other facilities.
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Poor Pediatric Readiness Is Big Risk Management Worry
ED readiness is based on national guidelines for ED pediatric care. Facilities should follow these guidelines closely.