Hospital Case Management
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ED Leaders Take Multiple Paths to Improve Geriatric Emergency Care
It has been several years since the Geriatric Emergency Department (GED) Guidelines were published and then endorsed by several groups. But although it is well understood the U.S. population is rapidly aging, experts agree only a few EDs provide the kind of care the GED Guidelines recommend. Where’s the disconnect?
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Ethicists Become Involved in Managing Aggressive, Violent Patients
A facility in Vermont created behavior response teams, with ethicists playing a major role in collaboration with other hospital leaders, a psychologist, security staff, and other stakeholders to better manage volatile situations and protect the well-being of patients and employees.
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Crowding Linked to Higher Risk of Children Leaving Without Assessment
Researchers argue leave without being seen rates should no longer be considered an isolated problem, but rather a costly consequence of ED crowding resulting from poor patient flow through the hospital and across the system.
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Youth Spend Days in EDs Waiting for Psychiatric Inpatient Care
Negative care outcomes, treatment delays, risk of injury (to patients, family, or staff), and poor satisfaction are undesirable outcomes resulting from boarding.
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Integrate Youth Violence Prevention into Busy ED Workflow
There is an opportunity to intervene with young patients when they present to the ED for treatment of violence-related injuries. However, much less is known about how facilities can effectively seize this opportunity, considering the often-frantic pace of a busy department.
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Emergency Nurses Aim to Improve Care of OUD Patients
When armed with appropriate screening questions, nurses can better identify and assist patients with opioid use disorder. Because nurses often are the first care team member a patient sees, an interdisciplinary approach makes sense to ensure all components of a patient’s health are addressed.
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As Opioid Epidemic Continues Unabated, EDs Mobilize to Save Lives
Investigators have made remarkable progress in identifying patients with opioid use disorder when they present to the ED, and convincing frontline providers to initiate these patients on medication-assisted treatment. Further, they have been regularly documenting their ongoing improvement efforts to offer other EDs a potential roadmap for how to improve in this area and sustain that progress.
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Post-COVID-19 Behavioral Health for Patients and Providers
Questions about mental and behavioral health have been at the forefront of many minds, especially as the COVID-19 pandemic continues. Of course, the problem did not start with COVID-19. -
Best Practices in Utilization Management
Ideally, the case manager’s utilization management role integrates discharge planning, care coordination, and resource management. It takes place on the unit where the case manager can interact directly with the care delivery team. It also is important for departments and hospitals to develop policies for utilization management procedures at the outset. -
Dementia Model Can Help Patients with Alzheimer’s
Patients with dementia face barriers to care, particularly for underserved communities. One possible solution is a community-based partnership approach and expansion of existing institutional and local resources.