Hospital Management
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Is the Patient Admitted to the ICU But Still in the ED? Handoffs Are a Safety Concern
Many patients are admitted to the intensive care unit but remain in the ED waiting for an inpatient bed. Depending on how long the patient is boarded, emergency physicians may need to hand the patient off at shift change.
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Maximize ED Throughput with a Higher-Level Focus on Bed Traffic Control
Getting patients seen and treated expeditiously is not only a boon in terms of operational efficiency, it also is a big plus for patient safety. Such factors figured prominently when ED leaders at AdventHealth East Orlando decided to create a powerful new nursing position to take charge of what they are calling bed traffic control.
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Evolving Legal Exposure for Supervising EPs
If an ED patient seen by a nurse practitioner or a physician assistant sues for malpractice, the supervising emergency physician is likely to be named as a co-defendant. That is true even if the emergency physician never saw or heard about the patient, according to a recent study.
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ED Malpractice Claims Differ for Attendings, Trainees, NPs, PAs
Emergency medicine is an inherently high-risk specialty regarding malpractice liability because of complex cases and a fast-paced environment. Increasingly, EDs are staffed by advanced practice providers. It is unclear whether this changes liability for EDs and, if so, in what way.
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Pandemic Fatigue, Disinformation Stunt Uptake of Respiratory Vaccines
A vaccination malaise that has beset much of the public appears to have extended to healthcare workers as well. In addition to citing an abysmal COVID-19 vaccination rate of 17% for healthcare workers during the 2022-2023 flu season, the Centers for Disease Control and Prevention pointed to a “lack of provider recommendation” as one of four key reasons patients are skipping immunizations, with the others being concerns about serious side effects, the occurrence of minor side effects, and a lack of time or forgetfulness.
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CDC: PPE Should be Readily Available for Workers
New draft patient isolation guidelines recently approved by advisors to the Centers for Disease Control and Prevention emphasized that healthcare workers have N95 respirators, masks, eye protection, and other personal protective equipment readily available.
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As OSHA Violence Regulation Stalls, States Move to Protect Healthcare Workers
After more than a decade of urgent calls for federal labor officials to adopt a standard to prevent violence against healthcare workers, 600 determined nurses came to the massive, dome-capped Texas State Capitol in Austin in February 2023. The bipartisan bill that the TNA and the Texas Hospital Association jointly lobbied for was passed into law effective Sept. 1, 2023. Under the conditions of the legislation, healthcare facilities have until Sept 1, 2024, to enact the key provisions.
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Working with Private Care Management Professionals to Help Aging Patients
While inflation continues to be a part of the economic landscape of 2024, aging healthcare consumers and their families are considering their options for managing care. With that, private care management, paid for by the consumer, is becoming more popular. These private care management professionals work with clients and their families to design a care plan to carry them through the various stages of aging.
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Navigating Elder Care and Long-Term Care
Elder care in the United States is increasingly a “major source of moral distress in the hospital case management and social work world,” according to Lisa Bednarz, LCSW, CMAC, ACM-SW, ASW-G, regional director of case management for Robert Wood Johnson Barnabas Health.
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Preventive Care During an Emergency Requires Effective Care Coordination
The COVID-19 pandemic disrupted standard health system practices in a way that allowed healthcare researchers and professionals to learn how to improve their preparedness for emergencies and disasters. Case management leaders and others in health systems need to think about their workflow and how it was disrupted during the early months of the pandemic, as well as later in the crisis.