Hospital Management
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Overcoming tribal culture wars to improve patient safety
Improving patient safety cultures in health care requires involvement and action at the local level by leaders committed to replacing a "tribal" mentality with a shared vision of a health care team, says Peter Pronovost, MD, PhD, director of the Armstrong Institute for Patient Safety and Quality at Johns Hopkins Medicine in Baltimore.
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Joint Commission: Intimidating and disrespectful" behavior poisoning patient safety culture in health care
How many infections occur because no one spoke up? -
EPs Can Protect Themselves Legally From 'Problem' Patients
An inebriated frequent emergency department (ED) patient, discharged after a cursory examination and no treatment, was found dead in the hospital's parking lot a few hours later. -
Wisconsin Court Rules On-call Physician with Privileges is an 'Employee' of the Hospital for Purposes of EMTALA Whistleblower Enforcement
Two years ago, a Texas court, in the case of Dr. Zawislak v. Memorial Hermann Hospital, determined that emergency physicians were "employees" of the hospital for determining whether they could sue the hospital under the Emergency Medical Treatment and Labor Act's (EMTALA) whistleblower provision for retaliatory termination (see the February 2012 ED Legal Letter). -
"If the EP Had Only Told Me" Is Consultant's Likely Defense
"If the EP had only told me, I would have come right in and admitted the patient," is what a consultant is almost certain to claim if named in a lawsuit resulting from a bad outcome that occurred after a patient was discharged from the ED. -
ED Legal Letter - Full February 1, 2014 Issue in PDF
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Findings underscore value of palliative care
There is new evidence that initiating palliative care consults in the ED results in shorter hospital lengths of stay (LOS). -
Health plan, community team up for DM
WellCare Health Plans is partnering with community-based organizations that provide social safety net services to provide a diabetes management program for its members. -
Pharmacists provide medication guidance
Through Capital District Physicians' Health Plan's medication therapy management program, pharmacists in the community and embedded in large primary care practices work with patients to help them adhere to their treatment plan. -
Embedded crisis workers help to decompress ED, connect mental health and addiction medicine patients with needed resources
To manage a big spike in demand from patients seeking emergency care for mental health (MH) and addiction medicine concerns, staff from the University of Pittsburgh Medical Center-Mercy and Western Psychiatric Institute and Clinic of UPMC have devised a series of interventions aimed at quickly linking these patients with the care and resources they need.