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A resident at an assisted living facility had significant issues with constipation and bowel issues for which she was prescribed certain medications. The resident claimed that the nursing facility did not administer the medication as required by her physician and that she began showing signs of an obstruction after one week of failing to have a bowel movement. Enemas and other treatments were administered by nurses at the facility, but ultimately she was taken to the emergency room with a ruptured colon.
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Every week, in the United States, between 8% and 13% of emergency department nurses are victims of physical violence, according to a new study released by the Emergency Nurses Association (ENA) in Des Plaines, IL.
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Retaliatory firing of a risk manager for reporting regulatory infractions is outrageous but not unheard of, says Dan Groszkruger, JD, MPH, CPHRM, DFASHRM, risk manager at Stanford (CA) University Medical Center and a board member of the American Society for Healthcare Risk Management (ASHRM) in Chicago.
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The Centers for Medicare & Medicaid Services (CMS) has issued a final rule for hospital outpatient departments (HOPDs) for calendar year (CY) 2011 with a payment rate increase of 2.35%.
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A new year is fast approaching, and with it comes unusual challenges for ED compliance. As recovery audit contractors (RAC) step up audit activities, many hospitals and ED practice groups are taking a second look at appropriate ways to ensure compliance without sacrificing revenue.
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A simple behavioral health consultation of 15-30 minutes has helped reduce the number of chronic pain patients who use the ED at Providence Newberg Medical Center in Newberg, OR, as their primary source of medical care.
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[Editor's note: In this month's issue, we honor our second "gold star" winner. ED Management gives this award to ED teams that go above and beyond the expected to dramatically improve performance through unique and creative approaches. Would you like to nominate your ED or another facility for a Gold Star? If so, contact Steve Lewis, editor, at
[email protected].]
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The term "over-triage" certainly sounds ominous and wasteful, but as researchers at the University of California, San Diego (UCSD) School of Medicine note in their recent paper in The Journal of Trauma, Injury, Infection, and Critical Care, it is anything but simple.