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Many facilities and EDs use the tool called the modified early warning score (MEWS), which includes questions about the patient's health state, to determine if patients are getting sicker and if they require transfer to the intensive care unit (ICU).
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A review of the literature has revealed that injuries in the elderly resulting from motor vehicle crashes has been underdetected, and resulted in patients being inappropriately treated or assigned to nontrauma centers. The article was published in the January 2010 issue of the Journal of Emergency Nursing.
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With the release of the National Health Security Strategy (www.hhs.gov/disasters) and interim implementation guide for protecting public health in a large-scale emergency, the Department of Health and Human Services (HHS) has taken the first step toward the realization of a vision long held by emergency response individuals and organizations: a cohesive plan to be followed by everyone in the nation who is involved in disaster response.
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An adverse event in the ED at University Medical Center (UMC) in Las Vegas might have drawn negative media coverage and state and federal investigations, but it also led to process changes that the ED managers say have made a world of difference in patient satisfaction and quality.
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Sometimes in the rush to adopt new surgical approaches that allows less scarring and quicker discharge, an important fact becomes lost: Minimally invasive procedures are serious surgery with inherent risks and potentially deadly postoperative complications.
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In 2008, Heartland Regional Medical Center in St. Joseph, MO, was struggling with late start times, long turnovers, and elective cases that sometimes stretched to 4 a.m.
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What a wonderful winter it has been in America! Snow and ice and everything nice. Stalled cars, streets shut down, schools closed, general chaos tempered with gleeful, giddy, schoolchildren and frustrated parents. Ahh, global warming at its best!
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It is viable for your facility to be out of network in a world dominated by powerful insurance payers? The answer is a definite . . . maybe.
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(Editor's note: This is the first of a two-part series on the benefits of a marketing director. In this issue, we tell you about the successes of a former RN who increased referrals while working part-time as the marketing director of a surgery center. In next month's issue, we tell you about the benefits of having a full-time director with a marketing background.)