Hospital Management
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Emergency Clinicians’ Emotional Reactions to Psychiatric Patients Affect Care, Well-Being
Survey participants painted a picture of negative healthcare experiences, for both patients and clinicians, that are adversely affecting the quality of care and staff well-being. Change is badly needed to ensure these vulnerable patient populations receive care — and to support ED providers.
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Restraint Use Can Put Provider, Hospital in a Jam
Personal animus or emotion on the part of an emergency provider should never be a rationale for the use of restraints. EDs are at risk for allegations of unlawful restraint or assault in circumstances where the use of restraints is not justified.
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Is an EmPATH-Style Unit Right for Your ED?
When deliberating, remember the busy, noisy environment of the ED often makes symptoms worse for patients who have presented with psychiatric emergencies. Many EmPATH units consist of designated open spaces where patients are free to roam while under observation.
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Novel Unit Accelerates Psychiatric Care, Keeps Patients Flowing
Some departments have designated space where patients with psychiatric emergencies will be taken as soon as they are medically cleared in the ED. Here, they will be evaluated promptly and treated by psychiatric specialists. This model has prevented boarding, opened more beds, made transfers smoother, and produced better outcomes.
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New Solutions to Help Young Patients Who Present with Behavioral Health Crises
Behavioral health mobile teams, comprised of psychiatrists, psychologists, experts in autism and developmental disabilities, nurses, social workers, and case managers, can support medical teams caring for patients in crisis.
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HHS Announces Reorganization of Office for Civil Rights
The announcement arrives days after the agency reported to Congress a spike in alleged HIPAA and HITECH violations.
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Legal Landmines for Patients Referred to ED for Psychiatric Evaluation
These risks relate to information-sharing for care coordination and continuity of care.
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‘Medical Clearance’ of Psychiatric Patient Can be Legally Risky
What does "medical clearance" really mean? Does it indicate a patient has no acute issues, or that all the patient’s chronic issues are stable? Or is it both? The answer depends on who you ask.
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Out of Options: When Parents Abandon Pediatric Psychiatric Patients at Hospital
Parents often are faced with an impossible choice. They must decide whether to bring home a child who poses a threat to self and others, or risk a child abandonment charge. The criteria for acute psychiatric hospitalization are so high that children might be discharged only to be rehospitalized within weeks or days — and retraumatized in the process.
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Trauma Patients at Risk for Developing Opioid Use Disorder
Better identification and referral of patients with opioid use disorder could enhance the quality and continuity of care these patients receive, while also reducing reliance on EDs and the crowding that ensues.