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The traditional hospital system in which physicians are staffed during the day and on call at night is not the only model. And certainly, as the health care industry becomes more aware of the quality of care for the traditional off-peak shifts, that model could change quite radically in the future.
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Whether it's over-alerting or under-alerting, it's a problem. A number of studies have taken on computerized physician order entry (CPOE), but the latest findings from a Leapfrog Group study made public June 28 shows CPOE problems can lead to harmful or even fatal errors.
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From about 7 a.m. to 7 p.m. Monday to Friday a hospital is a busy place with a host of clinical and administrative staff and department chairs and chiefs. But on nights and weekends, it's often quite different.
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The case of Charles Cullen is one of the most egregious cases of serial murder in health care settings, according to Beatrice Yorker, JD, RN, MS, FAAN, dean of the college of health and human services at California State University Los Angeles, who has researched and published in the field of forensic nursing.
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Assessing your hospital's threats should help you address what type of police or security presence you should have. And just as crimes vary by community, security presence differs by institution.
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Experts Hospital Peer Review spoke with say some of the most common criminal activity in hospitals involves assaults by patients on other patients or staff; patients in psychiatric units; patients on drugs; prisoner patients; acts prompted by domestic violence; patients on drugs; and gang members or VIP patients. All present unique challenges.
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As of July 1, The Joint Commission's interim staffing effectiveness requirements are in effect for hospital and long-term care organizations, as it continues to research the issues associated with the standards.
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With its latest survey, beginning May 25, 2010, and ending May 27, Holy Family Memorial had the most surveyors it ever had seven and its first life safety survey. Mary M. Schilder, quality management, accreditation/CME coordinator, and privacy specialist, says the surveyors, who visited "every single clinic and department," were "very educational."
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STATEMENT: Healthcare Facilities (HCF's) will implement an interdisciplinary protocol addressing workplace violence prevention and response.
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A couple enters the emergency department the wife with a black eye and fresh bruises on her arm. She tells registration she fell down the stairs.