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Delayed CT? ED Documentation Can Increase, or Mitigate, Risk
When CT scan delays occur, ED providers sometimes want to document in the chart all the factors beyond their control. “But trying to call out delays in the chart puts up a flag,” warns Bryan Baskin, DO, FACEP, vice chair of safety and quality at the Cleveland Clinic’s Department of Emergency Medicine and an assistant professor at Cleveland Clinic Lerner College of Medicine. Documenting objectively, such as stating, “The CT scanner was down for two hours,” is probably appropriate, he says.
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Root Causes of Significantly Delayed CT Scans in ED Settings
EDs often experience delays obtaining computed tomography scans, with some patients waiting multiple hours for the test. This situation causes bottlenecks in patient flow, increasing length of stay and overall ED crowding.
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Avian Flu Rears Its Beak Again in the United States
The Centers for Disease Control and Prevention has issued an alert after a human infection with highly pathogenic avian influenza (HPAI) A(H5N1) virus in the United States following exposure to presumed infected dairy cattle. No human-to-human transmission of HPAI A(H5N1) virus has been identified.
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High-Mortality Cryptococcosis Infection After COVID-19
A survey initiated by the Mycoses Study Group identified 69 cases of cryptococcosis following COVID-19 infection. The mortality rate was 59%, with cases in both immunocompromised and immunocompetent individuals.
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More than Half of 2024 Measles Cases Hospitalized
A measles outbreak continues to hit Chicago, while surveillance nationally found 113 cases in 18 states as of April 4, 2024. With cases both in the community and in migrant shelters, the Chicago Health Department reported 61 measles infections as of April 11, 2024.
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CDC Issues Alert on Spike in Meningitis
Infection preventionists should be aware of increasing cases of invasive Neisseria meningitidis, which currently are causing an 18% mortality rate and primarily infecting three risk groups: Black people, people with human immunodeficiency virus, and those in the age range of 30 to 60 years, the Centers for Disease Control and Prevention reports in a public health alert.
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All In: If You Share Patients, Collaborate
A regional decolonization collaborative among hospitals and long-term care facilities that commonly share patients led to decreased infections, hospitalizations, costs, and deaths caused by multidrug-resistant organisms, researchers reported.
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Healthcare Diversity, Equity Efforts Under Attack After SCOTUS Ruling
Having seen the raw inequity the pandemic exposed in the healthcare system, one would think it has become harder to deny or rationalize the lack of diversity in caregivers and higher adverse outcomes in marginalized patient populations. But one would be wrong.
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Nursing Leaders Need Ethicists’ Help with Moral Distress
As an early career nurse in 2020, Preston H. Miller, PhD, RN, CCRN-CMC, PCCN, CFRN, experienced the many effects of the COVID-19 pandemic on nursing practice and healthcare in general. Miller conducted a formal literature review and found that what literature did exist was qualitative in nature. “The findings of this review revealed a lack of research on moral distress among unit-based critical care nurse leaders,” says Miller.
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Ethical Informed Consent Is Challenge in NICU
Informed consent is rooted in the ethical principles of patient autonomy and shared decision-making. Suboptimal consenting practices can jeopardize patient autonomy.