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This is part 2 of a two-part series on alarm fatigue. In last months issue we discussed how to reduce alarm fatigue. In this months issue, we tell you how The Johns Hopkins Hospital reduced alarms up to 74% in some areas.
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This is the second part of a two-part series on compliance with the Occupational Safety and Health Administration (OSHA). Last month, we focused on education and training. This month, well discuss sharps safety, personal protective equipment (PPE), hazardous materials, plus more.
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Is your staff following the 8 rights?
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A patient needed repair of a right hip fracture. The site was marked by the patient, and the OR team performed a surgical pause. However, the patients left hip was draped and prepped, and the surgery proceeded on that side. After the incision had been made, the error was realized. The incision was sutured, the patient was repositioned, and the surgery resumed on the right side.
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(This is the first part of a two-part series on avoiding liability with documentation, see story, below. This month, we discuss the case of a surgeon who was charged and jailed regarding mistakes he made in the medical record that did not impact billing. Next month, well cover the specific lessons that can be learned from the case.)
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The paradigm I grew up with in emergency medicine is that there are a limited number of ways to die, and our role was to intervene and prevent death using the principles of A, B, and C: airway, breathing, and circulation. This concept works well for the previously healthy acutely ill or injured patient. But for the patient nearing the end of a life-limiting illness, it is not appropriate and can even be cruel. The introduction of palliative care to the emergency department at first seems out of place; that is the place where patients are snatched from the jaws of death. But as the authors of this issue explain, the ABC of resuscitation can be revised to the ABCD of palliative care assessment to provide better care to patients and families in times of crisis.
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