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When a patient presents at Frankfort (KY) Regional Medical Center with neurological symptoms, a "code neuro" is called. In addition to ED staff jumping into action, the lab, radiology, and additional nursing help are alerted.
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Patients with psychiatric illness who present to the ED "are frequently a challenge," according to Robert B. Takla, MD, FACEP, chief of the Emergency Center at St. John Hospital and Medical Center in Detroit, MI. "Trying to determine if a patient is truly suicidal or a real danger to themselves or others is not always straightforward."
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Emergency physicians have been "deluged with ever-increasing responsibilities and higher performance expectations," according to Andrew Garlisi, MD, MPH, MBA, VAQSF, medical director for Geauga County EMS and co-director of University Hospitals Geauga Medical Center's Chest Pain Center in Chardon, OH. Garlisi points to electronic health record physician order entry, patient satisfaction ratings, and increasing medical record documentation, as some examples.
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If an EP was caring for a patient while visibly intoxicated and a bad outcome occurred, you can probably imagine how that information would affect the outcome of a trial alleging medical malpractice. But what if an EP has a history of substance abuse, a criminal record, or a psychiatric history?
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Using solutions targeted to the specific causes of an inadequate hand-off, organizations participating in an initiative headed by The Joint Commission Center for Transÿ
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At long last, The Joint Commission has completed the revision process for the National Patient Safety Goal (NPSG) that governs medication reconciliation.
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It may be in the best interest of your ED patient with chest pain, seizures, or transient ischemic attack (TIA) to be admitted, but this may not occur due to factors beyond your control.
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Does your ED have policies that leave no room for nursing judgment, and instead, require specific timeframes for procedures such as re-assessments and checking of vital signs?
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Tennessee Supreme Court says hospital is directly liable for failure to enforce its emergency department policy that required all patients be seen by an emergency physician.
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Pediatric head trauma is one of the most common presenting complaints to the emergency department (ED).