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A patient comes to your ED with intracerebral hemorrhage (ICH), the deadliest and least treatable form of stroke, which accounts for 15% of strokes and nearly half of the 164,000 stroke deaths in the United States annually. Right now, there is very little you can do for this patient, but that may change soon.
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Less than two years ago, the ED at Carondelet Health Networks St. Marys Hospital in Tucson, AZ, was an 8,000-square-foot facility designed to handle 25,000 patients a year, but treating about 50,000. There was no storage space, one utility room, and pumps and carts were sitting in the hallways.
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While the two new requirements involving hand-offs and medication labeling are the most obvious changes in the 2006 National Patient Safety Goals just released by the Joint Commission on Accreditation of Healthcare Organizations, there are other, more subtle changes that also are critically important for ED managers to know about.
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If you had reduced the mean door-to-doctor time in your ED from 64.3 minutes to 39.8 minutes (a 38.1% improvement) in seven months, youd probably be pretty happy. But for Maureen Kelly-Nichols, RN, MSA, the ED nurse director at Providence Hospital in Southfield, MI, that was not the key measure of success in her recent Six Sigma project.
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An ED manager as the driving force behind a capital campaign for a new facility? It has proved to be a winning formula at Carondelet Health Networks St. Marys Hospital in Tucson, AZ, where a successful $11 million-plus campaign has led to the opening of a new state-of-the-art ED.
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In the world of bioterrorism drills, this was something special: TOPOFF3, a program mandated by Congress and sponsored by the Department of Homeland Security, simulated terror attacks in several locations in the United States including the entire state of New Jersey.
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A patient came into the ED with acute onset of headache. A computed axial tomography (CAT) scan of the brain was performed, and a wet reading (an initial review of the study without definitive interpretation) in radiology reported intracranial hematoma. The patient went to the OR for emergency neurosurgery.
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ED managers and staff will face even greater responsibility for compliance under the 2006 National Patient Safety Goals just unveiled by the Joint Commission on Accreditation of Healthcare Organizations.
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Less lethal weapons are becoming increasingly popular amongst law enforcement agencies and the military to apprehend and subdue violent and dangerous persons in the field.
