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Would you think to tell a receiving nurse that your ED patient has a dog at home she's worried about? That may be the reason she's refusing admission, says Pat Clutter, RN, MEd, CEN, FAEN, an ED nurse at St. John's Lebanon (MO) Hospital.
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Is your patient telling you, "It's probably something I ate," "It's nothing," "There isn't any heart history in my family," or "I'm way too young to have a heart problem?"
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Nearly 8% of 355,088 children received a CT scan in a 3-year period, with 3.5% of the children receiving more than one, according to a recent study.
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Knee dislocations have the potential to result in significant morbidity and mortality if not correctly diagnosed and optimally managed. Early identification and treatment of neurovascular injury and compartment syndrome may avert disaster for the patient.
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With Medicare's new value-based purchasing (VBP) program set to begin impacting payments to most acute-care hospitals in October 2012, providers have been put on notice that the fee-for-service payment methodology is being gradually replaced by payment formulas that reward quality.
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In 2008, there was plenty of evidence that things weren't working very well in the ED at St. Vincent's Medical Center in Bridgeport, CT. The leave-without-being-seen (LWBS) rate was at 5%, the average wait time to see a physician was over two hours, patient satisfaction was in the single digits, and the hospital recorded eight serious safety events in that one year alone.
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Much attention has been given to injuries of the cervical spine, but injuries to the thoracolumbar region are actually more common. Because of the anatomy involved, these injuries are often accompanied by multiple serious injuries to other areas of the body and may be overlooked during resuscitation and stabilization.
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