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Articles

  • Sepsis screening is success for the ED

    ED nurses at the University of Kansas Hospital in Kansas City answer this question about every patient using an electronic medical record (EMR): "Does the patient have two or more systemic inflammatory response syndrome criteria?"
  • Nurses take ownership of rads discrepancies

    A new process for managing radiological discrepancies in the ED at Catawba Valley Medical Center in Hickory, NC, has significantly improved the efficiency with which notifications are received and acted upon.
  • ED Coding Update: Prepare for more monitoring of quality performance

    Although the Centers for Medicare & Medicaid Services (CMS) made several minor modifications to the Outpatient Prospective Payment System (OPPS) for 2010 with impact on the emergency department, none result in a significant change in ED facility coding. However, there are references to several planned projects required to provide data to be used in future reporting and/or rate changes.
  • ED Accreditation Update: Quality Check measures added by Joint Commission

    As of January 2010, The Joint Commission has incorporated into its Quality Check web site (www.qualitycheck.org/consumer/searchQCR.aspx) the Centers for Medicare & Medicaid Services' (CMS') 30-day readmission rates for heart attack, heart failure, and pneumonia Medicare patients.
  • Peds guidelines include appointment of ED nurse, physician coordinators

    Recognizing and re-emphasizing the fact that children are a distinct population of patients in the ED, the American Academy of Pediatrics, the American College of Emergency Physicians (ACEP), and the Emergency Nurses Association (ENA) have released a joint policy statement that includes guidelines for the care of children in EDs. The statement was published online in the journal Pediatrics.
  • If providers apologize, will there be a lawsuit?

    A few hours after a chest pain patient was worked up and discharged with a noncardiac diagnosis in a Virginia ED, he was brought back dead on arrival.
  • ED uses test site before going live

    (Editor's note: This is the second article in a two-part series. In the first article, we discussed the decision of the leaders of the EDs at Sacred Heart Medical Center in Eugene, OR, to begin posting their waiting times on the Internet. In this installment, we examine the process they used to make sure the system was running smoothly before they officially started.)
  • ED Accreditation Update: Compliance rates are low on egress, fire safety, says Joint Commission

    For the first time in several years, The Joint Commission standards and goals with the lowest compliance rates are not directly related to the delivery of health care.
  • EDs Get Added Protection against Malpractice Suits

    In a growing number of states, including Florida, Georgia, Texas and South Carolina, Utah, Arizona, Michigan, Minnesota, and North Carolina, legislation is being introduced to give emergency department (ED) physicians added protections against malpractice lawsuits.
  • Special Report: Case Studies in EMS Medical Control

    A 50-year-old female called emergency medical services (EMS) because she is short of breath. She has a recent history of pneumonia and received outpatient treatment. The paramedics arrive and find the patient in moderate respiratory distress. The patient states she wants to be transported to Our Lady of the Financially Secure Hospital (Hospital A) because this is where her health maintenance organization (HMO) is; the estimated time of arrival (ETA) would be 15 minutes.