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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.
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The purpose of this study was to perform a comprehensive meta-analysis of all randomized trials with abciximab as adjunctive treatment of STEMI, including both fibrinolytic and mechanical reperfusion
strategies.
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The purpose of this prospective study was to assess whether a strategy of D-dimer testing and multidetector-row computed tomography —without the use of lower-limb ultrasonography —would safely rule out pulmonary embolism in emergency department patients suspected to have PE.
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How would you interpret the 12-lead electrocardiogram shown in the Figure? What is distinctly unusual about this tracing? What would you ask the technician who recorded this tracing?
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There are a number of recommendations as to the best available approach to the care of patients with pneumonia. This investigation
is part of a larger study looking at the effect of a pneumonia pathway on patient outcomes.