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The abuse of drugs and alcohol is a significant and troubling problem within the medical community.
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This is the second of a two-part series on documentation and ED liability. This month, we cover liability risks when the ED physician or nurse's documentation is inconsistent with documentation by other caregivers. Last month, we reported on the legal risks of inadequate documentation and information that should not be omitted.
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One of the major issues currently facing emergency ultrasound is credentialing, according to Leonard Bunting, MD, FACEP, assistant professor of emergency ultrasound at Wayne State University and emergency ultrasound director at St. John Hospital & Medical Center, both located in Detroit, MI.
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Given the fact that most emergency medicine residencies now include ultrasound in their training, and the use of ultrasound in EDs is clearly increasing, one obvious liability risk involves misreads of ultrasound examinations performed in the ED.
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Kreisman explained that, like any patient presenting to the ED, psychiatry patients are covered under EMTALA. As such, they are subject to the same requirements of an appropriate medical screening, stabilizing treatment, and appropriate transfer.
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Medication reconciliation is a challenging process for hospitals, particularly since the optimal process often involves more staffing and financial resources than many hospitals can budget comfortably. So as part of a special report on how to improve your discharge medication reconciliation, Discharge Planning Advisor has asked several health systems that have established best practices in this process for tips and guidelines.
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When Winchester (VA) Medical Center worked on developing a best practice in medication reconciliation and patient discharge, the hospital focused on one point-of-care delivery: the medication list at intake.
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A new model for redesigning the health care transition process could result in improved care transition, reduced care fragmentation, and revitalization for the primary care model. Best of all, it's designed by a health plan payer, which might be the signal hospitals have been waiting for that payers will begin to fund discharge planning.
