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There's no doubt that when the Bon Secours system in the Hampton Roads area of Virginia launched a new "no wait" policy for its EDs, it was hoping to improve its brand and attract more patients.
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The headlines of late might well have blared their own version of Paul Revere's warning: "The bed bugs are coming! The bed bugs are coming!" TV networks have run special reports on how bed bugs have been "invading" U.S. hospitals, and as the front door to these facilities, EDs have had their share of challenges.
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The creation of a new area to quickly assess homeless and uninsured individuals, many requiring behavioral health services, has helped ease pressure on EDs in the Lee Memorial Health System in Fort Myers, FL. It has also earned the system a 2010 AHA NOVA Award for "Community-Based Alternatives to the Emergency Room."
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Health care providers are becoming more open to the media and willing to comply with requests for access that in years past would never have been allowed, but a television series is raising questions about how much media access is too much.
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Many people, including a lot of risk managers, thought The Johns Hopkins Hospital in Baltimore was taking a huge risk when it allowed ABC television crews extensive access to produce the groundbreaking series "Hopkins 24/7" in 2000. But the experience was overwhelmingly positive, says Gary M. Stephenson, MS, senior associate director for media relations and public affairs with Johns Hopkins Medicine.
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Violence can be reduced in hospitals only by addressing the issue head on, says Tony Kubica, a founding partner of Kubica Laforest Consulting in Warwick, RI, and formerly a hospital executive in charge of security.
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Quality and safety can be improved by providing special training to nurses and then making them the bedside champion for best practices, says Liz Carlton, RN, MSN, CCRN, director of quality, safety, and regulatory compliance at the University of Kansas Hospital (KUMED) in Kansas City, KS.
