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Americans' differences in income, race/ethnicity, gender, and other social attributes make a difference in how likely they are to be healthy, sick, or die prematurely, according to a news release issued on a report by the Centers for Disease Control and Prevention (CDC).
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IRBs at academic research centers often review international infectious disease research that can raise red flags regarding privacy, confidentiality, and vulnerability.
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As talk of reimbursement reform and pay for performance escalates and health care stakeholders look at ways to improve patient access and outcomes while reducing waste and costs, payers and providers are joining together to create accountable care organizations (ACOs), partnerships that agree to be accountable for the quality, costs, and overall care of a patient population.
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If an EP was caring for a patient while visibly intoxicated and a bad outcome occurred, you can probably imagine how that information would affect the outcome of a trial alleging medical malpractice. But what if an EP has a history of substance abuse, a criminal record, or a psychiatric history?
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Emergency physicians have been "deluged with ever-increasing responsibilities and higher performance expectations," according to Andrew Garlisi, MD, MPH, MBA, VAQSF, medical director for Geauga County EMS and co-director of University Hospitals Geauga Medical Center's Chest Pain Center in Chardon, OH. Garlisi points to electronic health record physician order entry, patient satisfaction ratings, and increasing medical record documentation, as some examples.
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Patients with psychiatric illness who present to the ED "are frequently a challenge," according to Robert B. Takla, MD, FACEP, chief of the Emergency Center at St. John Hospital and Medical Center in Detroit, MI. "Trying to determine if a patient is truly suicidal or a real danger to themselves or others is not always straightforward."
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Tennessee Supreme Court says hospital is directly liable for failure to enforce its emergency department policy that required all patients be seen by an emergency physician.
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Does your ED have policies that leave no room for nursing judgment, and instead, require specific timeframes for procedures such as re-assessments and checking of vital signs?
