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Clinical laboratories in Massachusetts are required to submit to the state all isolates of Streptococcus pneumoniae cultured from blood, cerebrospinal fluid, or other normally sterile body fluids from children < 18 years of age.
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The Veterans Health Administration maintains a national automated information system (DSS) that contains hospital discharge and outpatient data for the entire system.
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As recently discussed in Infectious Disease Alert (January 2010), chronic Hepatitis E virus (HEV) infection has been described in solid-organ transplant recipients, and uncommonly in persons with HIV.
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"Good people who exercised poor judgment" recently took cell phone pictures of a shark attack victim who later died in the ED at Martin Memorial Medical Center in Stuart, FL, according to a statement released by hospital officials. Although no staff members were fired, the hospital has disciplined several ED employees for taking the cell phone pictures and has asked anyone with copies of the photos to destroy them.
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Taking nearly seven months to transition from an ED staffing model of a contracted physician group to one that involved a partnership with a neighboring medical school might seem overly long, but the leadership at St. Joseph's Hospital in Buckhannon, WV, says they wanted to "do it right." That process included bringing on properly credentialed physicians, as well as doctors who would relate well with the surrounding community.
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The Joint Commission has approved revisions to Medical Staff (MS) 01.01.01, formerly known as MS.1.20. This standard, it says, "is designed to contribute to patient safety and quality of care through the support of a well-functioning, positive relationship between a hospital's medical staff and governing body."
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The Joint Commission is seeking comments in two areas of concern to ED managers: candidate performance measures for inpatient and ED care of sudden cardiac arrest patients, and its revised National Patient Safety Goal (NPSG) 03.07.01, which addresses medication reconciliation.
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[Editor's note: ED Management issued an e-bulletin to readers on March 24, 2010, about health care reform's impact on EDs. We also described recent studies on the impact of health care reform in Massachusetts on ED crowding. ED Management issues such bulletins to keep readers informed of the latest developments in emergency management. If you wish to receive future ED Management bulletins, contact customer services at (800) 688-2421 or
[email protected].]