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An outpatient surgery patient shows up with-out an escort to drive him home. Despite the nurse's insistence, the patient indicates he doesn't have anyone who can escort him. There is no cab or public transportation available. Reluctantly, the case continues, and the patient drives himself home.
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Once a patient with violence-related traumatic injuries is stable and about to be discharged, you have to consider something equally important: Will he or she be safe after leaving your ED?
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A patient assessment tool being tested in a Medicare demonstration project is intended to standardize the information providers share as patients transition from one level of care to another.
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A collaborative effort between Boston's Massachusetts General Hospital emergency department staff and the health system's post-acute facilities and home care agency moves patients out of the ED and directly into post-acute care, freeing up beds and improving patient throughput.
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As part of its patient throughput initiative, Spartanburg (SC) Regional Health System set a goal of discharging 80% of patients by 2 p.m. and is conducting a series of Lean Six Sigma projects in an effort to reach that goal.
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Two cases from the Canadian Medical Protective Association, a mutual defense organization for 95% of Canadian physicians, illustrate the danger of patients driving home after ambulatory surgery:
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A simple fall in a healthy person shouldn't result in multiple facial injuries, except if the patient was intoxicated, says Regina Curry, RN, an ED nurse at Thomas Jefferson University Hospital in Philadelphia. Instead, patients might break their wrist or skin their knees and hands from trying to break the fall, she says.
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Guidelines for prediabetes from The American College of Endocrinology; statins for the prevention of dementia? Possible help for women suffering from sexual side effects while on antidepressants; government incentives for electronic prescribing; FDA Actions.
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