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A pediatric trauma patient might come to your ED directly from the scene without any parents or family present.
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After a 4-year old girl came to the ED at Cincinnati Children's Hospital Medical Center with an injury from falling off a diving board into a swimming pool, she was in acute respiratory distress, but she had no identified injuries. She had normal vital signs and a Glasgow Coma Score of 15.
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At Virginia Commonwealth University Medical Center in Richmond, ED nurses implemented a new electrocardiogram (EKG) process for chest pain patients in April 2008.
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Acute asthma patients often are given unnecessary antibiotics in the ED, according to new research. Researchers used data from the National Hospital Ambulatory Medical Care Survey and the National Emergency Department Safety Study and found that about 20% of acute asthma visits resulted in an antibiotic prescription.
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You don't have an electronic medical record (EMR) system implemented yet, and now there's talk of patients bringing you their personal electronic health records. Should you scramble to implement an EMR system, or continue to wait it out?
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So if you've decided to implement an electronic medical record (EMR), what is your first step? Do your homework, said Kenny Bozorgi, MD, CASC, chief operating officer, Magna Health Systems, Chicago. He also is a candidate for a master's degree in medical information from Northwestern University in Evanston, IL.
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When you adopt electronic medical records (EMRs), the biggest barrier will be resistance to change, said Melodee Moncrief, BSN, RN, CASC, administrator at Big Creek Surgery Center in Middleburg Heights, OH. Moncrief spoke on EMRs at this year's meeting of the Ambulatory Surgery Center (ASC) Association.
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According to How-to Guide: Improving Hand Hygiene, the Institute of Healthcare Improvement (IHI) says you should measure the percentage of patient encounters in which there is compliance by health care workers with all components of appropriate hand hygiene and glove practices.
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I have received so many phone calls and e-mails about the September column on the separation of inpatient and outpatient ORs that I thought a follow-up to some of your questions was necessary. Overall, the response was very favorable and positive.
