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In an age when it's hard to keep track of the latest cell phone features, sharing infection prevention tools on the web would appear to be an idea whose time has long since come.
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Although enzyme-immunoassay (EIA) tests have replaced cytotoxin assays for diagnosis of Clostridium difficile-associated diarrhea (CDAD) in most U.S. laboratories, the changing epidemiology of this disease suggests that an adjustment in diagnostic testing algorithms is needed.
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Having worked in infection prevention for more than three decades, Barbara Soule, RN, MPA, CIC, has come full circle.
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A lot can happen in 20 years, and certainly a lot has happened in the practice of emergency medicine both good and bad. But experts seem to agree that no single event has had more impact on the field than the passage of the Emergency Medical Treatment and Labor Act (EMTALA).
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Emergency medicine experts say the lagging economy is putting additional pressure on EDs that are already stretched to the limit, and that ED managers can look forward to even greater demand from patients while financial woes will lead to staff cuts, further exacerbating the situation.
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The natural excitement and optimism that normally accompany the transition to a new administration are not universally shared by ED experts, judging by their comments to ED Management.
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Will the new Obama administration successfully address emergency medicine's most pressing problems? Some are not hopeful.
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With the likelihood that the Centers for Medicare & Medicaid Services (CMS) will adopt some or all of the 10 national voluntary consensus standards for hospital-based ED care recently endorsed by the National Quality Forum (NQF), experts advise ED managers to begin preparing now to be in compliance. Besides, they argue, the new measures will help them improve the efficiency and quality of their departments.
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Peering accurately years into the future requires a crystal ball that no one possesses, so how do you prepare? Observers of emergency medicine share common visions in several key areas.
