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Desai and colleagues carried out a comprehensive review of published studies on long-term complications among survivors of critical illness in an attempt to find common characteristics and themes that might be used in developing strategies for preventing or mitigating them.
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Following a chart review that indicated few (24%) medical ICU (MICU) patients received consultation for physical therapy (PT) or occupational therapy (OT) a percentage almost 50% lower than at two other academic medical centers in the same city as well as a higher prevalence of deep sedation, the authors elected to initiate a QI project designed to reduce the use of deep sedation and improve patients' functional ability.
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In this issue: Tiotropium for uncontrolled asthma, sibutramine pulled from market, incidence and mortality data from WHI, FDA Actions.
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Now that the permanent Recovery Audit Contractor (RAC) program has gone into high gear, hospitals can lessen their vulnerability to losing revenue if they know how to respond and what to expect, says Deborah Hale, CCS, president of Administrative Consultant Services LLC, a health care consulting firm based in Shawnee, OK.
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As a case manager on the congestive heart failure unit at Danbury Hospital, Karen Morgan, RN, MSN, CCM, RN-BC, often manages the care of elderly patients.
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As Karen Morgan, RN, MSN, CCM, RN-BC, makes rounds with the rest of the treatment team on Danbury Hospital's heart failure unit, she uses her knowledge as a certified gerontology nurse to point out the special considerations that the elderly patients on the unit may need.
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Every summer The Joint Commission issues a list of those standards hospitals find most difficult to comply with. Among those challenging standards are three that experts say most directly impact the ED:
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Analyze the data in your hospital's Program for Evaluating Payment Patterns Electronic Report (PEPPER) to identify areas where your hospital may be vulnerable to denials from the Recovery Audit Contractors (RACs), suggests Deborah Hale, CCS, president, Administrative Consultant Services LLC, a Shawnee, OK, health care consulting firm.
