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One of the major issues currently facing emergency ultrasound is credentialing, according to Leonard Bunting, MD, FACEP, assistant professor of emergency ultrasound at Wayne State University and emergency ultrasound director at St. John Hospital & Medical Center, both located in Detroit, MI.
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Given the fact that most emergency medicine residencies now include ultrasound in their training, and the use of ultrasound in EDs is clearly increasing, one obvious liability risk involves misreads of ultrasound examinations performed in the ED.
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Kreisman explained that, like any patient presenting to the ED, psychiatry patients are covered under EMTALA. As such, they are subject to the same requirements of an appropriate medical screening, stabilizing treatment, and appropriate transfer.
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Medication reconciliation is a challenging process for hospitals, particularly since the optimal process often involves more staffing and financial resources than many hospitals can budget comfortably. So as part of a special report on how to improve your discharge medication reconciliation, Discharge Planning Advisor has asked several health systems that have established best practices in this process for tips and guidelines.
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When Winchester (VA) Medical Center worked on developing a best practice in medication reconciliation and patient discharge, the hospital focused on one point-of-care delivery: the medication list at intake.
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A new model for redesigning the health care transition process could result in improved care transition, reduced care fragmentation, and revitalization for the primary care model. Best of all, it's designed by a health plan payer, which might be the signal hospitals have been waiting for that payers will begin to fund discharge planning.
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Hospitals that have poor or no medication reconciliation processes have dismal medication safety statistics, one expert says.
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One path that leads to better care transitions and reductions in hospital readmissions is to break down the silos where care traditionally is delivered.
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Hospitals are beginning to see the trend of increasing use of electronic medical records (EMRs) as the national stimulus package funds and the health care reform act influence changes in health care practice.
