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If your ED has been struggling with The Joint Commission's requirement that antibiotics be given within four hours of presentation for patients diagnosed with community-acquired pneumonia (CAP), you now have some more breathing room.
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To control a patient's blood pressure, an ED nurse began an infusion with a bag of dopamine from an automated dispensing cabinet (ADC), but the nurse failed to realize that instead of the usual concentration of 400 mg/250 mL, the bag contained 400 mg/500 mL that had accidentally been stocked there.
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Surveyors walking through an ED see medication by a patient's bedside table with no staff in the vicinity. Or a medication is lying in plain sight on a counter by the nurse's station, and visitors have full access to it.
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Kiefer D. Who needs benzos? Lavender and insomnia. Altern Med Alert 2007;10(7):73076.
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After being enrolled in MVP Health Care's back care program for a year, the percentage of participants reporting that their back pain did not interfere with their work increased from 10.9% to 22.9%.
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One of the most challenging issues for quality managers is demonstrating that best QI practices can actually improve outcomes. Demonstrating such success requires a good deal of time and resources. In light of this challenge, the results of a new study published in JAMA should be good news, indeed.
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