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Several EDs in the Canadian Province of Ontario have significantly improved their care for elderly patients with the introduction of a new position called the geriatric emergency management (GEM) nurse.
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Geriatric emergency management (GEM) nurses at Toronto's Humber River Regional Hospital (HRHH) use a strict set of criteria when assessing elderly patients in the ED and determining if they are "high-risk" patients.
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Eight EDs in the Canadian Province of Ontario have benefitted from government funding in the hiring of geriatric emergency management (GEM) nurses.
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ED managers have tried several options to offset growing volume, but Bret Nicks, MD, assistant medical director at Wake Forest University Baptist Medical Center in Winston-Salem, NC, says the hybrid observation unit he oversees beats other alternatives.
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The ED at Middle Tennessee Medical Center (MTMC) in Murfreesboro certainly qualifies as busy: it sees nearly 63,000 patients a year and averages more than 170 patients a day.
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Ongoing initiatives in the ED at Middle Tennessee Medical Center (MTMC) in Murfreesboro have led to improved patient flow.
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Monty Gooch, RN, BSN, director of emergency services at Middle Tennessee Medical Center (MTMC) in Murfreesboro, says that one of the keys to his department's smooth patient flow door-to-doc time of 35-40 minutes despite steadily growing volume is the way it works closely with other departments.
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The National Quality Forum (NQF), expressing its desired to reduce overcrowding and improve quality of care, has endorsed 10 national voluntary consensus standards for hospital-based ED care. The standards are:
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The establishment of a communitywide patient information sharing system by the Wisconsin Health Information Exchange (WHIE) was a collaborative effort from the start, says Kim Pemble, WHIE's executive director.
