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In its latest round of report cards on the emergency care environment, the American College of Emergency Physicians (ACEP) gave the nation an overall ranking of D+, a slight decline from the rankings unveiled in 2009.
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In a continuing effort to ease demand on busy EDs, some communities are coming up with new ways to leverage paramedics.
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An integrated system assisted providers at five orthopedic clinics in integrating video-based decision aids to support shared decision-making (SDM) into the care of potential candidates for joint replacement surgery. Group Health Cooperative, a Seattle-based system that provides care and coverage to more than 600,000, distributed decision aids to a portion of eligible patients, mostly the best surgical candidates. It was associated with significant reductions in surgery rates and overall healthcare costs among all potential joint replacement candidates.
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After a patient developed a bacterial infection following arthroscopic knee surgery and sued, a California surgery center was found guilty of negligence and ordered to pay more than half a million dollars to the patient. Three other patients became infected with bacteria, but the center couldn't track which instruments were used on which patients.
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Implementing a system to ensure the surgical team uses the most effective practices resulted in significant improvements in operating room (OR) performance, suggests research being presented at the American Society of Anesthesiologists' (ASA) Practice Management 2014 meeting.
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The Medicare Payment Advisory Commission (MedPAC) has adopted a final recommendation to freeze payments for ambulatory surgical centers (ASCs) under Medicare prospective payment systems (PPSs) for 2015, according to the American Hospital Association (AHA).
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Making decisions, while done daily, and often hourly, is difficult for many professionals. While not everyone endorses the following statement, I firmly adhere to it personally and professionally: "A bad decision is better than no decision." My rationale is that you learn from making decisions, good and bad.
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In a move to reduce healthcare-associated infections, certain attire for healthcare professionals, including the traditional white coat, could become a thing of the past.
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Eight-three hospitals in the Pennsylvania Hospital Engagement Network (HEN) Falls Reduction and Prevention Collaboration were given two tools to evaluate their falls prevention programs. Those tools, provided by the Pennsylvania Patient Safety Authority, were a self-assessment survey and a process measures audit.
