ED Management – October 1, 2019
October 1, 2019
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Unique Approach Helps Address Volume, Higher-Acuity Patient Challenges
A multifaceted triage process is credited with helping a California-based ED slash turnaround times and the left-without-treatment rate without requiring additional spending or resources. The approach integrates elements of the provider-in-triage and split-flow models while also using waterfall-style shifts for certain physician/nurse teams.
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Michigan EDs Collaborate to Reduce Excess Use of Certain Imaging Tests
The Michigan Emergency Department Improvement Collaborative has identified low-value imaging as one area that is ripe for improvement across many of its sites. The group is developing and implementing interventions that will improve practice in this area.
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CMS Aims to Slash Inappropriate Use of Advanced Diagnostic Imaging
Beginning in January 2020, the Centers for Medicare & Medicaid Services will require healthcare providers to consult appropriate use criteria through a qualified decision support mechanism before ordering advanced diagnostic imaging tests for Medicare patients.
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Study: Nurses at Higher Risk of Suicide Than General Population
Investigators reported that nurses are at significantly higher risk of suicide than the general population. Many issues common to nursing contribute to symptomatic stress, including conflict in the workplace, lateral violence, a hefty workload, blame for a negative outcome, and witnessing death repeatedly.
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CDC: Naloxone Prescribing Has Increased, Still Room for Improvement
While prescriptions for naloxone have increased markedly in recent years, researchers at the CDC report that the overdose reversal drug is not prescribed enough in many areas of the country that need it most. Further, the agency reports that too few physicians are prescribing naloxone in accordance with the CDC’s Guideline for Prescribing Opioids for Chronic Pain.