Emergency
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New Diagnostic Tools Expected to Revamp Sepsis Care
An expert panel agreed a test is needed to indicate the severity of dysregulated host immune response. Although there was some uncertainty over which patients would benefit most from such a test, the panel agreed the sepsis test should be conducted at triage and produce results in less than 30 minutes.
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Sophisticated Technology Gives Clinicians Head Start on Diagnosing, Treating Sepsis
At Tampa General Hospital, staff have shortened the average length of stay for patients with sepsis and lowered mortality rates. When early recognition and treatment is the goal, the ED plays a critical role in ensuring patients with sepsis are set up for success.
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Legal Exposure if Patient Is Not Reassessed in ED Waiting Room
An attorney offers some recommendations for emergency physicians concerned about liability when patients are not reassessed in waiting rooms.
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Whole-Hospital Approach Accelerates Patient Flow in ED, Slashes Wait Times and Walk-Outs
To prevent people from leaving an ED without seeing a provider, researchers identified bottlenecks, secured support from leadership, and engaged with all units that conduct business with the department to address throughput problems. Coordination and accountability helped solve flow issues at the source.
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Virtual Nurses Alleviate Burdens on Frontline Staff, Critical Workforce Shortages
Across the United States, health systems are experimenting with programs that enable nurses, working remotely, to handle tasks that usually are handled by in-person, bedside nurses. These virtual nurses are managing everything from purposeful rounding to handling administrative tasks that often keep bedside nurses from spending more time on patient care.
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Patients with Limited English Proficiency Pose Risks
It is critical for administrators to provide professional interpreter services for all languages commonly spoken among patient populations that present to emergency departments most often.
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Quality Improvement Project Aims to Decelerate Aggressive Hypertension Treatment
Although there might be good intentions behind administering intravenous antihypertensive medication, staff should remain mindful of possible consequences.
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Early Missed Sepsis Diagnosis Leads to $2 Million Award for Patient
This case highlights the importance of screening patients properly and the compounding risks for nurses, physicians, and hospitals that can result when staff miss a screening.
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When ED Is Packed, Keep Patients Moving with Triage Hallway, Dedicated Staff
Since Pull to Infinity was implemented in June 2022, the average time it takes to see a provider in the ED has dropped from 22 minutes to seven minutes. This, despite continually expanding volumes. The average patient arrival-to-discharge time has improved to 175 minutes, down seven minutes. Also, the leave-without-being-seen rate declined from 3.5% last year to 1.6% in the first four months of 2023.
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Patient Progression Hub Optimizes Throughput, Centralizes Decision-Making
Children’s Mercy in Kansas City aims to leverage an impressive array of artificial intelligence-driven tools, predictive analytics, and other feats of engineering to hone patient flow to new heights of efficiency.