Emergency
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Investigators Find Connection Between Health Information Exchange Use, Shorter ED Stays
Researchers have found that health information exchange (HIE) adoption is associated with a 10.2% reduction in length of stay (LOS). Further, they reported that this reduction in LOS increases to nearly 15% in an integrated healthcare system, which has stronger incentives for using an HIE.
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Examples of Poor Usability Show Where EMR Design or Implementation Can Go Wrong
Healthcare providers should find it easy to find and enter information into an electronic medical record.
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Poor EMR Usability Linked to Patient Safety Concerns, Clinician Burnout
Ten years after the passage of the Health Information Technology for Economic and Clinical Health Act, researchers are sounding the alarm about patient safety concerns related to the poor usability of electronic medical record (EMR) systems. They also are highlighting how poor usability leads to clinician burnout, which heightens the risk of medical errors. Proposals for change include a call for greater transparency so that EMR program flaws can be shared and addressed quickly.
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Volume Overload: Acute Decompensated Heart Failure in the Emergency Department
This article will focus primarily on the important aspects of acute decompensated heart failure in the emergency setting. The authors will include a brief synopsis of noncardiogenic pulmonary edema to highlight key principles in the diagnosis and management.
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Saline vs. Balanced Crystalloids in Critically Ill Adults
Balanced crystalloids appear to reduce in-hospital mortality in critically ill patients with sepsis or without traumatic brain injury and may reduce in-hospital mortality in the entire cohort of critically ill patients.
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Presepsis Pathways: Can We Predict Mortality After Sepsis Hospitalization?
Using a latent profile analysis in observational cohort studies of patients hospitalized for sepsis, investigators identified subtypes of patients based on inpatient healthcare facility use in the year prior to sepsis hospitalization and correlated to 90-day mortality.
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Ventilator-Associated Pneumonia and Hospital-Acquired Pneumonia: Prevention and Treatment
Ventilator-assisted pneumonia and hospital-acquired pneumonia pose significant risks to hospitalized patients and increase the cost of care. It is essential to institute measures to reduce the risk of these pneumonias and to recognize and treat them early when they occur. Treatment is a balance of ensuring adequate antimicrobial coverage in those who already are seriously ill while not unduly exposing them to the risks of medication side effects and higher rates of resistant organisms that come with the use of broad-spectrum antibiotics.
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Sleep Tight, and Don’t Let the Ectoparasites Bite: Part 1
Providers in the pediatric emergency department frequently encounter ectoparasitic infestations. Lice and scabies require early recognition and knowledge of effective treatment strategies. This month, the author reviews scabies, chiggers, and lice. Next month, the bed bugs and ticks will come biting!
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Non-ED Providers Have Surprisingly Low Risk Tolerance
When it comes to acceptable miss rates of low-probability, high-risk diagnoses, non-ED providers have a surprisingly low tolerance for risk. This finding conflicts with clinical practices one researcher recently observed.
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Testicular Torsion Claims Continue Despite Better Awareness
A closer look at some common fact patterns in missed testicular torsion cases.