Emergency
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Spinal Trauma
Spinal trauma is relatively uncommon in children. However, spinal injuries should be considered in all children who have sustained head or neck trauma or multiple severe injuries. Upper cervical spine injury (C1-C4) is more common in children < 8 years of age.
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Neurologic Trauma
Head injury is a major cause of morbidity and mortality in children. The Centers for Disease Control and Prevention estimates there are more than 7000 pediatric deaths annually. In addition, nearly 40% of all trauma-related deaths in children are secondary to traumatic brain injury (TBI).
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Pediatric Major Trauma
Trauma is the leading cause of childhood morbidity and mortality. In the United States, more children > 1 year of age die as a result of trauma than from all other causes combined.
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Intussusception and Midgut Volvulus
It is imperative for ED physicians to differentiate children with life-threatening pathology requiring immediate intervention from the rest.
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Without Rationale in Chart, Defense of Discharge Claims Becomes Complicated, Experts Say
EPs who clearly and concisely document why a patient was discharged provide safety against potential litigation.
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It’s Not Enough to Prove Standard of Care Was Breached
EPs are in the same boat as all others if a physician’s record on achieving quality metrics can be used as evidence in proving medical malpractice.
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Osteoarthritis
MONOGRAPH: It's important to understand patients who come to the ED with undifferentiated symptoms, including joint pain.
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TJC: HCOs need to be on alert for HIT problems related to sociotechnical factors, take steps to improve safety culture, process, and leadership
It’s no secret that for all of the efficiencies that health information technology (HIT) brings to the table, there are also immense challenges that go along with safely using tools that, in many cases, alter workflow, documentation, and the way providers interact with patients. Of particular concern is the potential for patient harm that can result when systems are poorly designed or implemented, raising the possibility that information will be miscommunicated or entered incorrectly.
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Clean up coding practices to maximize revenue, minimize compliance issues, and be optimally prepared for ICD-10
ICD-10 implementation is priority No.1 for nearly every hospital.
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Study: Emergency providers often lack consensus on what patients intend when end-of-life forms come into play
A new study suggests there is a lack of consensus or understanding about what patients intend when they fill out Physicians Orders for Life Sustaining Treatment forms, and that this likely leads to patients either receiving or not receiving treatment contrary to their wishes.