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The agents available for use in pediatric procedural sedation and analgesia (PSA) have expanded considerably over the last 20 years.
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When Mike Hill, RN, the ED director at Montgomery Regional Hospital in Blacksburg, VA, reported to work at about 7:30 a.m. on April 16, 2007, he noticed a large number of people in the trauma room. Although he didn't know it yet, "They were working the second victim of the first shooting" at Virginia Tech University.
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The availability of group and individual counseling for hospital staff following two shootings within eight months of each other in Blacksburg, VA, was invaluable, says Mike Hill, RN, the ED director at Montgomery Regional Hospital, which treated 17 victims of the recent shootings at Virginia Tech University.
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A new study in The New England Journal of Medicine formally confirms what many ED managers already know: Patients who are admitted to the ED on the weekends do not receive the same level of care as those admitted during the week.
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By laying a strong culture of safety as a foundation, ED leaders at Moses Cone Health System in Greensboro, NC, have achieved impressive process improvements tied to patient safety. For example:
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Emergency health care experts agree that the ideal way to enhance treatment of patients who do not speak English or who are hearing impaired is a live interpreter, and indeed, many EDs do offer such a service.
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Hospitals in Boston, like facilities in many other major cities, are paying $1,000 or more to lure specialists to be on-call for ED coverage, according to a recent article in the The Boston Globe.
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In the wake of patient complaints about long wait times and lengths of stay, the ED leadership at Williamsport (PA) Hospital took the bull by the horns and has instituted several concurrent initiatives aimed at turning things around.
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Both nurses and physicians are at high risk for communication lapses during change of shift, says Francis L. Counselman, MD, chairman and program director for the department of emergency medicine at Eastern Virginia Medical School.
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The number of ED patients who leave without being seen (LWBS) has increased from 1.1 million in 1995 to 2.1 million in 2002, and also, vulnerable populations such as younger, Hispanic, and uninsured patients are at higher risk, says a new study.
