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There are times when EDs can achieve dramatic improvements in average length of stay (ALOS) or reductions in their left without being seen (LWBS) percentages in a relatively short period of time by instituting significant new process improvements, such as bedside registration or new triage protocols.
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In early January, Mansfield, OH, was hit by an ice storm. We essentially had a town without power for six or seven days, recalls Anthony Midkiff, MD, FACEP, director of emergency services at MedCentral/ Mansfield Hospital.
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In the wake of hurricanes Katrina and Rita, health care professionals across the country are revisiting their disaster preparedness plans.
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In making changes to address new accreditation standards on patient flow (LD.3.11), and surge capacity (IC.6.10), one hospital has reduced its average throughput in the ED from 3.2 hours to 2.3 hours.
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If youre an ED manager considering a career in health care consulting, the first thing you should do is examine your skill set to see if theres even a fit.
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Treatments for Acute Migraine; Statin Therapy for ACS Patients; The Correct Dosing for Onychomycosis; FDA Actions
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While children typically have a lower severity of illness than their adult counterparts during visits to the emergency department (ED), they also present with some of the most serious illnesses. Furthermore, there are a wide range of possible illnesses with potentially devastating outcomes for children. Unfortunately, the relative rarity of critically ill or injured children means that clinical experience potentially may be lacking or even atrophied over time.
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As if communication with young children was not challenging enough, the child presenting with an altered mental status (AMS) is an exceptional opportunity for testing one's sleuthing ability. The reality is that we see far more adults with AMS than we do children. Consequently, we might be tempted for just a moment to doubt our abilities.
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By Ronald M. Perkin, MD, MA
Professor and Chairman, Department of Pediatrics, Brody School of Medicine at East Carolina University; Chairman, Committee on Physician Health, Pitt County Memorial Hospital, Greenville, NC; and Jay Weaver, JD, EMT-P, Attorney, Private Practice; Adjunct Faculty, Northeastern University, Boston.
