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This article, the second of two parts, deals with the potentially disastrous situation in which either the patients airway presents a substantial challenge or standard intubation methods have failed.
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The diagnosis of genitourinary pathology may be challenging, especially in a busy emergency department. It is important in any infant with a complaint of fussiness, vomiting, or not acting right to undo the diaper and do a careful assessment of the genitalia. It is easy to miss a hernia or testicular torsion if an infant is not fully examined. Identification of children with a potential for underlying pathology is also essential.
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This article, the second of two parts, deals with the potentially
disastrous situation in which either the patients airway presents a
substantial challenge or standard intubation methods have failed.
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This issue of ED Legal Letter is the second of a four-part series related to pitfalls associated with evaluating patients with abdominal pain. The series will analyze high-risk and life-threatening disease processes that ED physicians will encounter in their daily practice. Part two explores gastrointestinal (GI) bleeding and the necessity of Hemoccult testing; the diagnosis and treatment of aortic aneurysms and abdominal trauma; and extra-abdominal causes of abdominal pain.
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Are you giving admitted patients being held in your ED patients the same level of care they would receive in the critical care units? If not, you are violating standards from the Joint Commission on Accreditation of Healthcare Organizations that require the same standard of care be provided.
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Streamlining your ED coding and billing system isnt something you can do alone. It takes the expertise and cooperation of numerous individuals working together on each element of the process. However, the rewards are great both in the areas of improving revenue and assuring conformance with the hospital compliance program.
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Bentley PN, Wilson AG, Derwin ME, et al. Reliability of assigning correct current procedural terminology-4 E/M codes. Ann Emerg Med 2002; 40:269-274.
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If you fail to implement effective systems to prevent pediatric medication errors, there can be liability risks for you and your facility.
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Now that the Joint Commission on Accreditation of Healthcare Organizations has announced its 2003 National Patient Safety Goals, what are you doing to comply? Technology could be a crucial part of your strategy.
