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Following a chart review that indicated few (24%) medical ICU (MICU) patients received consultation for physical therapy (PT) or occupational therapy (OT) a percentage almost 50% lower than at two other academic medical centers in the same city as well as a higher prevalence of deep sedation, the authors elected to initiate a QI project designed to reduce the use of deep sedation and improve patients' functional ability.
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In this issue: Tiotropium for uncontrolled asthma, sibutramine pulled from market, incidence and mortality data from WHI, FDA Actions.
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The term "over-triage" certainly sounds ominous and wasteful, but as researchers at the University of California, San Diego (UCSD) School of Medicine note in their recent paper in The Journal of Trauma, Injury, Infection, and Critical Care, it is anything but simple.
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[Editor's note: In this month's issue, we honor our second "gold star" winner. ED Management gives this award to ED teams that go above and beyond the expected to dramatically improve performance through unique and creative approaches. Would you like to nominate your ED or another facility for a Gold Star? If so, contact Steve Lewis, editor, at
[email protected].]
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A simple behavioral health consultation of 15-30 minutes has helped reduce the number of chronic pain patients who use the ED at Providence Newberg Medical Center in Newberg, OR, as their primary source of medical care.
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A new year is fast approaching, and with it comes unusual challenges for ED compliance. As recovery audit contractors (RAC) step up audit activities, many hospitals and ED practice groups are taking a second look at appropriate ways to ensure compliance without sacrificing revenue.
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The Centers for Medicare & Medicaid Services (CMS) has issued a final rule for hospital outpatient departments (HOPDs) for calendar year (CY) 2011 with a payment rate increase of 2.35%.
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"It's too bad someone didn't give you thrombolytics, because you probably wouldn't be paralyzed now." Whether it's a nurse, doctor, or someone else making that statement to a stroke patient cared for in your ED, you could end up named in a lawsuit.
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"Why didn't my grandmother see a neurologist immediately in the ED?" is a question that may arise in the event of a malpractice lawsuit involving stroke care.
