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In perhaps a perfect illustration of the risks associated with technology, Hospital Peer Review spoke with the VA hospital system about its home-grown electronic medical record (EMR) system, VistA, initiated in 1982.
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When two-time recipient of Most Wired's Innovator award Columbus Regional Hospital decided to move toward real-time locating. While IT staff at the 225-bed hospital did not want to add to the workflow of an already busy clinical staff, they did want to offer real-time information on where staff were located, and they were able to do it.
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The Joint Commission has a lot going on these days. Besides issuing five sentinel event alerts in 2008 and the 2009 National Patient Safety Goals and standards, in January the organization released an addendum to its accreditation standards.
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A lot can happen in 20 years, and certainly a lot has happened in the practice of emergency medicine both good and bad. But experts seem to agree that no single event has had more impact on the field than the passage of the Emergency Medical Treatment and Labor Act (EMTALA).
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Emergency medicine experts say the lagging economy is putting additional pressure on EDs that are already stretched to the limit, and that ED managers can look forward to even greater demand from patients while financial woes will lead to staff cuts, further exacerbating the situation.
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The natural excitement and optimism that normally accompany the transition to a new administration are not universally shared by ED experts, judging by their comments to ED Management.
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Will the new Obama administration successfully address emergency medicine's most pressing problems? Some are not hopeful.
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With the likelihood that the Centers for Medicare & Medicaid Services (CMS) will adopt some or all of the 10 national voluntary consensus standards for hospital-based ED care recently endorsed by the National Quality Forum (NQF), experts advise ED managers to begin preparing now to be in compliance. Besides, they argue, the new measures will help them improve the efficiency and quality of their departments.
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