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Due to the altruistic nature of most health care providers, members of the giving professions often put their own needs last, often to the detriment of themselves, their colleagues and their personal lives and sometimes their patients.
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About 12 years ago, Cynda Hylton Rushton, PhD, RN, FAAN, and others at Johns Hopkins set about to examine the issue of nurse self-care and the quality of care being delivered in pediatric palliative care.
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Physicians may be operating in burnout mode or suffering from other maladies related to distress and stress long before they are even aware of it, according to Michael K. Kearney, MD, one of the authors of a paper published in the Journal of the American Medical Association (JAMA) earlier this year titled "Self-care of Physicians Caring for Patient at the End of Life: "Being Connected A Key to My Survival."
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Hospitalists, very simply, are physicians who provide hospital-based care exclusively, and it is increasingly the model used by institutions in order to have physicians on staff and on call at their institutions on a 24/7 basis.
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To address patient flow EDs across the country are employing different variations around boarding inpatients in upstairs hallways.
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How would you like to be told that the hospital that houses your ED the large, "mother" facility that receives your patients for admission and provides a host of ancillary services that makes the running of your department go more smoothly was going to shut down, and that you were going to have to transform into a satellite ED (SED)?
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What are the leading ED best practices in large health systems? According to one national survey, they include taking a business-like approach to the management of the department.
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A growing number of EDs are using physician scribes to help with histories and physical exams, but Joe Danna, MD, FACEP, has been using scribes for much, much more, and he says it's made a world of difference when it comes to staff morale.
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An intervention that provided housing and case management to homeless adults with chronic medical illnesses reduced hospitalizations and ED visits in two Chicago-area hospitals, according to a study recently published in The Journal of the American Medical Association.
