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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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Public trust in clinical trial research was damaged in the past year because of conflict-of-interest issues that arose with the National Institutes of Health (NIH) and by front-page media reports about drugs that had been studied and approved yet were found later to result in deaths among some people who used them.
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The possibility of using embryonic stem cells to treat disease, a strategy known as regenerative medicine, is not yet being explored in clinical trials, but current ethical practices need to be strengthened now in preparation for this possibility, according to an advisory committee at the University of California at San Francisco (UCSF).
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A catastrophic disaster, either natural or manmade, that not only results in widespread casualties but also wipes out medical resources can force health care providers to abandon typical delivery of care and shift to a kind of battlefield medicine, where the sickest patients may not be treated so that care can be delivered to more.
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When Ron Cranford became a doctor in the 1960s, hospitals didnt have ethics committees. There were no ethics consultants, not even any case law addressing such issues as physician-assisted suicide. Persistent vegetative state hadnt been coined, and Terri Schiavo was just a toddler.