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Following the arrest of pediatrician Earl Bradley, MD, for child sexual abuse, and allegations that Beebe Medical Center in Lewes, DE, did not adequately respond to concerns about Bradley, the hospital established a Special Investigative Commission to look at how Beebe might strengthen its internal procedures and practices.
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The risk of a medication error rises sharply when a hospital's pharmacy is closed, according to a report by Michael J. Gaunt, PharmD, senior patient safety analyst with the Pennsylvania Patient Safety Authority in Harrisburg. His recent study found that the incorrect drug was retrieved from an automated dispensing cabinet or night cabinet in 82.3% of wrong-drug events.
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A study by Regenstrief Institute in Indianapolis and U.S. Department of Veterans Affairs investigators provides the first in-depth look at how healthcare providers react to medication alerts generated by electronic medical record systems. They found that clinicians often ignore alarms because they are uncertain what they mean.
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The initial notice of audit from the Department of Health and Human Services' Office for Civil Rights (OCR) asks for a significant amount of documentation and information to be submitted within 10 days of the notice date, but that will not be the end of information for which you'll be asked, says Mac McMillan, chief executive officer of CynergisTek, an information technology security consulting company, who advised a Texas hospital included in the initial audits.
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In the intense focus of late on use of the ED by patients with non-emergent needs, it is perhaps easy to overlook another group of patients that is strongly linked with the ED: patients who are nearing the end of life.
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On any given day, the ED at Mercy Hospital in Springfield, MO, has two zone captains acting as mini-charge nurses, for the east and west sides of the department. There is also an up-front triage nurse who is the first person most patients see when they walk in the door, and a lobby nurse who regularly rounds through the waiting room, taking vital signs and monitoring patients who have yet to see a provider.
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As demand for emergency care continues its upward climb, The Joint Commission is taking steps to strengthen its accreditation standards pertaining to patient throughput, and it is putting hospital leaders on notice that they will be held accountable for patient flow challenges that occur in the ED.
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Increasing payer scrutiny over diagnostic interpretations and continued belt-tightening at the private payer level has resulted in a resurfacing of the EKG interpretation payment issue for emergency physicians. There is no doubt that the interpretation of diagnostic tests for ED patients is an invaluable service.
