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Despite continuing pressure to streamline operations, a small but growing number of EDs are adding clinical pharmacists with specialized training in emergency medicine to their ranks.
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When Robert Wood Johnson University Hospital in Hamilton, NJ, redesigned the ED to handle increasing patient volume back in 2001, its guarantee to see and treat patients quickly kind of "went by the wayside," explains Lisa Breza, RN, BSN, the hospital's chief nursing officer.
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With surging demand for emergency care, many hospitals across the country are building larger EDs or expanding existing facilities to make room for more beds.
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Risk managers should have an active role in purchasing and managing insurance, says R. Stephen Trosty, JD, MHA, CPHRM, president of Risk Management Consulting in Haslett, MI, and a former insurance company executive.
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Fall prevention efforts usually target those thought most likely to fall, but does that leave the other patients at risk if no one is paying attention to their potential for falling? A special focus on high risk patients doesn't have to shortchange others, says Pamela E. Toto, PhD, OTR/L, BCG, FAOTA, an occupational therapist at the School of Health and Rehabilitation Sciences at the University of Pittsburgh in Pennsylvania.
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Who wouldn't want to replicate a falls prevention program that cuts falls 46%? If you want the same results, here are some tips from Christine Waszynski, APRN, a geriatric nurse practitioner and clinical nurse specialist in the geriatrics program who works with the Fall Prevention-Safety Monitor Volunteer Program at Hartford (CT) Hospital:
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News: A 2-year-old patient presented to the emergency department (ED) with a high fever, skin discoloration, and weakness. Despite her parent's numerous requests for treatment, the patient waited for five hours before being evaluated by medical staff. By the time she was evaluated, her condition had worsened. She was flown to another hospital, where she was diagnosed with septic shock.
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To avoid being overcharged on load premiums, you have to ask the right questions and provide the data showing why you deserve better than the typical load for your area.
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Investigators have identified factors that are associated with an increased risk of in-hospital falls after total hip or knee replacement surgery, and the findings can be useful to risk managers and fall prevention committees.
