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As part of its Standards Improvement Initiative, The Joint Commission has moved the National Patient Safety Goal on abbreviations into the information management standard IM.02.02.01, element of performance 2.
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An adverse event in the ED at University Medical Center (UMC) in Las Vegas might have drawn negative media coverage and state and federal investigations, but it also led to process changes that the ED managers say have made a world of difference in patient satisfaction and quality.
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Color is everywhere in our world. Think of all the colors we use for navigating traffic and the unrest it would cause if those signs were taken away. But experts say beware of color in health care; they can cause indelible harm, even death.
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What distinguishes high-performing multi-hospital health systems from the rest? With support from The Commonwealth Fund, that's what the Health Research & Educational Trust (HRET) set out to uncover in a yearlong research project.
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The nation's first senior emergency center, opened by Holy Cross Hospital in Silver Spring, MD, is specifically tailored to meet the needs of a growing population of adults and provides care that goes beyond the typical emergency department assessment and treatment.
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Recognizing that ED wait times and throughput are affected by the entire hospital, the leaders at King's Daughters Medical Center in Ashland, KY, engaged all the departments that interface with the ED and slashed the rate at which ED patients leave before treatment from 5% to 0.5%.
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It is not current practice in most EDs, and it is not without controversy. In fact, one ethicist has called the practice "ghoulish." However, a government-funded pilot program at University of Pittsburgh Medical Center (UPMC) Presbyterian Hospital and Allegheny General Hospital, both in Pittsburgh, is seeking to make organ donation from the ED a reality, while at the same time addressing the ethical challenges that have been raised and the logistical challenges that can lower the odds for success.
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A program designed to find a "medical home" for complex pediatric patients can reduce the number of ED visits by 55%, according to a study published in the March 11, 2010, online edition of the Journal of Pediatrics.
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In most EDs, the last thing a provider wants is an extra, non-clinical individual "getting in the way."
