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In 2007, Omaha, NE-based Union Pacific conducted a retrospective analysis to examine the relationship between employees' health status and injury occurrences. Data were matched for employees in various departments who completed a voluntary health risk appraisal and experienced an injury during a defined period of time.
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More and more hospitals are adopting a policy that mandates influenza immunization for their employees with patient safety as the primary rationale. But some ethical questions linger:
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Hospitals geared up for their annual influenza immunization campaigns this fall with a greater emphasis on mandatory policies to achieve the highest possible coverage of employees. An advisory from the American Hospital Association gave a push toward mandatory vaccination of health care workers.
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Companies looking to cut costs may take one look at an occupational health program that isn't getting results and decide to cut their losses. Before things get to that point, get some feedback from employees about the program.
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The flu vaccine is very effective for older children and adults, aged 10 to 49 years, but may be less effective than believed for the population overall, according to two recent studies.
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Quality measures from the Centers for Medicare & Medicaid Services (CMS) and other groups are putting EPs "in a huge bind," according to Sandra Schneider, MD, professor of emergency medicine at University of Rochester (NY) Medical Center.
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If there is absolutely no credible reason to think that a patient's symptoms are due to a heart attack, says John Burton, MD, chair of the Department of Emergency Medicine at Carilion Clinic in Roanoke, VA, you shouldn't be ordering tests such as cardiac enzymes.
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In this article, we present a series of actual clinical scenarios that could have turned out differently if the wrong management decision had been made.
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This is the first of a two-part series on liability risks involving ordering of diagnostic tests in the ED. This month, we'll cover the legal ramifications of deciding not to order a test, the legal risks of unexpectedly abnormal results, how ED protocols can help an EP's defense, and a new quality measure that increases liability risks for EPs.
