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The new rules of the Accreditation Council of Graduate Medical Education (ACGME) focus primarily on first-year residents to reduce fatigue and fatigue-related errors.
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When a single imported case of measles led to a small outbreak in Tucson, AZ, in 2008, two hospitals were forced to spend a total of some $800,000 to contain it, much of that related to ensuring the immunity of employees.
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Being greener is safer. As hospitals join the sustainability movement, they are making the workplace safer for their own employees.
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As of July 1, first-year medical residents may be getting a better night's sleep. New rules limit duty hours for interns to a 16-hour shift, ban them from moonlighting, and require them to have at least 8 hours free between duty hours.
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Hospitals will need to retrain all their employees on chemical hazards when the U.S. Occupational Safety and Health Administration finalizes its changes to the Hazard Communication Standard.
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In the May issue of HEH, we reported on an effort to reduce sharps injuries by using disposal containers with a better design. A reader subsequently posed a question: Would you administer post-exposure prophylaxis to an employee who receives a sharps injury from an unknown source, such as a sharp protruding from a container?
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The number of lawsuits involving mid-level providers (MLPs) in the ED "seems to have skyrocketed in the last few years," according to Michael Blaivas, MD, FACEP, FAIUM, professor of emergency medicine at Northside Hospital Forsyth in Cumming, GA. "There are multiple scenarios that result in successful suits, and there is a common theme among them."
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Have you ever made an honest mistake that a family member caught before you did, or given the wrong dose of a medication? "These scenarios, unfortunately, can make the news, and they make us look careless," says Michelle Myers Glower, RN, MSN, LNC, a health care consultant based in Grand Rapids, MI. "But how we handle them can make or break us."
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What if the emergency physician (EP) strongly believes a patient needs to be admitted, but a consultant gives a recommendation over the phone to discharge the patient?
