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Fifty-five percent of admissions to the nation's community hospitals for conditions other than pregnancy, childbirth, and neonatal care begin in the hospital emergency department, the Agency for Healthcare Research and Quality reports.
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One of the very best methods to obtain feedback on performance is through the use of survey instruments that give respondents an opportunity to speak directly and frankly.
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A new rule being proposed by the Centers for Medicare & Medicaid Services (CMS) and drawing criticism from case managers who have reviewed it would require hospitals to alert all Medicare patients 24 hours before discharge that their costs probably won't be covered if they stay longer, and that they have until noon the next day to request a review of the discharge decision.
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"Why is the patient here? Why is the patient being admitted? What needs to be done, and is there a possibility it can be done in a less acute setting?"
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During a January 2006 survey at Baylor All Saints Medical Center at Fort Worth (TX), there was an additional focus on disaster planning during the environment of care (EOC) session, reports Paula Chaloupka, MSN, RN, director of care coordination. "This provided us a great critique of our disaster planning process," she says.
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In 1999, the Institute of Medicine (IOM) published a report, "To Err is Human: Building a Safer Health System," that led to a radical shift in the way health care organizations and agencies address patient safety. Now the IOM has turned its attention to the nation's emergency care system.
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As outlined in the Institute of Medicine report, there are three major issues that are hindering patient safety and quality in our nation's EDs, says Mary M.
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The Institute of Medicine (IOM) report outlined three major dynamics a shortage of primary care physicians, a disconnect between growing ED patient demand and shrinking capacity, and a shortage of on-call specialists that are converging to create a dire situation for the emergency medicine work force.