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For an ED to succeed with a system such as the rapid medical evaluation (RME) process adapted by many ED clients of California Emergency Physicians/ MedAmerica (CEP/MedAmerica), a Laguna Hills, CA-based emergency physician management company, the manager must overcome several challenges, says Diana S. Contino, RN, MBA, a consultant for CEP.
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The following are examples of results achieved by several clients of California Emergency Physicians/ MedAmerica (CEP/MedAmerica), a Laguna Hills, CA-based emergency physician management company, who use the Rapid Medical Evaluation (RME) process.
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In the wake of Hurricanes Katrina and Rita, the Agency for Healthcare Research and Quality (AHRQ) has released a report, titled Development of Models for Emergency Preparedness, to help field- and facility-based health care professionals plan for and respond to bioterrorism events or public health emergencies.
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The avian influenza A (H5N1) virus, more commonly known as bird flu, is capturing headlines around the world. President Bush has even announced a plan to prepare the United States for a possible pandemic.
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A team of Canadian researchers has developed the Vancouver Chest Pain Rule, that they say may be used to identify and safely discharge emergency patients with chest pain from the emergency department, following evaluation.
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If the final outpatient prospective payment system (OPPS) rule on hospital outpatient payment services for 2006 is any indication, the coming year will be an extremely tight one economically for the nations EDs.
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Some ED managers call the system virtual beds; others prefer the terms outside waiting room, or waiting room by appointment. Whatever you choose to call it, its a no wasted real estate approach to ED management that can help you decrease door-to-doc times and increase patient satisfaction.
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Necessity, they say, is the mother of invention, and it cant get much more necessary than trying to track several thousand patients whove suddenly been transferred to your city. Thats precisely the challenge that faced the city of Houston in the wake of Hurricane Katrina.
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A male physician has a well-known habit of using vulgar language and continually berating the nursing staff who all happen to be female. This behavior exposes your ED not only to high vacancy rates for nursing staff, but also significant liability risks, says Brian A. Lapps Jr., a Nashville, TN-based attorney specializing in employment law.
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A patient comes to your ED with intracerebral hemorrhage (ICH), the deadliest and least treatable form of stroke, which accounts for 15% of strokes and nearly half of the 164,000 stroke deaths in the United States annually. Right now, there is very little you can do for this patient, but that may change soon.
