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Emergency department managers should take note of a couple of standards that had very high non-compliance rates for the first six months of 2011, according to data released by the Oakbrook Terrace, Il-based Joint Commission.
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In addition to tracking drug shortages, the Drug Information Service at the University of Utah Healthcare in Salt Lake City, UT, has also attempted to figure out why the shortages are occurring. The underlying causes aren't all well-understood, but some of the problems are clear.
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One of the ways busy EDs are attempting to manage long wait times is by enabling patients who do not need immediate care to make an appointment to be seen in the ED one or two hours in advance.
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There was no one precipitating study or finding that prompted the Oakbrook Terrace, IL-based Joint Commission (JC) to issue a Sentinel Event Alert regarding the radiation risks of diagnostic imaging, stresses Ana Pujols McKee, MD, the JC's executive vice president and chief medical officer.
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Hospitals have been accustomed to dealing with sporadic drug shortages for more than a decade, but now both pharmacists and clinicians are scrambling to keep up with a problem that has proven to be unpredictable and challenging.
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Having recently completed an instructor course in ICD-10, I am still processing the magnitude of the transition to this new system.
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Busy EDs are increasingly relying on temporary staff to cope with nursing shortages, unanticipated spikes in volume, and other personnel challenges, but the practice is coming at a steep price, according to research from Johns Hopkins University (JHU) School of Medicine in Baltimore, MD.
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When Robert B. Takla, MD, MBA, FACEP, chief of the Emergency Center at St. John Hospital and Medical Center in Detroit, MI, was named in a lawsuit early in his career, he was certain he hadn't breached the standard of care, though the same may not have been true regarding one of his emergency physician (EP) colleagues.
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Overcrowding and emergency department (ED) boarding are the two top liability risks that Douglas Brunette, MD, assistant chief of emergency medicine for clinical affairs at Hennepin County Medical Center in Minnesota, sees for EDs currently.
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When a medical malpractice lawsuit is filed, the emergency physician (EP) and the hospital are often represented by the same defense counsel, but there are times when this is not in the EP's best interest, according to Robert B. Takla, MD, MBA, FACEP, chief of the Emergency Center at St. John Hospital and Medical Center in Detroit, MI.
