ED management : the monthly update on emergency department management最新文献

Palliative Care Occupies Growing Presence in ED. 姑息治疗在急诊科占有越来越大的地位。

ED management : the monthly update on emergency department management Pub Date : 2017-06-01

引用次数: 0

Institute a Thorough Process to Manage Payer Audits. 建立一个彻底的流程来管理付款人审计。

ED management : the monthly update on emergency department management Pub Date : 2017-06-01

Caral Edelberg

引用次数: 0

Health Systems Turn to Communication and Resolution Programs to Identify Errors. 卫生系统转向沟通和解决方案，以确定错误。

ED management : the monthly update on emergency department management Pub Date : 2017-06-01

Richard Boothman, Thomas Gallagher, Alan Woodward

引用次数: 0

Assessing Risk for Future Firearms Violence in Young People Who Present to ED. 评估出现ED的年轻人未来枪支暴力的风险。

ED management : the monthly update on emergency department management Pub Date : 2017-06-01

引用次数: 0

Team-based Pod System Reduces Lengths of Stay for Treat-and-Release Patients. 基于团队的Pod系统缩短了治疗和释放患者的住院时间。

ED management : the monthly update on emergency department management Pub Date : 2017-06-01

Nicholas Gavin, Kathy Peterson

引用次数: 0

Study: Older Patients Vulnerable to Functional Decline Following ED Visit. 研究:老年患者在急诊科就诊后容易出现功能下降。

ED management : the monthly update on emergency department management Pub Date : 2017-05-01

William Fleischman

{"title":"Study: Older Patients Vulnerable to Functional Decline Following ED Visit.","authors":"William Fleischman","doi":"","DOIUrl":"","url":null,"abstract":"A new study suggests older patients are particularly vulnerable to functional decline in the six months following a visit to the ED. Investigators noted the findings suggest there are opportunities to short-circuit this trajectory with added assessment and arrangements for follow-up interventions at the time of the ED visit. . Investigators compared 754 older patients who visited the ED with a matched group of 813 patients who did not visit an ED. They also studied an unmatched group of older patients who were hospitalized following an ED visit. . At the beginning of the study, both the ED-visit and control groups exhibited similar functional abilities, with levels of disability ranging between 3 and 4 on a disability scale, where lower scores represented lower levels of disability. . The ED-visit group scored an average of 14% higher than the control group participants on the disability scale during the six months following the ED visit. The group with participants who had ED visits followed by hospitalization demonstrated disability scores that were 17% higher than the ED-visit only group. . Investigators pointed to studies showing that ED-based screening and follow-up of older patients can prevent the risk of functional decline, decrease readmissions, and potentially prevent admissions to the ICU.","PeriodicalId":79871,"journal":{"name":"ED management : the monthly update on emergency department management","volume":"29 5","pages":"58-59"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36130284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Providers Fear Immigration Proposals May Cause Some Patients to Nix Care. 医疗服务提供者担心移民提案可能会导致一些患者不愿接受治疗。

ED management : the monthly update on emergency department management Pub Date : 2017-05-01

Karen Hacker, Alisheba Hurwitz, Bradley Shy

{"title":"Providers Fear Immigration Proposals May Cause Some Patients to Nix Care.","authors":"Karen Hacker, Alisheba Hurwitz, Bradley Shy","doi":"","DOIUrl":"","url":null,"abstract":"With high-profile travel bans and well-publicized Immigration and Customs Enforcement (ICE) activities, frontline providers have noticed changes in the behavior of immigrant patients. Some emergency providers report there is more fear and a reluctance to share key information. Also, providers are concerned that worries about deportation will cause immigrant patients to refrain from accessing needed care. Investigators note that such concerns are valid, considering how heightened ICE activities previously have affected immigrant health. •Emergency providers who see a high number of immigrant patients report patients are very guarded about providing identifying information and recent travel history. They are concerned that medical staff will report them to ICE authorities. •Some emergency providers are wearing \"safety pin\" symbols to try to let patients know that they are safe in their care. Others are thinking about posting signs in multiple languages to inform immigrant patients that information about travel history only will be used for medical purposes. •Experts worry that restrictions on foreign-born physicians and medical students only will exacerbate anticipated shortages, particularly in rural areas. •In a previous period of increased immigration enforcement, researchers found that more than 40% of frontline providers reported that ICE activities produced negative health effects on their immigrant patients, including stress, anxiety, and avoidance of the healthcare system.","PeriodicalId":79871,"journal":{"name":"ED management : the monthly update on emergency department management","volume":"29 5","pages":"49-53"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36130280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Process Improvement Tools, Commitment to Change Lead to Serious Turnaround. 过程改进工具，对改变的承诺导致严重的周转。

ED management : the monthly update on emergency department management Pub Date : 2017-05-01

Derek Birznieks, Richard Zane

{"title":"Process Improvement Tools, Commitment to Change Lead to Serious Turnaround.","authors":"Derek Birznieks, Richard Zane","doi":"","DOIUrl":"","url":null,"abstract":"The ED at the University of Colorado Hospital (UCH) has undergone a dramatic transformation in recent years, doubling in size while also using process improvement methods to dramatically reduce wait times, eliminate ambulance diversion, and boost patient satisfaction. Throughout this period, volume has continued to increase while the cost per patient and avoidable hospital admissions have experienced steady declines. Guiding the effort has been a series of core principles, with a particular focus on making sure that all processes are patient-centered. . To begin the improvement effort, ED leaders established a leadership team, and hired a process improvement chief with no previous experience in healthcare to provide fresh, outside perspective on processes. . In addition to mandating that all processes be patient-centered, the other guiding principles included a commitment to use and track data, to speak with one voice, to value everyone's perspective, to deliver high-quality care to all patients, and to set a standard for other academic medical centers. . To get points on the board early and win approval from staff, one of the first changes administrators implemented was to hire scribes for every physician so they wouldn't be bogged down with data input. The approach has essentially paid for itself. . Among the biggest changes was the elimination of triage, a process that improvement teams found no longer added value or quality to the patient experience. . Leadership also has moved to equilibrate the size and staff of the various zones in the ED so that they are more generic and less specialized. The move has facilitated patient flow, enabling patients in zones with resuscitation bays to connect with providers quickly.","PeriodicalId":79871,"journal":{"name":"ED management : the monthly update on emergency department management","volume":"29 5","pages":"54-57"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36130281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

EDs Report Strong Surges in Flu-related Volume, Straining Capacity in Some Regions. 急诊科报告与流感相关的数量激增，使一些地区的能力紧张。

ED management : the monthly update on emergency department management Pub Date : 2017-04-01

David Burmeister, Mohamud Daya, Christopher Sampson

引用次数: 0

In Search of Effective Solutions to Curb Workplace Violence. 寻找遏制职场暴力的有效解决方案。

ED management : the monthly update on emergency department management Pub Date : 2017-04-01

Judith Arnetz, Jane Lipscomb, Joanne Ogaitis

{"title":"In Search of Effective Solutions to Curb Workplace Violence.","authors":"Judith Arnetz, Jane Lipscomb, Joanne Ogaitis","doi":"","DOIUrl":"","url":null,"abstract":"Investigators have applied epidemiological principles to the study of workplace violence, producing results that offer intriguing information to hospitals struggling for a way forward on this issue. In a randomized, to hospitals struggling for a wary forward on this issue. In a randomized, controlled trial, the researchers found that a one-time, unit-based intervention can reduce the incidence of violent events, and that the approach offers some lasting effect over time. The intervention consisted of a 45-minute discussion with unit supervisors in which unit-specific data regarding violent incidents in their workplace were shared along with an array of improvement strategies. Unit supervisors then were directed to work with their teams to develop action plans to address violence, although they were free to adopt whatever solutions they deemed best. At six moths post-intervention, there was a clear reduction in the incident rate ratios of violent events on the intervention units as compared with control units that did not conduct an intervention. Experts note that the study demonstrates that an effective workplace violence intervention or program must be data-driven and based on principles of continuous quality improvement.","PeriodicalId":79871,"journal":{"name":"ED management : the monthly update on emergency department management","volume":"29 4","pages":"41-4"},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5788308/pdf/nihms933903.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35573038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0