The trusted source for
healthcare information and
After reading this issue of ED Management, the continuing education participant should be able to:
1. Identify current Joint Commission requirements for performing a hazardous vulnerability analysis. (See "Warning:Are you prepared to lose your ED after a natural disaster?")
2. Cite three conditions included in the new payment group proposed by the CMS for ED observation services. (See "Victory: You’ll be paid for ED observation.")
3. Name two outcomes that can measure effective medication use in the ED. (See "Boost quality of care: Track medication use.")
4. Identify two potential problems with giving telephone advice. (See "ED makes nurses happy by outsourcing calls.")
5. Explain how to comply with EMTALA regulations for transferring a patient to a physician’s office. (See "EMTALA Q&A.")
6. Cite two common physician errors that were found to result in patient misdiagnoses. (See "Journal Review.")
1. Which of the following does the Joint Commission on Accreditation of Healthcare Organizations require regarding a hazard and vulnerability analysis?
A. Only EDs in areas vulnerable to earthquakes need to perform this analysis.
B. Only EDs that are vulnerable to structural collapse due to age are required to perform this analysis.
C. After conducting an analysis, solutions to correct weaknesses constitute a major expense in all cases.
D. A hazard and vulnerability analysis is mandatory for 2001.
2. Which of the following patients will be included in the new payment group for observation services, according to the ruling from the Centers for Medicare and Medicaid Services?
A. congestive heart failure
B. anxiety disorder
D. suspected stroke
3. Which of the following is an outcome that shows efforts are being made to resolve symptoms in the ED, according to James Augustine, MD, FACEP, CEO of Premier Health Care Services?
A. decreased use of oral narcotic medicines
B. decreased use of antibiotics
C. increased use of anti-inflammatories
D. decreased use of breathing treatments
4. Which of the following is true regarding patient calls to the ED, according to Erik N. Steele, DO, ABFP, administrator for emergency and trauma services at Eastern Maine Medical Center?
A. Patient calls do not present liability risks because EMTALA does not apply.
B. Patient calls are a liability risk for the hospital because the information given is inconsistent, and there is often no documentation of the call.
C. Patient calls are not a liability risk as long as there is adequate documentation.
D. Research has shown that information given over the phone is consistent.
5. To comply with the Emergency Medical Treatment and Active Labor Act, when may a patient be transferred to a physician’s office for definitive care, says Stephen Frew, JD, president of Frew Consulting Group?
A. under no circumstances
B. only when the physician’s office has necessary equipment that is not available anywhere in the hospital, and all other medical conditions have been appropriately treated
C. only if the patient is transported by ambulance
D. A patient may be transferred without documentation of a transfer for a higher level of care or transport by ambulance, as long as a medical screening examination has been conducted.
6. Which is true regarding ED physician errors and misdiagnosis, according to a study published in Academic Emergency Medicine?
A. Errors made by ED physicians contributing to misdiagnoses are very low.
B. Errors made by ED physicians contributing to misdiagnoses are high.
C. Over half the patient records contained errors in the diagnostic process which resulted in a misdiagnosis
D. Pediatric patients were at highest risk for diagnostic errors.