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Articles Tagged With: ED

  • Addressing Food Insecurity in the ED

    Screening ED patients for food insecurity is not particularly difficult or time-consuming, but intervening to address the problem can be complicated by various factors.

  • Unmet Social Needs May Be Reason for ED Visit

    Many unmet social needs are the true underlying reason for ED visits, although they often go unrecognized at the time of presentation. Without screening for social needs, ED patients may face physical, psychological, and economic consequences.

  • Maximize ED Throughput with a Higher-Level Focus on Bed Traffic Control

    Getting patients seen and treated expeditiously is not only a boon in terms of operational efficiency, it also is a big plus for patient safety. Such factors figured prominently when ED leaders at AdventHealth East Orlando decided to create a powerful new nursing position to take charge of what they are calling bed traffic control.

  • Study Shows Importance of Effective Medication Reconciliation

    A recent study from Brigham and Women’s Hospital in Boston illustrates some of the best tactics hospitals can use for improving medication reconciliation. The first lesson from the study is the importance of taking the best possible medication history in the ED before the patient is admitted.

  • The Face of the ED Boarding Crisis Is a Child’s

    The boy was 9 years old, wearing makeshift operating room garb that included cut-off paper scrubs. His parents did not want him. The Department of Social Services said there was nowhere to place him. His last four “homes” had been EDs, including one that kept him for months. Given such tragic incidents, ACEP and the Emergency Nurses Association are aggressively lobbying Congress to address the situation. They gathered on Capitol Hill to underscore the crisis and push for passage of the Improving Mental Health Access from the Emergency Department Act.

  • ET3 Pilot Hailed as Big Step Toward Fully Leveraging EMS

    In January 2021, the Centers for Medicare & Medicaid Services launched a five-year pilot program called Emergency Triage, Treat, and Transport (ET3), an approach that enables participating EMS programs to connect some patients with lower-acuity problems to emergency providers via telemedicine at the scene. Most participants are excited about leveraging the approach to accelerate needed care to patients, decompress EDs, and maximize the skills of the EMS workforce.

  • Harsh Criticism for New Report on ED Diagnostic Errors

    New research that might have injected renewed vigor into improving diagnostic performance in the ED has instead prompted much uproar. In the emergency medicine community, that discussion has been overshadowed by biting criticism about the data and the methodologies investigators used to reach their conclusions — and what some are calling unfair blame placed at the feet of emergency providers.

  • Effectively Intervening with Patients Facing Housing Instability

    The notion that housing is healthcare stems from a growing body of research that links housing instability with higher rates of morbidity and mortality. There is a moral and humanitarian case for healthcare organizations to engage on the housing issue, but there also is a business case. But precisely how healthcare organizations should go about this work is not yet well established. Thus, IHI has partnered with Community Solutions, a nonprofit organization that is working to end homelessness, to examine how healthcare can play an effective role in addressing the problem.

  • How Case Managers Can Improve SDOH Assessments

    Case managers can use several different tactics to improve their assessments of social determinants of health. These may require extra time, but they can yield big rewards in terms of patients’ health and preventing readmissions.

  • No Liability for Telemedicine Company or Hospital Over Stroke Treatment

    This case confirms the importance of timely treatment and how providers can defend against claims of failure to provide such treatment. Frequently, a patient’s condition requires time-sensitive treatment, and the failure to do so may constitute medical malpractice if a similar physician under such circumstances would provide that timely care.