A 19-month-old toddler with no hope for recovery became the center for the most recent debate over laws on futility, but now that little Emilio Gonzales has died (May 19, 2007), the state of Texas continues to wrestle with what to do with its advance directives act.
A project to assess the impact on community health centers of recent Deficit Reduction Act changes that require Medicaid applicants and recipients to document their citizenship, legal U.S. residence, and personal identity has found significant adverse effects in terms of coverage disruptions and loss of Medicaid income.
The World Health Organization (WHO) has published nine strategies aimed at assisting member states in the redesign care process to prevent human errors in patient care. The strategies, developed by WHO's Collaborating Centre for Patient Safety Solutions, include:
The authors of this issue discuss three types of drug-resistant bacteria that can colonize or infect emergency department patients. Community-associated methicillin-resistant Staphylococcus aureus and, to a lesser extent, vancomycin-resistant enterococci are known to most emergency physicians.