Articles Tagged With: Triage
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Triage: When Relying on Historical Data, Do Not Apply Bias from Past Decisions
There is no denying that in a system that relies heavily on clinician judgment regarding acuity designations, bias can influence triage decisions. Indeed, among the disparities identified in the study into Emergency Severity Index triage accuracy was that Black patients had a 4.6% greater relative risk of overtriage and an 18.5% greater relative risk of undertriage when compared with white patients.
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Ongoing Education, Outcomes-Focused Reviews Remain Key to Lasting Gains in Triage Accuracy
A recent investigation into the accuracy of ED triage decisions when using the most common triage system — the Emergency Severity Index — revealed that mistriage occurs in roughly one-third of patient encounters.
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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.
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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.
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Hospital-at-Home Programs Can Work — Even When the Home Is a Car
A case management-style hospital-at-home program produced $6 million in savings and cut hospitalizations by 53% in one year.
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Malpractice Outcome Hinges on ‘Reasonableness’ of Wait Time
To prevail in malpractice litigation involving a leave without being seen patient, the patient must prove the ED’s failure to treat him or her within the time frame of the visit violated the standard of care. Also, the attorney must prove his or her client suffered harm as a result of that violation.
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Healthcare Leaders Identify Steps to Maximize Response to Mass Shooting Events
As mass shooting events continue, healthcare leaders are focused on how the medical response is effective and expeditious. Frontline providers who have experienced such events have first-hand knowledge about where the weak links are and can offer unique insight on how organizations can work within their regions to be better prepared.
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Medical, Law Enforcement Teams Share Expertise, Support During Dangerous Situations
One way to accelerate care to victims of mass casualty events is to direct physicians who are accustomed to working with law enforcement to respond to the scene so they can provide high-level care to victims immediately. That is part of the emerging specialty called tactical medicine.
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Study Results Reveal How Hospitals Handled COVID-19’s First Wave
Healthcare systems’ responses to the first wave of the COVID-19 pandemic varied, but most canceled elective procedures to preserve ICU capacity and adapted staffing and physical space to prepare for patient surges, according to the results of a recent study. -
CT Scans Rarely Change Management of Acute Pancreatitis
For acute pancreatitis patients, efficient and clinically accurate triage is the singular most vital function to help eliminate potential claims — but more importantly, to provide safe and effective treatment to ED patients.