ED Management – June 1, 2018
June 1, 2018
View Archives Issues
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High-sensitivity Troponin Test Finally Available to U.S. Emergency Providers
Some emergency providers in the United States finally can access a high-sensitivity troponin assay that enables them to detect heart attacks and other cardiac problems faster than older troponin tests. While it can take several months to safely and effectively switch to the new test, the benefits to both patients and providers are considerable. Although evidence from Europe suggests the tests uncover more evidence of cardiac disease, follow-up is required.
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New Four-step Protocol Boosts Care, Outcomes for STEMI Patients
Investigators have developed a protocol that not only improves outcomes for patients with ST elevation myocardial infarction (STEMI), but also reduces gender disparities that have been observed in both the care and outcomes of patients who present with the condition. Researchers note that although the protocol is different than common practices in most U.S. hospitals, the results show that further improvements are possible in the care of STEMI patients.
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Providers Address Homelessness to Reduce ED, Hospital Use
Recognizing that chronically homeless patients typically present with multiple medical problems that lead to excessive ED and hospital use, hospitals are working with community partners to develop programs aimed at providing these patients with stable housing and the kind of supportive services that can better meet their needs.
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Hospitals Leverage Safety Huddle to Reduce Patient Harm, Boost Transparency, and Drive Culture Change
When implemented effectively, safety huddles can reduce harm and foster a culture of safety and accountability. Hospitals that have been successful with this process recommend that huddles be driven by executive leadership and include a structure that provides for accountability.