Research suggests peer support programs that may have been developed to support clinicians following an adverse event or medical error also be leveraged to help those suffering from stress, anxiety, or other emotional difficulties following incidents of workplace violence.
No knew the world would be in the grips of COVID-19 in 2016. That is when Johns Hopkins Hospital unveiled a first-of-its-kind Capacity Command Center (CCC), a high-tech control room designed to apply all the latest analytical tools to bed management, patient transfers, and surge planning. CCC leaders have spent the last five years working around the clock to optimize patient flow and anticipate any potential bottlenecks. But there is no question the concept has been put to the test by pandemic conditions. How did it fare?
Recognizing that EDs are uniquely positioned to engage patients with opioid use disorder into effective treatment, Pennsylvania officials decided to test whether financial incentives would be enough to nudge hospitals to facilitate stronger action.
Most of data supporting the pulmonary embolism response team (PERT) concept comes from single-center reports that lack prospective, controlled studies to evaluate the benefits. PERTs are so prevalent today that it is doubtful researchers could conduct a randomized, clinical trial. To surmount this hurdle, researchers are endeavoring to bring everyone’s data together in one multicenter registry called the PERT Consortium Quality Database.
Emergency clinicians are adept at diagnosing and treating pulmonary embolisms. In cases deemed intermediate- or high-risk, determining which treatment is best is not always clear. Innovators at Massachusetts General Hospital developed the first pulmonary embolism response team, which has since been adopted widely.
Frontline providers fully understand the importance of safety and risk information. However, considering the ease with which managers and colleagues can communicate such information, some of the most important messages can be lost or overlooked in the barrage of emails, texts, pages, alarms, and other alerts clinicians receive every day.
Suicide remains the second-leading cause of death among adolescents, but many at risk remain unidentified. One solution is universal screening in the ED, a place nearly 20% of all U.S. adolescents visit annually. Investigators developed the Computerized Adaptive Screen for Suicidal Youth tool, which enables teens to undergo the screening on a tablet computer, with results immediately available.
Many EDs fill up with patients without serious medical concerns, but social or mental health problems clinicians may not be well-equipped to address. Putting social workers and other resources on scene to address these needs can expedite an appropriate response. Another potential solution is to meet these patients where they are, eliminating the need for an ED visit altogether.