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Emergency Care Providers Help Identify Candidates for Hospital-at-Home Program

Project planners intend to care for hundreds of patients per year in the hospital-at-home program, thereby offloading some of that capacity from inpatient hospitals.

Hospitalist Triage Role Expedites Admission Decisions for ED Patients

This intervention alone likely will not reduce the number of boarded patients. But with accurate data in hand, the focus can shift to alleviating the downstream bottlenecks that prevent patients from going to inpatient beds sooner.

Many Patients Avoid Going to EDs Because of Fear of Boarding, Delays

Emergency physicians should convey to patients that they will receive care, regardless of the boarding crisis. Stick to the foundation of emergency medical care: stabilize, ensure patients are not experiencing a life-threatening emergency, and manage their urgent conditions.

Calling ED Boarding a Public Health Crisis, ACEP Pushes Policymakers to Act

Although there are many possible solutions, both legislative and administrative, the industry continues searching for the right formula to solve the problem.

EMTALA Concerns if Patients Ask About Delays

Are discouraging comments an EMTALA violation? Investigators would examine factors such as what exactly was stated, under what circumstances the comment was made, whether the information was truthful and accurate, and whether it discouraged the patient from staying in the ED and receiving care.

Higher Mortality Rates Among ICU Patients with Alzheimer’s Disease

Consider early and timely palliative care services instead of the ICU. Early exposure to palliative care may improve both survivability and quality of life, and may lower the risk of hospital-acquired infections.

An Admissions Unit Accelerates ED Flow, Helping Upper Floors Better Manage Incoming Patients

Administrators at a Wisconsin hospital created a separate unit where ED patients destined for admission could be placed while waiting for an inpatient bed upstairs. The new unit is staffed by float pool nurses who initiate care while the patients are waiting and help ensure they are directed to the right unit and the right level of care.

Vital Signs Are Unreported During Most EMS Handoffs

EMS holds a wealth of information about a very critical time in the patient’s treatment and evaluation for that episode. Physicians, EMS agencies, and hospital leaders should collaborate to figure out what gaps exist and develop specific tools to close those gaps.