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A recent study by a University of Michigan cardiologist on behalf of a Michigan-wide angioplasty research group produced a sobering statistic: Of 1,551 heart attack patients who had emergency angioplasty at hospitals in Michigan, women waited on average more than 118 minutes before treatment began, compared with 105 minutes for men.
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In 2001, in the wake of a tragic incident in West Anaheim (CA) Medical Center where three employees were shot to death, state investigators questioned how the gunman was able to advance to a stairwell and a hospital lobby of the medical center after the first distress call was signaled. To ease staff confusion in such situations, the Healthcare Association of Southern California adopted the nations first standardized hospital emergency codes.
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The ED patient, lying in bed in her own private room, picks up the all-in-one telephone handset and remote control beside her and calls her husband to tell him shes been in a car accident. She clicks on the 12-inch TV monitor, watches for a while, and then decides to switch over to the radio for some calming music.
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Encouraging patients not to come to your ED? Building a new ED with no waiting room? These are among the creative, and perhaps controversial, strategies adopted by two ED managers determined to address surge capacity in new and more effective ways.
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This column addresses readers questions about the Emergency Medical Treatment and Labor Act (EMTALA). Question: How Does EMTALA apply to law enforcement requests for services in the ED?
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ED managers should note two areas of the recently released 2004 Annual Report from the National Trauma Data Bank (NTDB) of the American College of Surgeons (ACS): the aging population and falls, and the number of self-pay payments.
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Your ED can be significantly better prepared for cardiac patients if you receive more complete monitor data while the patient is en route to the hospital, say sources interviewed by ED Management.
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Irving, TX-based VHA reduced waiting times by initiating an account number at or before triage, says Jeanne McGrayne, RN, MSN, director of emergency department consulting.