Emergency Medicine Topics
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Irritable Patient Behavior Affects Emergency Nursing Assessments
For encounters during which the patient exhibited irritable behavior, nurses reported more anger and unease. They also judged the patients as likely to exaggerate pain, as poorer historians, and less likely to cooperate and return to work and recover. In their documentation, nurses were more likely to use negative descriptions of patients and more likely to omit information, such as whether tests were ordered.
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Is ED Patient Rude or Insulting? Risk Mitigation Needed
Patients who behave in this manner could be at risk for a missed diagnosis caused by poor communication with the treatment team. They may be so difficult to tolerate that they receive less attention and nursing care than they would have otherwise. The best approach is to recognize the risks with these types of patients and mitigate them.
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Emergency Medicine Residents Should Be Aware of Legal Exposure
To alleviate malpractice risks involving residents, attendings should implement a reasonable and adequate plan for the patient along with the resident; review the patient’s lab and imaging results; and, ultimately, be the decision-maker as to the patient’s ultimate disposition.
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Fracture-Related Complications
The goal of this review is to familiarize emergency physicians with the initial assessment of fractures as well as the identification and management of immediate, early, and late-stage fracture complications.
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Despite Some Progress, Pediatric Readiness Continues to Lag in Many EDs
EDs showed improvement on five of the six domains evaluated in the survey-based assessment, completed by the National Pediatric Readiness Project. However, there was a significant decline from the 2013 assessment regarding administration and coordination, a heavily weighted domain.
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More Support Needed for Pediatric Emergency Care Coordinators
Considering professional organizations view the pediatric emergency care coordinator role as essential to pediatric readiness in U.S. EDs, there is concern about health system commitment to the role, based on the results of a survey of the physicians and nurses serving in those positions.
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Attorneys Will Scrutinize ED Preparedness for Pediatric Emergencies
Litigation will center on training, experience, and facility resources.
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Legal, Safety, and Regulatory Risks if Cyberattack Forces ED to Shut Down
Experts offer early warning signs of a possible attack, along with mitigation tactics and tips for leaders on how to properly train staff in security principles.
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Did Your Department Close Unexpectedly? Here’s How to Mitigate Risks
In the event of a diversion caused by a cyberattack, EDs need to mitigate any adverse effects on patient care. Maintaining paper order forms and manual backup plans for otherwise computer-dependent operations is essential. Leaders must immediately notify surrounding hospitals and ambulance agencies of the situation, along with the expected resolution time.
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More Patients Are Suing Hospitals for Data Breaches
Plaintiffs argue medical providers should be held accountable for ignoring security risks. Lawsuits allege hospitals are taking a lax approach to protecting highly sensitive and confidential patient information. Three factors could affect the outcome of these suits: the types of information compromised, allegations of injuries, and similar data breach jurisprudence in a given jurisdiction.