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Your ED is geared toward delivering acute care to sick or injured patients, but hospitals that aspire to earning disease-specific care (DSC) certification are requiring their EDs to take a fresh look at how they treat patients with chronic illnesses.
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The Department of Health and Human Services (HHS) has announced an interim final rule to identify and compensate ED staff and others injured as a result of receiving a smallpox vaccine.
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More than a year after implementation of the Medicare outpatient prospective payment system (OPPS), there are unexpected variances in the assignment of evaluation and management (E&M) codes on claims from EDs, suggesting many are undercoded or overcoded and may risk compliance charges.
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To explain how EDs often leave themselves open for liability when treating headaches, Diane M. Sixsmith, MD, MPH, FACEP, chairman of emergency medicine at New York Hospital Medical Center of Queens in Flushing, tells a story, based on a real incident, in which everything went wrong.
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One part of the special cardiac care program that helped Florida Hospital in Orlando receive accreditation as a chest pain center is the Code STEMI program. Code STEMI stands for segment elevation myocardial infarction and results in the patient being transported quickly from the ED to the catheterization lab.
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Since acute pain management is protean in nature, the focus of this report consciously will be to avoid such topics as procedural sedation, alternative nonpharmacologic adjuncts, medication pharmacokinetics, sickle cell pain crisis management, cancer pain management, and physician liability in withholding analgesic treatment.
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Emergency Medicine Reports received a 2004 First Place award in the Best Single-Topic Newsletter category from the Newsletter and Electronic Publishers Foundation for the two-part article on immigrant medicine published Feb. 10 and Feb. 24, 2003. The authors of the winning article are Mary Meyer, MD, Danica Barron, MD, and Carter Clements, MD. The article was edited by Gideon Bosker, MD, and Shelly Morrow Mark.
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Part I of this two-part series on respiratory diseases covered two viral infections, severe acute respiratory syndrome and influenza. Part II focuses on a bacterial infection, community-acquired pneumonia.
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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 prospect of uniform codes has been floated in Wisconsin by, of all things, the local media. After a reporter in Marshfield, WI, who was covering a disaster drill at the Marshfield Clinic noted that the overhead announcement of color codes confused employees at nearby St. Michaels Hospital, he ran a follow-up article illustrating the different codes used by hospitals statewide.