EMDocs

JUNE 28, 2023

The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. EMS report includes concern for CVA, with variable documentation of face and extremity weakness. Nursing documentation includes the presence of a facial droop.

Documentation/Coding 66

Documentation/Coding EMS Stroke Patient Safety 66

EMDocs

APRIL 18, 2024

The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. The admitting nurse documents an “OTJ injury” with a chief complaint of “My boss made me come.” To opt in to the free subscriber list, click here. Stories of med mal lawsuits can save lives.

Patient Safety 86

Patient Safety Hospitals Documentation/Coding EMS 86

Mind The Bleep

JULY 26, 2023

Good Medical Practice is the GMC’s core guidance document (a new version is out this year) and there are supporting documents covering important areas like consent , confidentiality , prescribing and treating children. Take care to document these discussions in the records. Most employers will have a chaperones policy too.

Documentation/Coding 52

Documentation/Coding Patient Safety Wellness Hospitals 52

PDC Healthcare

FEBRUARY 13, 2023

Spartanburg Regional Healthcare Improves Patient Safety by Switching to Thermal Wristband and Label Printing Spartanburg Regional Healthcare System, an integrated healthcare delivery system in South Carolina, is building on its reputation for technological excellence with the recent adoption of thermal print patient identification technology.

Patient Safety 68

Patient Safety Documentation/Coding 68

PDC Healthcare

JANUARY 16, 2023

Being able to easily differentiate and identify these risks can be the difference in ensuring a patient’s safety and makes fulfilling a patient’s needs easier for healthcare workers. Thousands of healthcare facilities across the country have adopted standardized, color-coded alert wristbands […].

Documentation/Coding 80

Documentation/Coding Patient Safety 80

EMDocs

JANUARY 25, 2024

The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. The patient’s last INR should be documented, and one obtained if not recent. For patients on warfarin, documenting a reason for not checking an INR is a worthwhile practice.

Poisoning 71

Poisoning Documentation/Coding Patient Safety Hospitals 71

American Medical Compliance

FEBRUARY 9, 2024

They conduct internal audits and reviews to ensure adherence to regulations and recommend corrective actions when necessary. Reporting and Documentation Accurate record-keeping is a cornerstone of compliance. Compliance officers maintain detailed records of compliance activities, investigations, and corrective actions.

Operations 102

Operations Best Practices Patient Safety Documentation/Coding 102

ACEP Now

NOVEMBER 13, 2023

Managing and caring for aggressive patients may involve calling for security or physical and chemical restraints, but these interventions are temporary and have potential to further harm patients physically and mentally. A 2019 literature review summarized seven studies describing the creation and implementation of BERT teams.

Emergency Department 52

Emergency Department Documentation/Coding Psychiatric Best Practices 52

American Medical Compliance

DECEMBER 6, 2023

Elopement is defined by the VA National Center for Patient Safety (NCPS) as when a patient knows they are not allowed to leave but yet chooses to do so consciously. Finding out that a patient has “gone missing” is a terrifying experience for both clinicians and patients’ families.

Patient Safety 52

Patient Safety Documentation/Coding Hospitals 52

The Skeptics' Guide to EM

MARCH 22, 2019

Most emergency physicians use some form of electronic medical records (EMRs) when seeing patients. The EMR tasks we undertake are expanding rapidly, far beyond simply documenting history and physical examination and every implementation slows us down. Research by Hill et al (1) demonstrated that an ED shift can have 4,000 clicks.

Emergency Department 52

Emergency Department Documentation/Coding Dislocations Research 52

ACEP Now

MARCH 13, 2024

Emergency departments (EDs) provide the essential service of evaluating patients with unscheduled, acute, undifferentiated, and decompensated conditions. Consequences of this are well documented and include delayed treatment, exposure to error, increased length of stay, and increased mortality. ED crowding impairs this mission.

Ethical Issues 52

Ethical Issues Emergency Department Operations Hospitals 52

PDC Healthcare

OCTOBER 19, 2023

When a patient checks in to a hospital or a non-acute care facility, their personal and medical data needs to be recorded. Each patient has an EMR (Electronic Medical Record), which needs to be updated each time a patient needs care.

Hospitals 86

Hospitals Documentation/Coding Patient Safety 86

PDC Healthcare

OCTOBER 19, 2023

When a patient checks in to a hospital or a non-acute care facility, their personal and medical data needs to be recorded. Each patient has an EMR (Electronic Medical Record), which needs to be updated each time a patient needs care.

Hospitals 76

Hospitals Documentation/Coding Patient Safety 76

PDC Healthcare

MAY 1, 2023

Patient tracking during large-scale events is a challenge. Patients may be passed between first responders, ground transport, air transport, and then transferred from one facility to another. For routine calls with individual patients, it’s feasible to track who transported the patient and where they ended up.

Mass Casualty Incidents 83

Mass Casualty Incidents Hospitals EMS Patient Safety 83

ACEP Now

AUGUST 1, 2023

The weighting must strongly be on patient safety and on expanding the opportunities for board certified emergency physicians. Every patient in a U.S. emergency department deserves access to an emergency physician no matter their zip code. We must always work against a balance. Three take home points for what I believe.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

Dr. Smith's ECG Blog

MARCH 14, 2024

The most recent study found a NPV of 100% of triage ECGs labeled ‘normal’ or ‘otherwise normal’ for final hospital diagnosis of ACS, and concluded that avoiding physician interruption would “alleviate interruptions in workflow and improve patient safety.” It is well known that NOMI usually has a normal ECG or nonspecific ECG.

EKG/ECG 96

EKG/ECG Documentation/Coding Patient Safety Outcomes 96

PDC Healthcare

AUGUST 17, 2023

Key Takeaways from a Recent Pharmacy Survey PDC surveyed 6,400 Hospital Pharmacy Managers and Directors to get feedback on their priorities and challenges. Below we explore the results and key takeaways of the PDC survey, along with some helpful tips for pharmacy professionals.

Hospitals 74

Hospitals Patient Safety Documentation/Coding 74

Emergency Medicine Journal

AUGUST 23, 2023

In 2020, 111 First was introduced to triage patients before entry to the ED and to offer direct booking for patients needing ED or urgent care into same-day arrival time slots. 111 First continues to be used post pandemic, but concerns about patient safety, delays or inequities in accessing care have been voiced.

Emergency Department 75

Emergency Department Urgent Care Documentation/Coding Patient Safety 75

EMDocs

OCTOBER 11, 2023

The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. ” The tech cleans the wound and documents it as 2cm long and “ dirty.” I thought they were incidental “ bone islands” so I didn ’ t document them. I just didn ’ t document it.

Documentation/Coding 68

Documentation/Coding Radiology Radiology Patient Safety 68

EB Medicine

JULY 8, 2019

Vitamin D, B12, Calcium, foate, iron, and thiamine deficiencies are all well documented complications. Patients typically take vitamins postoperatively to prevent such complications. PA’s and NP’s - make sure to use the code APP4 at checkout to save 50%. Nachi: Nutritional deficiencies are also common complications. Metabolism.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

EB Medicine

MAY 3, 2019

Nachi: With the staff notified and the patient searched, the patient should be placed in a room without potentially dangerous items, like tubing or needles. Jeff: Speaking of safety, you will definitely want to engage in safety planning with the patient.

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40