ACEP Now

DECEMBER 11, 2023

The Emergency Department Benchmarking Alliance (EDBA) is a membership organization composed of high-performance emergency departments (EDs) that share a commitment to quality. About 19 percent of ED visits result in hospital admission and 66 percent of hospital admissions are processed through the ED.

Emergency Department 52

Emergency Department Hospitals EMS Operations 52

Emergency Medicine Journal

APRIL 22, 2024

In this edition of the Emergency Medicine Journal , Dr Cooper and her colleagues explore the facilitators and barriers to the effectiveness of different general practitioner service models in or alongside EDs (GP-ED). 1 The findings are not surprising, as they align with international experience.

Emergency Department 52

Emergency Department Urgent Care Hospitals 52

The Skeptics' Guide to EM

DECEMBER 30, 2023

Overnight stay in the emergency department and mortality in older patients, JAMA Intern Med 2023 Date: December 18, 2023 Guest Skeptic: Dr. Chris Carpenter, Vice Chair of Emergency Medicine at Mayo Clinic. Chris Carpenter, Vice Chair of Emergency Medicine at Mayo Clinic. Reference: Roussel et al. Reference: Roussel et al.

Hospitals 111

Hospitals Emergency Department Fractures Dislocations 111

ACEP Now

NOVEMBER 13, 2023

Physicians, nurses, and staff in emergency departments (EDs) across the country have encountered workplace violence for years. 1,2 In a 2018 study by ACEP, nearly half of emergency physicians polled reported a physical assault while at work. are caused by a behavioral crisis.

Emergency Department 52

Emergency Department Documentation/Coding Psychiatric Best Practices 52

ACEP Now

JUNE 7, 2023

Software attacks crippled operations in large hospital chains, and physical assaults on ED staff continued unabated. The preliminary results of the 2022 Emergency Department Benchmarking Alliance performance measures survey found a significant deterioration in patient processing due to inpatient boarding.

Emergency Department 52

Emergency Department Documentation/Coding Operations EMS 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Poor sonic environments in hospitals have been found to ‘impede the recovery process’ for patients and reduce staff performance. Sonic environments are often overlooked in hospital design, leading to spaces which are not supportive for care. We introduced them to deep listening through a series of listening exercises.

Emergency Department 74

Emergency Department Patient Safety Hospitals Research 74

Don't Forget the Bubbles

MAY 10, 2023

You’re in the paediatric emergency department, typing some notes for the child you’ve just discharged. As you arrive in resus, so too do half the children’s hospital. A study in Denmark in 2021 explored barriers to effective resuscitation in over 900 in-hospital resuscitations across six hospitals in Denmark.

Emergency Department 91

Emergency Department Resuscitation Documentation/Coding Teamwork 91

ACEP Now

NOVEMBER 14, 2023

In 1901, UVA opened its first hospital with 25 beds and three operating rooms. The emergency department (ED) at UVA was rebuilt in 2019 and the department had not fully optimized its operations when COVID-19 hit. The post Re-Engineering Flow in an Academic Emergency Department appeared first on ACEP Now.

Academics 52

Academics Emergency Department Leadership Operations 52

Emergency Medicine Journal

NOVEMBER 28, 2023

This study utilised 12 months’ of routinely collected data from Emergency Departments (EDs) and acute Admitted Patient Care Episodes (APCs) to understand trends in demand for emergency care. Specifically, we examined factors associated with seasonal variation in overall demand and avoidable usage of emergency care.

Emergency Department 40

Emergency Department Hospitals Outcomes Research 40

The Trauma Pro

JUNE 30, 2023

The biggest question is, why does your hospital want you to use it? Typically, hospital administrators pressure trauma programs to adopt an eTFS at some point after implementing the hospital-wide use of an electronic health record (EHR). When I started this series nearly 15 years ago, many hospitals still used paper charting.

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Hospitals Administration Resuscitation Best Practices 130

ACEP Now

OCTOBER 9, 2023

This demographic is higher risk of adverse events during hospital encounters, often due to communication issues, leading to tragic outcomes and malpractice suits including cases of missed intracerebral hemorrhages, unnecessary or incorrect surgeries, misused medical devices, and fatal medication dosing. emergencies, patient’s request).

Emergency Department 64

Emergency Department Documentation/Coding EMS Wellness 64

Emergency Medicine Journal

AUGUST 23, 2023

Background High emergency department (ED) usage by older individuals for non-emergencies is a global concern. There was a hesitation to call emergency services for several reasons, the primary being long wait times in ED and/or the prospect of an overnight stay in hospital.

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Emergency Department Urgent Care Hospitals 75

PDC Healthcare

SEPTEMBER 25, 2020

Emergency departments are one of the most, if not the most, dangerous departments in modern-day hospitals. Emergency department staff are tasked with caring for people in a variety of different situations, from drug overdoses to cases of extreme violence.

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Emergency Department Hospitals 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Multimorbidity is likely to impact on care delivery in emergency department(ED) settings due to time-critical decision-making in the context of patient complexity. 1.91),p<0.001), longer time spent in department (mean difference 16 minutes (16-17 minutes), p<0.001), higher rate of hospital admission (60.1%

Emergency Department 40

Emergency Department Outcomes Hospitals 40

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Research in the Emergency Department needs to be delivered in real time, within a specific clinical time-frame, and on a wide variety of conditions and states of emergency, on participants presenting in an unscheduled manner at any time.

Emergency Department 40

Emergency Department Research Outcomes Hospitals 40

Emergency Medicine Journal

NOVEMBER 28, 2023

Introduction Most Irish emergency departments (EDs) do not record diagnosis in a standardised way at the conclusion of each patient care episode. This lack of data hampers service planning and the transformation of ED funding from a block grant system to one based on activity.

Documentation/Coding 40

Documentation/Coding Emergency Department Operations Administration 40

The Trauma Pro

DECEMBER 12, 2023

This necessitates an inter-hospital transfer that is subject to scrutiny by the trauma performance improvement program of both trauma centers. The practice at many centers is to bring all transfer patients in through the emergency department. The work-up from the referring hospital can be re-evaluated.

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Emergency Department Operations Hospitals Radiology 162

Downeast Emergency Medicine

DECEMBER 1, 2021

While the ongoing COVID-19 pandemic has contributed to overdose deaths and taxed constrained Emergency Department (ED) resources, it has also clarified the important role that emergency physicians have in expanding access to life-saving medications to treat opioid use disorder. Annals of Emergency Medicine. Hawk, et al.

Emergency Department 52

Emergency Department Documentation/Coding Leadership Hospitals 52

Don't Forget the Bubbles

MARCH 19, 2024

This has coincided with a widespread shortage of specialist placements for children facing behavioural, psychiatric, and child protection challenges, leading to an over-reliance on the placement of these children in hospitals. A paediatric social admission is one where a child is admitted to the hospital but not for a medical reason.

Hospitals 52

Hospitals Psychiatric Documentation/Coding Pediatrics 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Background Comprehensive geriatric assessment (CGA) has been shown to improve outcomes in hospitalised older adults; however, there is currently no compelling evidence to support CGA interventions within the emergency department (ED). The primary outcome was incidence of hospital admission following the index ED attendance.

Emergency Department 40

Emergency Department Outcomes Hospitals 40

EB Medicine

APRIL 1, 2024

Eckler, MD discuss the April 2024 Pediatric Emergency Medicine Practice article, Brief Resolved Unexplained Events: Practical Evaluation and Management in the Emergency Department Introduction The Evolution of BRUE Understanding BRUE Guidelines The Importance of Pre-Hospital Care in BRUE Cases Investigating the Event: Questions to Ask Medical and (..)

Emergency Department 105

Emergency Department Pediatrics Hospitals 105

The Skeptics' Guide to EM

NOVEMBER 19, 2022

Intimate partner violence (IPV) in the Emergency Department (ED). 2022 Nov Guest Skeptics: Dr. Nour Khatib is an emergency physician in Toronto working in community sites Markham Stouffville Hospital and Lakeridge health. Intimate partner violence (IPV) in the Emergency Department (ED).

Emergency Department 40

Emergency Department Domestic Violence Sexual Assault Forensics 40

Emergency Medicine Journal

NOVEMBER 28, 2023

Introduction Alternative pre-hospital pathways (APPs) are a relatively new model of healthcare delivery. The Cork APP Team was founded in November 2019 and consists of a Registrar and Emergency Medical Technician. The majority (69.1%) were diverted away from immediate transfer to the emergency department.

Hospitals 52

Hospitals Emergency Department Research 52

EB Medicine

DECEMBER 8, 2020

Don’t forget about the $50 Amazon card with any order over $300 through 12/31/20.

Emergency Department 52

Emergency Department Documentation/Coding Hospitals 52

The Skeptics' Guide to EM

APRIL 22, 2023

Effect of early high-flow nasal oxygen vs standard oxygen therapy on length of hospital stay in hospitalized children with acute hypoxemic respiratory failure: the PARIS-2 randomized clinical trial. Case: A 14-month-old boy presents to the emergency department (ED) with two days of upper respiratory symptoms and respiratory distress.

Hospitals 52

Hospitals Pediatrics Emergency Department Outcomes 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Introduction Directing care goals according to the individual values of our patients is a key element of Institute for Health Improvement Age-Friendly hospital systems. Patients assessed by an Emergency Department (ED) based Frailty Intervention Team (FIT) are routinely asked ‘What Matters To You’ (WMTY).

Emergency Department 40

Emergency Department Documentation/Coding Administration Hospitals 40

Total Medical ComplianceHIPAA

JULY 6, 2023

A recent settlement between the Office for Civil Rights (OCR) and Yakima Valley Memorial Hospital in Washington state highlights the importance of safeguarding sensitive data. Department of Health and Human Services, reached a $240,000 settlement with Yakima Valley Memorial Hospital following an investigation into a privacy breach.

Hospitals 52

Hospitals Best Practices Emergency Department Wellness 52

Emergency Medicine Journal

MAY 23, 2023

The model showed good performance in the emergency department (ED), but its accuracy in the pre-hospital setting is unknown. We aimed to externally validate MACS-ECG in the pre-hospital environment. The diagnosis of AMI was adjudicated by two investigators based on serial troponin testing in hospital. to 0.75).

Hospitals 52

Hospitals EKG/ECG Emergency Department 52

Emergency Medicine Journal

DECEMBER 22, 2023

Nonetheless, the final decision was left to treating emergency physicians. Secondary outcomes were days alive and out of hospital, in-hospital mortality and 30-day post-discharge combined adverse event (ED revisit, hospitalisation or death). The primary outcome was 30-day all-cause mortality. to 1.29).

Emergency Department 40

Emergency Department Outcomes Hospitals 40

The Skeptics' Guide to EM

FEBRUARY 11, 2024

Diagnosis of Acute Aortic Syndrome in the Emergency Department (DAShED) study: an observational cohort study of people attending the emergency department with symptoms consistent with acute aortic syndrome. first appeared on The Skeptics Guide to Emergency Medicine. EMJ Nov 2023. EMJ Nov 2023.

Emergency Department 122

Emergency Department Resuscitation Hospitals Research 122

Emergency Medicine Journal

AUGUST 23, 2023

Use of Ptcco 2 has been examined in different clinical settings, however, most existing evidence in the adult emergency department (ED) setting shows insufficient agreement between the measurements. This study assessed the level of agreement between Ptcco 2 and Paco 2 in undifferentiated adult ED patients across multiple timepoints.

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Emergency Department Hospitals 40

ACEP Now

MAY 10, 2024

Patients often seek care in the emergency department (ED) setting when flares of pain affect their ability to ambulate, climb stairs, or even stand up from sitting. Stegeman is an Ultrasound Fellow at Alameda Health System / Highland Hospital. Dr. Mikell is an Ultrasound Fellow at Alameda Health System / Highland Hospital.

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Ultrasounds Emergency Department Hospitals Wellness 92

Emergency Medicine Journal

APRIL 22, 2024

‘Free vapes given to smokers at hospitals could help thousands quit, study suggests.’ ’ And ‘Calls for free vapes to be handed out in emergency departments.’ Of course COSTED wasn’t just about vapes.

Emergency Department 52

Emergency Department Hospitals 52

The Skeptics' Guide to EM

FEBRUARY 25, 2023

2022 Date: February 15, 2023 Guest Skeptic: Dr. Carlie Myers is Pediatric Critical Care Attending at Cincinnati Children’s Hospital Medical Center. Case: A 6-month-old boy presents to […] The post SGEM#394: Say Bye Bye Bicarb for Pediatric In-Hospital Cardiac Arrest first appeared on The Skeptics Guide to Emergency Medicine.

Pediatrics 52

Pediatrics Hospitals CPR Resuscitation 52

Emergency Medicine Journal

NOVEMBER 28, 2023

The survey was sent to emergency clinicians (ECs) in a teaching hospital in London, UK, between May and September 2022. Semistructured interviews were conducted simultaneously, and data examined using direct content analysis.

Emergency Department 40

Emergency Department Research Hospitals 40

EB Medicine

MARCH 1, 2024

Eckler, MD discuss the March 2024 Emergency Medicine Practice article, Emergency Department Evaluation and Management of Constipation Prevalence and Impact Understanding the Causes Medications That Can Cause Constipation Dealing with Fecal Impaction Understanding Stercoral Colitis Pre-Hospital Care ED History and Physical Exam Diagnostic Studies (..)

Hospice 62

Hospice Emergency Department Pediatrics Hospitals 62

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Paediatric GAS pharyngitis is common 1 and associated with chronic health complications. Antibiotic treatment decreases risk of complications. 2 Many cases of pharyngitis are viral, and most milder GAS cases self-resolve without complication; injudicious antibiotic use is associated with bacterial resistance.

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Emergency Department Hospitals Pediatrics Research 40