RebelEM

OCTOBER 30, 2023

PMID: 37824155 Clinical Question: Does transfusion of early and empiric high-dose cryoprecipitate in addition to standard care improve survival in bleeding patients with trauma who require activation of a major hemorrhage protocol? The optimal approach to fibrinogen administration in massive hemorrhage protocols is unknown. to 1.23; p = 0.74

Administration 120

Administration Blood Transfusions Outcomes Hospitals 120

ACEP Now

JANUARY 13, 2024

Previously established mechanisms for staff and patient safety did not work and were not designed for this. 4 Anyone complaining of mental health struggles, violent tendencies and warning signs must be taken as seriously as any high-risk chest pain patient stating that their chest pain feels just like their last heart attack!

Emergency Department 52

Emergency Department Resuscitation Patient Safety Hospitals 52

ACEP Now

JUNE 13, 2024

ACEP helped make the summit possible by mobilizing Congress to request action from the Department of Health and Human Services (HHS) during the Leadership and Advocacy Conference in 2023. ACEP will continue pushing these groups to work harder to solve boarding issues, to improve patient safety, and to protect emergency physicians.

Hospitals 52

Hospitals Administration Emergency Department Psychiatric 52

ACEP Now

NOVEMBER 13, 2023

For the safety of staff as well as patients, interventions that interrupt escalations before they blossom into violence deserve further study. Our group from Highland Hospital has set out to understand the impact on workplace violence and patient safety of initiating a BERT in a busy, county hospital ED.

Emergency Department 52

Emergency Department Documentation/Coding Psychiatric Best Practices 52

Mind The Bleep

JULY 26, 2023

Effective communication skills will help you establish rapport with patients and build trust, making it easier to discuss potentially sensitive issues. You can search for general consent guidance on the MDU website or sign up for our free webinar on Consent and decision-making (Tuesday 8 August 2023).

Documentation/Coding 52

Documentation/Coding Patient Safety Wellness Hospitals 52

ACEP Now

MAY 9, 2024

It has been well over a year since the controversial publication of the Agency for Healthcare Research and Quality (AHRQ) report on diagnostic errors in the emergency department (ED). Similarly elevated rates of error, and related harms, are associated with other serious vascular, infectious disease, and cancer-related diagnoses, as well.

Research 52

Research Emergency Department Infectious Diseases Hospitals 52

ACEP Now

AUGUST 28, 2024

John Hospital in Detroit, MI, did not resolve their concerns about working conditions, staffing levels, or patient safety. So far, they are communicating well. One, American Physician Partners closed entirely on July 31, 2023 (see ACEP Now , Sept. link] Published September 12, 2023. link] Published June 11, 2023.

Emergency Department 85

Emergency Department Hospitals Patient Safety Leadership 85

Taming the SRU

MAY 5, 2023

RESULTS A total of 1,563 patients were enrolled with 782 assigned to the restrictive and 781 assigned to the liberal fluid groups. There were similar baseline characteristics and the groups were well-matched. May 5, 2023) The CLOVERS Trial. TamingtheSRU.

Sepsis 52

Sepsis Shock Administration Resuscitation 52

Don't Forget the Bubbles

JUNE 17, 2024

Loss of psychological safety and mental well-being persist long after the episode and can impact future episodes of care. staff wellbeing/turnover and patient safety) can boost engagement. Civility is more than just a ‘nice-to-have’; it’s a fundamental human right and a priority for patient safety.

Leadership 105

Leadership Resuscitation Teamwork Patient Safety 105

EMDocs

OCTOBER 30, 2023

Production levels increased steadily back to baseline, achieving normal supply levels in February 2023. Some institutions developed a tier-based system for outpatient imaging as well which was updated in real-time. Necessity-based system prioritizing CT contrast usage for emergent conditions (modified for ED-relevance).

Radiology 73

Radiology Radiology Emergency Department Hospitals 73

ACEP Now

AUGUST 1, 2023

Additionally, pre-ED telehealth, post-ED telehealth, and other programs that address frequent use are effective ways for ED physicians to improve patient safety, increase efficiency, and unload hospitals of patient care that may be better delivered in other settings. Accessed July 13, 2023. Accessed July 13, 2023.

Hospitals 98

Hospitals Emergency Department Military Leadership 98

EMDocs

SEPTEMBER 25, 2023

They increase the risks of hypoxia and acidosis during the apneic period as well as hypotension and hypoperfusion caused by the abrupt transition from negative-pressure to positive-pressure ventilation (10). Case Resolution: The patient was placed on NIPPV. 2009;301(5):489–499. doi:10.1001/jama.2009.56 Cureus 15(8): e43364.

Emergency Department 65

Emergency Department Soft Tissue Injuries Operations Airway Management 65

RebelEM

JULY 31, 2023

Video versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults [published online ahead of print, 2023 Jun 16]. Patients appeared to have a similar prognosis at the start of the trial, and the collected demographic information was well-balanced. N Engl J Med. 2023;10.1056/NEJMoa2301601. PMID: 37326325.

Operations 98

Operations Outcomes Emergency Department Airway Management 98

Don't Forget the Bubbles

JANUARY 4, 2024

2023; 4:e13041. It also evaluates the real-life impact of the RCR protocols on clinical practice, with a focus on improving patient safety. Given the well-understood potential harms of ionizing radiation exposure in children (particularly lifetime cancer risk), adherence to diagnostic imaging protocols is crucial.

Burns 128

Burns Academics Hospitals Outcomes 128