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SGEM#460: Why Do I Feel Like, Somebody’s Watching Me – CHARTWatch to Predict Clinical Deterioration

The Skeptics' Guide to EM

With emergency department (ED) volumes rising, administrators are eager to explore AI-driven solutions to improve patient safety and reduce staff burnout. They want to know how CHARTWatch integrates with electronic health records (EHRs), whether it can adapt to their patient ED population, and how clinicians respond to using the tool.

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Unproven healthcare will bankrupt America

Sensible Medicine

Multiple myeloma drugs can cost $600,000 per year of treatment, but if MRD is permitted for drug approval, I suspect we will see a deluge of uncertain drugs added to the roster, and the costs per year per patient will swell to a million dollars or more. The patient advocates— whose organizations are often funded by drug companies.

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Three patients with chest pain and “normal” ECGs: which had OMI? Which were normal? And how did the Queen of Hearts perform?

Dr. Smith's ECG Blog

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 110
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Incivility in Critical Care:  adding insult to the injuries

Don't Forget the Bubbles

The quality of patient care can be determined by the working relationship, and incivility negatively affects these professional partnerships, regardless of the craft group. An effective interprofessional partnership is pivotal to patient safety. Bullying in Academic Medicine: Experiences of Women Physician Leaders.

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The Broselow-Luten System

Pediatric EM Morsels

Academic Emergency Medicine, 14: 500-501. Patient safety in the pediatric emergency care setting. J Pediatr Nurs. 2012;27(4):416-420. doi:10.1016/j.pedn.2012.04.009 2012.04.009 Luten, R.C., Zaritsky, A., and Broselow, J. 2007), The Use of the Broselow Tape in Pediatric Resuscitation. Prehosp Emerg Care. 2012;16(3):374-380.

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ACEP Launches Pilot Phase of Its Emergency Dept. Accreditation Program

ACEP Now

We understand there are large community hospitals, academic centers and rural hospitals with vastly different resources and needs. However, when a patient walks through the door, they want to know there are resources available for that ED to delivery high quality care.”

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Contrast Media Shortage of 2022 – Lessons Learned

EMDocs

Relative proportions of reported diagnostic indications versus clinical outcomes in a retrospective analysis of all CT imaging in 3 EDs over 1 year at an academic center. A 12% reduction in CECTs performed was recorded after EHR interventions in a large health system encompassing 12 hospitals including academic and community medical centers.