Administration, Emergency Department and Patient Safety

Administration

Emergency Department

Patient Safety

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

The Skeptics' Guide to EM

NOVEMBER 16, 2024

Case: The Chief of Emergency Medicine (EM) at a large urban hospital recently approached the AI Committee at Unity Health, intrigued by the CMAJ article describing the apparent success of CHARTWatch in detecting early signs of patient deterioration. Reference: Verma et al.

Emergency Department

Emergency Department Administration Outcomes Patient Safety

Texas Residency Program Unexpectedly Announces Closure

ACEP Now

OCTOBER 13, 2023

The CHRISTUS Health-Texas A&M Spohn Emergency Medicine Residency Program announced Friday that its program will close in June 2026 after the current emergency medicine residents complete their training. We feel that this decision was made without adequate assessment of the negative impacts this WILL have on our patients.

Patient Safety

Patient Safety Emergency Department Administration EMS

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Trending Sources

Emergency department staff views of NHS 111 First: qualitative interview study in England

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

Emergency Department Urgent Care Documentation/Coding Patient Safety

SGEM#447: Just What I Needed – Preoxygenation Prior To Intubation

The Skeptics' Guide to EM

JULY 20, 2024

Case: A 70-year-old man presents to the emergency department (ED) with an exacerbation of COPD. Background: Preoxygenation is a critical step in the management of airway interventions, especially in critically ill patients undergoing tracheal intubation. He is hypoxic on arrival with an oxygen saturation of 80% on room air.

COPD

COPD Patient Safety Emergency Department Administration

Incivility in Critical Care: adding insult to the injuries

Don't Forget the Bubbles

MAY 29, 2023

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. Bad manners in the Emergency Department: Incivility among doctors.

Leadership

Leadership Patient Safety Academics Research

Contrast Media Shortage of 2022 – Lessons Learned

EMDocs

OCTOBER 30, 2023

Background and Context Contrast-enhanced computed tomography (CECT) is of paramount importance in the emergency department (ED) due to its indispensable role in facilitating precise diagnostic outcomes. Increased Computed Tomography Utilization in the Emergency Department and Its Association with Hospital Admission.

Radiology

Radiology Radiology Emergency Department Hospitals

Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

SEPTEMBER 25, 2023

Are you now forced into attempting a rapid sequence intubation (RSI), knowing the risks for this physiologically difficult patient? Introduction: Since the late 1990s, RSI has been the gold standard of emergency intubations (5). Case Resolution: The patient was placed on NIPPV. Int J Emerg Med. J Emerg Med.

Emergency Department

Emergency Department Soft Tissue Injuries Airway Management Operations

ACEP4U: Defending YOU by Demanding an End to the Boarding Crisis

ACEP Now

JUNE 13, 2024

This fall, ACEP will participate in the Agency for Healthcare Research and Quality (AHRQ) Director’s summit on emergency department boarding. 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.

Hospitals

Hospitals Emergency Department Administration Psychiatric

Episode 28 - Depressed and Suicidal Patients in the Emergency Department: An Evidence-Based Approach

EB Medicine

MAY 3, 2019

This month, we’re moving into uncharted territories for the podcast… we’re talking psychiatry Nachi: Specifically, we’ll be discussing Depressed and Suicidal Patients in the emergency department. Jeff: Speaking of safety, you will definitely want to engage in safety planning with the patient.

Emergency Department

Emergency Department Psychiatric Documentation/Coding Outcomes

The CLOVERS Trial

Taming the SRU

MAY 5, 2023

doi:10.1056/NEJMoa2212663 BACKGROUND Sepsis, including severe sepsis and septic shock, is a frequently encountered condition in the emergency department and carries a high mortality rate. Each subsequent one-hour delay in antimicrobial administration increases mortality by 35% in patients with septic shock (Im, Kang et al.

Sepsis

Sepsis Shock Administration Resuscitation

The 84th Bubble Wrap

Don't Forget the Bubbles

SEPTEMBER 5, 2024

Am J Emerg Med. Children with complex medical conditions are at higher risk of morbidity and mortality, and this may be compounded by inaccurate weight estimation and leading to inaccurate medication dose administration. This approach prevents severe complications and improves patient safety by enabling timely catheter adjustments.

Ultrasounds

Ultrasounds Research Emergency Department Outcomes

2023 ACEP Elections Preview: Meet the President-Elect and Council Officer Candidates

ACEP Now

AUGUST 1, 2023

How does that apply to the role of the board certified emergency physician? Fundamentally, I believe every patient coming to an emergency department is best served by care delivered by board certified emergency physicians. When those same fundamentals done right achieve great success, they aren’t little at all.

Emergency Department

Emergency Department EMS Critical Access Hospitals

The ER Docs Strike Back

ACEP Now

AUGUST 28, 2024

A 24-hour labor strike, starting on the afternoon of April 18 and called by the union representing emergency physicians and advanced practitioners at Ascension St. John Hospital in Detroit, MI, did not resolve their concerns about working conditions, staffing levels, or patient safety. John’s Emergency Services, PC.

Emergency Department

Emergency Department Hospitals Patient Safety Leadership

REBEL Cast Ep121: The Battle of the Blades – Video Laryngoscopy vs. Direct Laryngoscopy

RebelEM

JULY 31, 2023

Patients meeting eligibility criteria were randomly assigned in a 1:1 ratio to undergo intubation with either video or direct laryngoscopy. 11 medical centers in the United States enrolled 1417 patients from 17 sites, including 7 emergency departments and 10 intensive care units. 1420 patients were enrolled.

Operations

Operations Outcomes Emergency Department Airway Management

ED Boarding

ACEP Now

AUGUST 1, 2023

In November 2022, the American College of Emergency Physicians sent a letter to President Biden on behalf of 34 organizations, asking to convene stakeholders to identify solutions to address the emergency department (ED) boarding crisis.1 The effect of emergency department crowding on clinically oriented outcomes.

Military

Military Hospitals Emergency Department Leadership

Emergency Care Today

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

Texas Residency Program Unexpectedly Announces Closure

Trending Sources

Emergency department staff views of NHS 111 First: qualitative interview study in England

SGEM#447: Just What I Needed – Preoxygenation Prior To Intubation

Incivility in Critical Care: adding insult to the injuries

Contrast Media Shortage of 2022 – Lessons Learned

Beyond Ketamine: When to use Facilitated Intubation in the ED

ACEP4U: Defending YOU by Demanding an End to the Boarding Crisis

Episode 28 - Depressed and Suicidal Patients in the Emergency Department: An Evidence-Based Approach

The CLOVERS Trial

The 84th Bubble Wrap

2023 ACEP Elections Preview: Meet the President-Elect and Council Officer Candidates

The ER Docs Strike Back

REBEL Cast Ep121: The Battle of the Blades – Video Laryngoscopy vs. Direct Laryngoscopy

ED Boarding

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