American Medical Compliance

AUGUST 7, 2024

More than a million hospitalized patients each year acquire healthcare-associated infections (HAIs) while being treated for other health conditions. Ensuring your team is well-equipped with the right knowledge and training is crucial. Together, we can work towards minimizing infection risks and improving overall healthcare outcomes.

PPE 105

PPE Best Practices Patient Safety Urgent Care 105

Taming the SRU

MARCH 12, 2024

ED visits per 1000 adults with diabetes based on 2018 data resulting in over 500,000 annual hospital days. This amounts to annual hospital costs of $5.1 as well as patients less than 18 years old were excluded from analysis. DKA accounts for approximately 223,000 ED visits annually or 8.9 If positive (>1.1

Operations 97

Operations Hospitals Best Practices Wellness 97

ACEP Now

SEPTEMBER 5, 2024

In addition to offering practice support, advocacy, career development, and networking, ACEP must listen to needs of graduating residents and new attendings. With elimination of CME funding in many of our hospitals and groups, it is crucial to continue to add value and communicate that value to residents before graduation.

Leadership 98

Leadership PPE EMS Wellness 98

RebelEM

APRIL 22, 2024

Early in the pandemic, extensive efforts were made to identify the best approach to oxygenation in this group of patients. Best practices settled on aggressive use of non-invasive ventilation (NIV) and delaying invasive mechanical ventilation (IMV) where feasible. Absolute number of days alive and out of hospital in 90 days.

Outcomes 74

Outcomes Best Practices EMS Shock 74

Don't Forget the Bubbles

NOVEMBER 8, 2023

She had a low-grade fever and an episode of vomiting before coming to the hospital. Tilly is normally fit and well, with no significant past medical history. A multicentre study comparing 15 different appendicitis risk prediction tools concluded that the Shera score (Figure 1) was the best-performing model [9]. Bachur, R.G.,

Emergency Department 105

Emergency Department Ultrasounds Pediatrics Best Practices 105

Ziqitza HealthCare Ltd

OCTOBER 28, 2023

The team utilize­s hospital-grade disinfectants to effe­ctively minimize the risk of infe­ctions. Through these­ sessions, all team membe­rs are kept informed and update­d on the latest guideline­s and best practices in order to maintain a high standard of care­.

Ambulance Services 52

Ambulance Services PPE Patient Safety Best Practices 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. 4 As with other daily challenges in the practice of emergency medicine, EDs deserve a range of nuanced, effective tools that can be tailored to particular patients and scenarios.

Emergency Department 52

Emergency Department Documentation/Coding Psychiatric Best Practices 52

EMDocs

JUNE 2, 2023

You should always follow your local practice guidelines and recommendations as well as adhere to approved medications in your facility. Document what you gave and why, as well as the impact. If a patient has a PRN on their med list do that! Route of administration If the patient is cooperative, offer oral medications first.

Psychiatric 92

Psychiatric Pediatrics Emergency Department Administration 92

EMDocs

JUNE 16, 2023

Episode 4 covered management of the agitated child in the pre-hospital environment. Over the past 50 years, mental health has shifted away from hospital-based to community-based care models. It’s stressful for the ED clinical staff as well. Why are we boarding? Why are we boarding? This is a complicated question.

Psychiatric 52

Psychiatric Pediatrics Emergency Department Best Practices 52

SheMD

OCTOBER 8, 2023

At this point in life, what I’m really looking forward to is starting my residency training, and focusing on being the best doctor that I can be. My life outside of the hospital has always served to make me more balanced and I hope to continue to foster that in residency.” “You Their well-being should be considered. Sources: 1.

Leadership 105

Leadership Best Practices Academics Documentation/Coding 105

Don't Forget the Bubbles

JANUARY 22, 2024

Choosing Wisely aims to help clinicians align with best practices by avoiding interventions that are not supported by evidence. Repeated GP and hospital attendance might stimulate increased testing and unnecessary prescriptions. These interventions should be discussed carefully with patients before being carried out.

Emergency Department 90

Emergency Department Best Practices Radiology Radiology 90

Mind The Bleep

FEBRUARY 29, 2024

This may well seem daunting given how unwell and complex the patients might be but a thorough, well-structured A-E will give you most of the information you need to progress that patient’s care. Of course, this should be used in conjunction with local checklists at your hospital.

Documentation/Coding 52

Documentation/Coding Hospitals Wellness Best Practices 52

ACEP Now

NOVEMBER 16, 2023

What is the best management of this condition? with 350,000 hospitalizations annually and a mortality rate of five to 10 percent. However, a 2017 study of 34 patients suggests that balloon tamponade, when used as a bridge to EGD, improves patient mortality, with 59 percent of patients surviving to hospital discharge.

Best Practices 52

Best Practices Resuscitation Fluid Resuscitation Outcomes 52

Pediatric EM Morsels

NOVEMBER 3, 2023

This allowed US hospitals to stock the drug to ensure quick treatment of suspected severe cases, rather than having to ship it from the CDC under the prior expanded-access protocol (Thomas 2023). Higher Rates of Misdiagnosis in Pediatric Patients versus Adults Hospitalized with Imported Malaria. Third times the charm! June 28, 2023.

Seizures 281

Seizures Pediatrics CDC Infectious Diseases 281

EMDocs

NOVEMBER 7, 2023

Antibiotics are recommended for those with complicated diverticulitis, as well as surgical specialist consult if necessary (e.g., The recurrence rate and length of hospital stay were the same. Hospital stay was significantly shorter in the observation group (2 versus 3 days; P = 0·006). perforation). vs. 2.1%).

Sepsis 113

Sepsis Best Practices Hospitals Outcomes 113

Don't Forget the Bubbles

APRIL 7, 2025

As dehydration can rapidly worsen in children , this test must be performed in a hospital setting with strict monitoring. A study conducted at Helsinki University Hospital in Finland found that brain tumours were the most common cause of childhood-onset hypopituitarism, accounting for 61% of cases.

Dehydration 72

Dehydration Pediatrics Administration Seizures 72

ACEP Now

OCTOBER 3, 2023

Confounders to the GCS such as seizure and post-ictal phase, ingestions and drug overdose, as well as medications administered in the prehospital setting that impact GCS score should be documented. There are at least 600 TBI-related hospitalizations and 175 TBI-related deaths per day.

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

Sensible Medicine

NOVEMBER 14, 2023

Criticism of these programs is both well-deserved and unfair. Despite these well-deserved criticisms, I’ve found that residential treatment programs and therapeutic communities can be essential to my patients, and there’s evidence to support that. They are not regulated as tightly as hospitals.

Psychiatric 133

Psychiatric Research CDC Best Practices 133

SheMD

APRIL 24, 2023

Well there were two other ones that were in morula phase but needed to progress to blastocyst. Well that night, I had the residency over for a wellness Thanksgiving dinner. A colleague met me at the hospital and performed an ultrasound once more to confirm. It was October. We were “going to put a pumpkin in my belly”.

Ultrasounds 83

Ultrasounds Radiology Radiology Emergency Department 83

Mind The Bleep

NOVEMBER 29, 2023

This is a sight-threatening emergency that warrants urgent hospital admission and senior review. Early hospital admission for empiric IV antibiotic therapy is essential for patients with suspected orbital cellulitis. In orbital cellulitis, infection occurs posterior to the orbital septum and involves the orbital soft tissues.

Best Practices 52

Best Practices Administration Hospitals Wellness 52

Don't Forget the Bubbles

MARCH 31, 2025

It evaluates the impact of FO (defined as >10% fluid accumulation within 24 hours of ICU admission) on mortality, mechanical ventilation (MV) requirements, multiple organ dysfunction syndrome (MODS), and length of hospital stay.

Sepsis 59

Sepsis Fluid Resuscitation Shock Resuscitation 59

Taming the SRU

SEPTEMBER 16, 2024

There are a few other factors as well that may increase risk for a transfusion reaction but are likely not readily available on patient history or are outside the physician’s control. Incidence and analysis of acute transfusion reactions in a hospital-based hemovigilance system at a tertiary care center in Bangladesh.” Accessed 8 Sept.

Blood Transfusions 90

Blood Transfusions Anaphylaxis Emergency Department Sepsis 90

Ziqitza HealthCare Ltd

AUGUST 21, 2024

We will also explore some of the best legionella testing methods and find ways to treat it! Best Practices for Legionella Testing Testing for legionella is essential to protecting the public’s health, not merely a box to be checked. Brace yourselves to understand more about the bacteria legionella in this blog.

Ambulance Services 52

Ambulance Services Best Practices Hospitals Wellness 52

EB Medicine

AUGUST 1, 2018

Nachi: Sometimes… Jeff: This month’s issue was authored by Mollie Williams, who is the EM residency program director at the Brooklyn Hospital Center. Jeff: And the etiology of CHS is not well understood. Nachi: There is a well-studied theory here and it relates to the TRPV1 receptor that we talked about earlier.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

EB Medicine

MAY 3, 2019

It’s also important to elicit any psychiatric history, including prior hospitalizations. The PSS-3 assesses for depression/hopelessness and suicidal ideations in the past 2 weeks as well as lifetime history of suicide attempt. These patients typically do not require inpatient hospitalization. Let’s move on to the physical.

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

ACEP Now

JANUARY 2, 2025

Conversely, you can get a small bonus if you do well in your reporting. Physicians who enroll also receive an introduction into quality improvement and best practice implementation. By focusing on automation and scalability, the EMDI ensures seamless integration with existing hospital systems.

Best Practices 52

Best Practices Stroke Emergency Department Research 52

Pediatric Emergency Playbook

JANUARY 1, 2017

Tachycardia, tachypnea, and a change in behavior can be indicators not only to the presence of pain, but possibly to its etiology as well. For children greater than one year who are preverbal, a well performing scale is the FLACC score: Face, Legs, Activity, Cry, Consolability ( Table 3 ).

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

ACEP Now

JANUARY 5, 2025

For patients well enough to be discharged from the ED, emergency physicians generally ensure patients have access to an albuterol rescue inhaler and often prescribe a short course of steroids; however, this is not the best practice. These bronchodilators provide quick relief. 0.72) and was 0.84 (95 percent CI, 0.73-0.95)

Emergency Department 104

Emergency Department Best Practices Hospitals Pediatrics 104

American Medical Compliance

FEBRUARY 11, 2025

Patients who receive restorative nursing care are 32% less likely to be readmitted to the hospital than those receiving standard care, as reported in the Journal of the American Geriatrics Society. These challenges contribute to frequent hospital readmissions and long-term dependence on assistance. Daily movement to prevent decline.

Stroke 99

Stroke Administration Best Practices Wellness 99

American Medical Compliance

OCTOBER 25, 2024

Compliance isn’t just a box to check—it’s a vital responsibility that safeguards patient well-being and protects organizations from significant financial losses. From small clinics to expansive hospital systems, healthcare providers must navigate a complex web of federal, state, and local regulations designed to protect patient care.

Documentation/Coding 105

Documentation/Coding Operations Best Practices Shock 105

American Medical Compliance

FEBRUARY 21, 2025

Patient Safety Patient safety is a fundamental concern in any health care organization, and early detection of any clinical deterioration is of paramount importance whether the patient is in the emergency department or on the hospital floor. While electronic monitoring is common, manual assessments can still be subjective and unreliable.

Patient Safety 52

Patient Safety Best Practices Emergency Department Documentation/Coding 52

American Medical Compliance

MARCH 14, 2025

This training ensures they are prepared to implement best practices that safeguard both themselves and those they serve. Perform hand hygiene after touching the patients skin and items in the patients vicinity, as well as after removing gloves. Place hand washing supplies and hand gels in an outside compartment if possible.

Best Practices 52

Best Practices Patient Safety CPR Wellness 52

American Medical Compliance

MARCH 17, 2025

Participants will learn best practices for communication, leadership development, and role clarity to optimize team dynamics. By focusing on teamwork, the course shows how well-organized teams improve patient outcomes, boost efficiency, and create a better work environment.

Teamwork 52

Teamwork Leadership Legal Issues Best Practices 52

Don't Forget the Bubbles

NOVEMBER 6, 2024

Consider Maddie, a 12-year-old girl in your ED with a virally induced moderate asthma exacerbation, currently having her third set of 12 puffs in her burst therapy; thankfully, she’s responding pretty well, and you’re hoping to avoid an admission at this stage. And what about the best device for Maddie?

Research 52

Research Outcomes Best Practices Wellness 52

ACEP Now

DECEMBER 7, 2024

Dr. Rozzi is an emergency physician, director of the Forensic Examiner Team at WellSpan York Hospital in York, Pa., Trauma-informed care (TIC) best practices for improving patient care in the emergency department. 1 A significant number of patients present to the ED with concerns related to traumatic experiences. 2020;20(1):455.

Sexual Assault 52

Sexual Assault Forensics Emergency Department Best Practices 52

American Medical Compliance

MARCH 20, 2025

With millions of surgeries performed worldwide, surgical safety remains a critical public health concern.This training covers key surgical protocols, including patient safety measures, procedural checklists, and best practices for preventing in-hospital complications, ensuring a higher standard of care in surgical settings.

Operations 52

Operations Patient Safety Best Practices Infectious Diseases 52

EMDocs

JANUARY 20, 2025

1,2 For hypervolemia in heart failure patients, orthopnea >2 pillows is the most reliable clinical finding, 3,4 though an increase in peripheral edema and increased weight can be useful as well. 6-8 In patients who are on long-term hemodialysis, typical non-invasive signs of volume assessment seem to be unreliable as well.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75