American Medical Compliance

JUNE 24, 2024

Within this training, we will explore the understanding of skin conditions regarding elderly patients, plan of action in case a skin breakout occurs, identify residents who are vulnerable to certain skin conditions, and how accurate documentation is crucial in keeping patients healthy.

Documentation/Coding 52

Documentation/Coding Outcomes 52

Emergency Medicine Journal

MARCH 21, 2024

’ –Audre Lorde It has been over 4 years since 14 November 2019 when the first documented case of COVID-19 emerged. This has exposed deep-seated racial inequalities that persist in disease burden, healthcare access and outcomes in patients and healthcare professionals alike. ‘It is not our differences that divide us.

Documentation/Coding 52

Documentation/Coding Outcomes 52

Dr. Smith's ECG Blog

JUNE 13, 2024

Her first set of vitals were documented: BP 116/57 Pulse 94bpm Respiratory rate 24/min O2 sat 90% on room air Temp 97F She had been cleaning a Jeep in the sun, and was sunburned. The physician documented “normal sinus rhythm”. The physician documented that she was “improved” and the patient was discharged. CK MB was 1.9

EKG/ECG 90

EKG/ECG Documentation/Coding EMS Burns 90

American Medical Compliance

JUNE 28, 2024

Our Continuing Medical Education (CME) program is committed to enhancing the knowledge, skills, and professional performance of healthcare providers to improve patient care outcomes. Languages: American English Key features: Audio narration, learning activity, and post-assessment.

Teamwork 72

Teamwork Documentation/Coding Outcomes 72

ACEP Now

OCTOBER 3, 2023

This document is an update of guidelines first published in 2000, and then updated in 2007. These guidelines present the best available evidence to support clinical decision making in the prehospital setting when TBI care may have the most significant impact on outcomes; they also establish a research agenda for future investigations.

Documentation/Coding 98

Documentation/Coding Fluid Resuscitation Resuscitation EMS 98

Mind The Bleep

NOVEMBER 21, 2023

Unless you’re documenting something hilarious, please keep it brief and to the point. History of Presenting Complaint In this section use SOCRATES to document the pain. Drugs/Allergies When documenting drugs – try to get the dose and frequency (this can be found on Summary Care Records from the GP if you have access).

Documentation/Coding 52

Documentation/Coding COPD EKG/ECG Wellness 52

RebelEM

JULY 3, 2023

Pregnant or incarcerated patients Documentation for systolic BP is incomplete Intervention: Administration of IV calcium within 60 min prior to or 30 min after IV diltiazem administration in patients with AF/AFL with RVR. Limitations: The primary and secondary outcomes were nearly all disease oriented and not patient oriented.

Administration 84

Administration Outcomes Documentation/Coding Emergency Department 84

American Medical Compliance

APRIL 23, 2024

Our Continuing Medical Education (CME) program is committed to enhancing the knowledge, skills, and professional performance of healthcare providers to improve healthcare outcomes. There have been numerous changes to the documents over time. Its guardian, the World Medical Association, recently requested further revisions.

Documentation/Coding 52

Documentation/Coding Research Best Practices Outcomes 52

EMDocs

JUNE 8, 2023

and 9 hours after onset of symptoms, with non-infarcted brain tissue, does the administration of alteplase improve functional outcome at 90 days? Subsequently reduced enrollment to 310 patients because no patients had been lost to follow-up or had insufficient data documented. Intervention: Alteplase 0.9 in alteplase group versus 0.9%

Stroke 77

Stroke Administration Outcomes Documentation/Coding 77

American Medical Compliance

APRIL 16, 2024

Our Continuing Medical Education (CME) program is committed to enhancing the knowledge, skills, and professional performance of healthcare providers to improve healthcare outcomes. Furthermore, advance directives are legal documents that provide instructions for medical care and only go into effect if you cannot communicate your wishes.

Documentation/Coding 74

Documentation/Coding Research Outcomes 74

Sensible Medicine

OCTOBER 19, 2023

We wrote this letter and submitted it to the journal, documenting that the trial violated ethical codes. Kids are a vulnerable population— subject to teasing and bullying— and frankly the dogs were not that good at sniffing COVID19. Lots of false positives and negatives. Yet the journal refuses to print it.

Documentation/Coding 126

Documentation/Coding Pediatrics Research Outcomes 126

The Trauma Pro

MAY 9, 2023

” This concept served as the basis of the [poorly documented] “Golden Hour” and for decades has directed our efforts at getting patients to a center with an immediately available OR as quickly as possible. The Pennsylvania Trauma Outcomes Study database contains a huge amount of data.

Head Injuries 130

Head Injuries Operations Documentation/Coding Outcomes 130

Don't Forget the Bubbles

MAY 6, 2024

Outcomes included clinical status when urine culture was available, subsequent antibiotic treatment within seven days and subsequent UTI within 30 days. of patients with follow-up documentation, 70.8% (95% CI 62.9–77.9) The primary outcome was the successful intubation on the second attempt. Of the 74.9% Why does it matter?

Sepsis 75

Sepsis Outcomes Pediatrics Documentation/Coding 75

American Medical Compliance

JULY 9, 2024

Our Continuing Medical Education (CME) program is committed to enhancing the knowledge, skills, and professional performance of healthcare providers to improve patient care outcomes. Furthermore, documenting and monitoring any new findings enables timely intervention and treatment.

Documentation/Coding 80

Documentation/Coding Outcomes 80

RebelEM

JUNE 22, 2023

Population: Adults aged 30-85 years of age with BMI > 25 ( > 23 in those identifying as Asian or Latino) who had COVID-19 symptoms for fewer than 7 days and a documented SARS-CoV-2 positive PCR or antigen test within 3 days of enrollment without prior SARS-CoV-2 infection. Prior vaccination was not an exclusion criteria.

Outcomes 131

Outcomes Research Documentation/Coding Wellness 131

Emergency Medicine Journal

JUNE 20, 2024

We evaluated feasibility of identification, provided preliminary effect size estimates and documented participant acceptability. The primary outcome was patient CRC screening or scheduling. Objectives The current study adapted an existing cervical cancer screening intervention for use in catalysing CRC screening.

Emergency Department 40

Emergency Department Documentation/Coding Outcomes 40

PulmCCM

JANUARY 29, 2024

Read the document for all the details (it’s not long). No strong evidence exists to suggest that detecting and treating nonconvulsive seizures improves neurologic outcomes after arrest, but there’s a compelling pathophysiologic rationale to prevent further brain injury. Here’s PulmCCM’s take on the new changes.

Seizures 115

Seizures CPR Documentation/Coding Hyperthermia / Hypothermia 115

Total Medical ComplianceHIPAA

APRIL 14, 2023

On April 11, 2023, the HHS published a notice on upcoming new rules to add greater protection to reproductive health care because of new state laws passed due to the outcome of the Supreme Court ruling on Roe v. You can even call and talk to your patient and document this. New HIPAA rules proposed by Health and Human Services (HHS).

Documentation/Coding 83

Documentation/Coding Outcomes Wellness 83

Pediatric EM Morsels

JULY 28, 2023

A critical MORSEL is that every child you treat for DKA needs to have an initial thorough neuro exam including cranial nerves and then frequent neuro reassessments … and document it ( so your colleagues who take over care for the kid can know if there has been a change )! Is your patient hyperglycemic, acidotic, with ketonuria?

Fluid Resuscitation 245

Fluid Resuscitation Pediatrics Resuscitation Research 245

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. Census Bureau, 60.6

Emergency Department 64

Emergency Department Documentation/Coding EMS Wellness 64

AENJ: Current Issue

SEPTEMBER 30, 2023

The overuse of computed tomographic (CT) scans for patients who present to the emergency department (ED) after mild traumatic brain injury (mTBI) has been well-documented. The outcomes measured were the number of CT scans ordered, ED length of stay, and the cost of avoidable CT scans. Cost of care was also estimated.

Emergency Department 53

Emergency Department Documentation/Coding Outcomes Wellness 53

American Medical Compliance

MAY 13, 2024

Our Continuing Medical Education (CME) program is committed to enhancing the knowledge, skills, and professional performance of healthcare providers to improve healthcare outcomes. Languages: American English Key features: Audio narration, learning activity, and post-assessment.

Best Practices 52

Best Practices Documentation/Coding Outcomes 52

Sensible Medicine

OCTOBER 19, 2023

We wrote this letter and submitted it to the journal, documenting that the trial violated ethical codes. Kids are a vulnerable population— subject to teasing and bullying— and frankly the dogs were not that good at sniffing COVID19. Lots of false positives and negatives. Yet the journal refuses to print it.

Documentation/Coding 76

Documentation/Coding Pediatrics Research Outcomes 76

Don't Forget the Bubbles

JUNE 19, 2024

A proportion of the patients who were initially missed using the CDR were found to actually have risk factors documented in EMS reports or the medical record. Were the predictor variables and the outcome evaluated in a blinded fashion? Were the predictor variables and the outcome evaluated in the initial sample?

CPR 121

CPR Research Outcomes Documentation/Coding 121

ACEP Now

MAY 10, 2024

Primary Outcome: Diagnostic accuracy of identifying Stanford type A and Stanford type B AoDs Secondary Outcomes: Test characteristics of each of the three individual sonographic findings for diagnosing Stanford type A and Stanford type B AoDs. Erbel R, Aboyans V, Boileau C, et al. Eur Heart J. 2014;35:2873-2926.

Ultrasounds 52

Ultrasounds Outcomes Documentation/Coding Academics 52

Taming the SRU

APRIL 22, 2023

Currently, there is limited data investigating outcome differences between beta blockers and calcium channel blockers for atrial fibrillation with rapid ventricular response in a patient diagnosed with heart failure. There were similar lengths of say overall and no significant difference in safety outcomes.

Outcomes 52

Outcomes Documentation/Coding Stroke Fractures 52

Sensible Medicine

MAY 22, 2023

See screenshot: The endpoint was the proportion of patients whose chart had a documented goals of care care discussion. In a university hospital system known for its strength in palliative care, only a third of seriously ill patients in the intervention arm have a documented goals of care discussion. The absolute risk difference of 4.1%

Documentation/Coding 56

Documentation/Coding Hospitals Shock Outcomes 56

ACEP Now

OCTOBER 30, 2023

One case report highlighted an unfortunate outcome from aspiration pneumonia, later found to be due to crayons rather than the expected culprits such as food, secretions, or beverages. This makes documentation and communication of the utmost importance for these patients for their health and safety.

Sexual Assault 98

Sexual Assault Teamwork Outcomes Dehydration 98

Dr. Smith's ECG Blog

JUNE 7, 2024

What was the outcome and final diagnosis? Bizarrely, the STEMI/Non-STEMI films are named not after how they end (the patient outcome) but how they begin (whether ECGs meet STEMI criteria, or whether code STEMI is activated), with STEMI(-)OMI still called ‘non-STEMI’ regardless of outcome.

EKG/ECG 95

EKG/ECG Documentation/Coding EMS Outcomes 95

Emergency Medicine Journal

NOVEMBER 28, 2023

We reviewed documentation and decided whether recognition of dying was made during doctors’ assessments, when the dying process was recognised, whether symptom-focused management medications were prescribed and recorded if referral to palliative care was considered.

Documentation/Coding 40

Documentation/Coding Hospitals Outcomes 40

American Medical Compliance

JULY 9, 2024

Our Continuing Medical Education (CME) program is committed to enhancing the knowledge, skills, and professional performance of healthcare providers to improve patient care outcomes. Observe and document any signs of abuse, such as unexplained injuries or changes in behavior.

Elder Abuse 52

Elder Abuse Documentation/Coding Outcomes Wellness 52

JournalFeed

MARCH 26, 2022

High-dose IN Fentanyl Spoon Feed: Higher doses of intranasal (IN) fentanyl for pain ranging from 2-5 μg/kg (with a maximum of 200 μg) were given in a pediatric emergency department, with no documented episodes of apnea, hypotension, or respiratory failure.

Documentation/Coding 40

Documentation/Coding Stroke Emergency Department Resuscitation 40

American Medical Compliance

JULY 2, 2024

Our Continuing Medical Education (CME) program is committed to enhancing the knowledge, skills, and professional performance of healthcare providers to improve patient care outcomes. Document observations consistently to identify patterns and trends over time.

Patient Safety 76

Patient Safety Documentation/Coding Outcomes Wellness 76

PulmCCM

FEBRUARY 5, 2024

You can read the document here. Also, many patients with infection won’t have fevers, and those that don’t may be at the highest risk for poor outcomes. Read the original document here. Please comment below if you have any suggested additions or edits to this document. What’s a Fever?

Best Practices 111

Best Practices Ultrasounds Infectious Diseases Sepsis 111

RebelEM

MARCH 2, 2023

Essentially there was no difference, meaning we wouldn’t expect to find a difference in outcomes Although not patient oriented, why is there no breakdown of how many patients had cardiogenic shock, congestive heart failure, echocardiographic findings, or even troponin levels. Low O2 protocol: 3.1% aOR 0.96, 95% CI 0.86 Low O2 protocol: 10.6%

Outcomes 52

Outcomes EMS EKG/ECG Hospitals 52

The Skeptics' Guide to EM

NOVEMBER 21, 2020

The American College of Emergency Physicians ( ACEP ) has a number of documents discussing APPs in the ED. The American Academy of Emergency Medicine (AAEM) has a position statement on what they refer to as non-physician practitioners that was recently updated. There has been a concern about post-graduate training of NPs and PAs in the ED.

Emergency Department 52

Emergency Department Telemedicine Academics Outcomes 52

PulmCCM

JULY 31, 2023

To make that leap, I for one would need to see improved outcomes with caloric restriction in patients with less-severe shock. Computers writing progress notes holds huge potential for reducing the 50% of working hours time doctors spend documenting. Still, about 1,000 clinicians are using DeepScribe, which at $6.5

Shock 98

Shock Documentation/Coding Outcomes Wellness 98