Documentation/Coding Hospitals Radiology 
EMDocs
SEPTEMBER 26, 2024
Chuck Pilcher, MD, FACEP Editor, Medical Malpractice Insights Editor, Med Mal Insights Radiology over-reads – Who’s responsible? Patient not informed of enlarged heart, dies 3 weeks post ED visit Miscommunicated radiology findings are a hot topic. This patient’s history was either poorly taken or poorly documented.
EM Literature of Note
JANUARY 16, 2025
Literally every practicing physician working in a hospital environment knows there is a broad spectrum of skill, approach to acute illness, and level of risk-tolerance. These attributes manifest in different ways, and, in emergency physicians, one is the differing likelihood two clinicians might have to admit same patient to the hospital.
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Mind The Bleep
FEBRUARY 2, 2025
In some hospitals, there is an infection ward round and MDTs for selected patients, however elsewhere your phone call may be all the information micro receive about the patient whose samples they are processing. Also, in larger hospitals, virology may be a separate department with its own advice system. difficile infections.
Mind The Bleep
FEBRUARY 2, 2025
Hospital/NHS number is 1234. Either they should ask the surgical team for clinical management of a patient with suspected septic ileus with a differential including necrotising enterocolitis or the radiology team for interpretation of the x-ray. Ronan is a 12yr old boy who has a suspected diagnosis of leukaemia.
The Trauma Pro
MAY 3, 2024
They separated all patients with acetabular and pelvic ring fractures using ICD-10 codes. Various hospital outcomes were tabulated, including hospital charges, mortality, and discharge location. If there is concern that there could be ongoing bleeding, PPP can be followed by a trip to the interventional radiology suite.
EM Literature of Note
OCTOBER 9, 2024
and GPT-4T – is asked: Should this patient be admitted to the hospital? Does this patient require radiologic investigations? Effectively, what ought to have been asked of the LLMs – and the clinician reviewers – was “ did this patient get admitted to the hospital?” Specifically, the LLM – here GPT-3.5T
ACEP Now
JANUARY 4, 2025
1 Just one year prior, Dr. Clarke had begun an emergency medicine residency at what was then known as LA CountyUSC Hospital, Los Angeles. Firsthand Account An ambulance bay at the LA County-USC Hospital in 1978. Dr. Clarke was then hired as assistant director in the emergency department (ED) at Pomona Valley Hospital, Pomona, Calif.
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