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.

Urgent Care 75

Urgent Care Emergency Department Documentation/Coding Patient Safety 75

Emergency Medicine Journal

AUGUST 21, 2024

Methods Qualitative study; informal interviews of junior doctors, consultants and nursing staff and direct observation of clinical interactions, induction and training in a single ED in an English Emergency Department between August and October 2019. We used constant comparison to identify and develop themes.

Patient Safety 98

Patient Safety Emergency Department Research 98

ACEP Now

MARCH 13, 2024

Emergency departments (EDs) provide the essential service of evaluating patients with unscheduled, acute, undifferentiated, and decompensated conditions. 1 Hospital boarding is the main driver of ED crowding, with patients nearly always awaiting transfer to inpatient beds and now more commonly, to other hospitals.

Ethical Issues 52

Ethical Issues Emergency Department Operations Hospitals 52

ACEP Now

NOVEMBER 13, 2023

Physicians, nurses, and staff in emergency departments (EDs) across the country have encountered workplace violence for years. 1,2 In a 2018 study by ACEP, nearly half of emergency physicians polled reported a physical assault while at work. J Emerg Nurs. J Am Coll Emerg Physicians Open. J Emerg Nurs.

Emergency Department 52

Emergency Department Documentation/Coding Psychiatric Best Practices 52

Don't Forget the Bubbles

SEPTEMBER 30, 2024

In the UK, as in most developed countries, more patients are presenting to Emergency Departments (EDs) with minor illnesses or injuries. Critically unwell or injured patients are prioritised, whereas those who are felt to be less unwell wait longer for clinical review. Which patients Do Not wait? Simpson et al.

Emergency Department 89

Emergency Department Research Hospitals Pediatrics 89

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.

Administration 87

Administration Emergency Department Outcomes Patient Safety 87

EMDocs

AUGUST 22, 2024

12 How do we address these disparities in the emergency department? As providers, we must advocate for systemic and individual changes to improve care for NELP patients. Improving patient safety systems for patients with limited English proficiency: a guide for hospitals. Annals of Emergency Medicine.

Documentation/Coding 82

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 82

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives This qualitative study aims to establish the existence and impact of patient-to-staff incivility on staff wellbeing and patient care in the Emergency Department (ED).

Emergency Department 40

Emergency Department Patient Safety Research 40

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. Therefore, effective preoxygenation is essential to enhance patient safety during this high-risk procedure. He is hypoxic on arrival with an oxygen saturation of 80% on room air.

COPD 89

COPD Patient Safety Administration Emergency Department 89

Dr. Smith's ECG Blog

MARCH 14, 2024

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 105

EKG/ECG Documentation/Coding Patient Safety Outcomes 105

The Skeptics' Guide to EM

JUNE 15, 2024

Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial. Case: A 24-year-old patient is involved in a high-speed motor vehicle collision. Reference: Jansen et al.

Resuscitation 89

Resuscitation Patient Safety Operations Emergency Department 89

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Emergency Department (ED) crowding has dominated discourse around Emergency Medicine (EM) in recent years and is now well recognised as contributing towards patient harm. Less is known about the implications of crowded departments on staff. We identified three themes.

Emergency Department 40

Emergency Department Wellness EMS Patient Safety 40

The Skeptics' Guide to EM

JULY 6, 2024

Case: A 71-year-old patient with a history of hypertension and well-controlled diabetes mellitus without organ involvement presents with left lower abdominal pain, afebrile, blood pressure 138/70 mm Hg, heart rate 82 beats per minute, and oxygen saturation on room air 99%. They are afebrile and tolerate oral intake.

Teamwork 80

Teamwork Leadership Research Patient Safety 80

ACEP Now

OCTOBER 9, 2024

Emergency physicians have long taken pride in delivering care every day of the week, every hour of the day. ACEP’s Emergency Department Accreditation program adds a layer to that, says Marianne Gausche-Hill, MD, FACEP, FAAP, FAEM, Chair of the program’s Board of Governors.

Emergency Department 52

Emergency Department Critical Access Geriatric Emergencies Ultrasounds 52

AENJ: Current Issue

MAY 8, 2024

Lumbar puncture (LP) is a procedural skill that is required for practice in the emergency care setting, most often for diagnostic purposes. Rarely, it can also be used therapeutically, to alleviate the pain of patients presenting to the emergency department with acute headache from idiopathic intracranial hypertension.

Patient Safety 50

Patient Safety Emergency Department 50

EMDocs

SEPTEMBER 26, 2024

The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. References : System-Level Process Change Improves Communication and Follow-Up for Emergency Department Patients With Incidental Radiology Findings. Baccei SJ et al. Tyler W et al.

Radiology 74

Radiology Radiology EKG/ECG Documentation/Coding 74

EMDocs

NOVEMBER 22, 2024

The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. Upon his recovery he attempts to turn his experience into a teaching opportunity for the involved hospital and emergency department. To opt in to the free subscriber list, click here.

Hospitals 80

Hospitals Patient Safety Emergency Department 80

Don't Forget the Bubbles

JUNE 17, 2024

Introduction: Civility Matters Healthcare environments, particularly emergency departments, are characterised by high levels of Volatility, Uncertainty, Complexity, and Ambiguity ( VUCA ). staff wellbeing/turnover and patient safety) can boost engagement. How do you manage this situation?

Leadership 105

Leadership Resuscitation Teamwork Patient Safety 105

EMDocs

JUNE 13, 2024

The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. A record that the patient acknowledged receipt of discharge instructions is a valuable defense. To opt in to the free subscriber list, click here. Stories of med mal lawsuits can save lives.

Documentation/Coding 77

Documentation/Coding Patient Safety Emergency Department Hospitals 77

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 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

EB Medicine

JULY 8, 2019

This month, we are sticking in the abdomen for another round of evidence-based medicine, focusing on Emergency Department Management of Patients With Complications of Bariatric Surgery. The history of metabolic and bariatric surgery: development of standards for patient safety and efficacy. 2013;21 Suppl 1:S1-S27.

Emergency Department 40

Emergency Department Sepsis Operations Ultrasounds 40

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 98

Leadership Patient Safety Academics Research 98

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 73

Radiology Radiology Emergency Department Hospitals 73

Ziqitza HealthCare Ltd

JULY 23, 2023

Ventilators are used in operating rooms, emergency departments, critical care transport units, and air medical transports. A common example is dengue patients who severely suffer due to a pause in the provision of life support.

Ambulance Services 52

Ambulance Services Basic Life Support Blood Transfusions Patient Safety 52

EMDocs

JULY 25, 2024

The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. Assessment of Patients’ Competence to Consent to Treatment. Literature-based Recommendations for Suicide Assessment in the Emergency Department: A Review. Applebaum PS. Oct 04, 2012.

Documentation/Coding 82

Documentation/Coding Hospitals Patient Safety Emergency Department 82

ACEP Now

JANUARY 13, 2024

1 The questions raised by this tragedy are many: How did a gun make its way into the emergency department in the first place? 2 But this was not a patient, it was a colleague! 3 Perhaps most importantly, how was this individual able to function at a high level, caring for patients while in such psychological distress?

Emergency Department 52

Emergency Department Resuscitation Patient Safety Hospitals 52

ALiEM

APRIL 12, 2024

Case A 48 year-old male with a history of hypertension and polysubstance abuse presented to the emergency department (ED) for shortness of breath and was found to have a left sided parapneumonic pleural effusion (Figure 1). Pigtail Catheter Insertion Error: Root Cause Analysis and Recommendations for Patient Safety.

Patient Safety 73

Patient Safety Emergency Department 73

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 52

Hospitals Administration Emergency Department Psychiatric 52

EMDocs

SEPTEMBER 25, 2023

This has been shown to increase the first pass success rate in these challenging scenarios, reducing the risk of complications and optimizing patient safety (23). Case Resolution: The patient was placed on NIPPV. The patient was placed in a semi-fowler’s position and given 0.4mg/kg of midazolam. Int J Emerg Med.

Emergency Department 65

Emergency Department Soft Tissue Injuries Airway Management Operations 65

ACEP Now

MAY 9, 2024

It has been well over a year since the controversial publication of the Agency for Healthcare Research and Quality (AHRQ) report on diagnostic errors in the emergency department (ED). Patient safety and diagnostic errors research is critical to the design of a health system in which errors are minimized. Ann Emerg Med.

Research 52

Research Emergency Department Infectious Diseases Hospitals 52

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. N Engl J Med. 2023;388(6):499-510. 2021, Jarczak, Kluge et al. However – is this the best endpoint for such a trial?

Sepsis 52

Sepsis Shock Administration Resuscitation 52

Don't Forget the Bubbles

SEPTEMBER 5, 2024

Am J Emerg Med. In the emergency department resuscitation room, weight is usually estimated using an age-based formula until the child is stabilised and can be safely weighed. This approach prevents severe complications and improves patient safety by enabling timely catheter adjustments. 2024 Aug;82:26-32.

Ultrasounds 52

Ultrasounds Research Emergency Department Outcomes 52

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 98

Emergency Department EMS Critical Access Hospitals 98

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 98

Emergency Department Hospitals Patient Safety Leadership 98

Don't Forget the Bubbles

JANUARY 4, 2024

We have teamed up with the team from Chelsea and Westminster Paediatric Emergency Department to give you 5 reviews of recent studies. It also evaluates the real-life impact of the RCR protocols on clinical practice, with a focus on improving patient safety.

Burns 129

Burns Academics Hospitals Outcomes 129

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. of intubations.

Operations 97

Operations Outcomes Emergency Department Airway Management 97

The Skeptics' Guide to EM

APRIL 14, 2019

Assessing Risk of Future Suicidality in Emergency Department Patients. AEM April 2019 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the excellent #FOAMed project called First10EM.com WARNING: This SGEM episode discusses suicide. Date: April 11th, 2019 Reference: Brucker et al.

Emergency Department 52

Emergency Department Psychiatric Patient Safety Outcomes 52