Dr. Smith's ECG Blog

MARCH 14, 2024

Written by Jesse McLaren Three patients presented with acute chest pain and ECGs that were labeled by the computer as completely normal, and which was confirmed by the final cardiology interpretation (which is blinded to patient outcome) also as completely normal. What do you think? Case 1: There’s ST elevation in V1-2.

EKG/ECG 119

EKG/ECG Documentation/Coding Patient Safety Outcomes 119

JournalFeed

OCTOBER 8, 2022

However, there were 61 patients determined to have possible awareness, meaning upwards of 7.4% of patients could have been aware. Burnout = Bad Outcomes Spoon Feed Physician burnout has extensive negative effects, not just on individuals, but on hospital systems and on patient safety and satisfaction.

Outcomes 40

Outcomes Patient Safety Hospitals 40

RebelEM

OCTOBER 30, 2023

This could dilute any beneficial effects seen Lack of blinding may bias results (Although mortality is a solid objective primary outcome, bias may still creep in terms of management) Discussion: Authors were looking for an absolute mortality difference of 7% from baseline mortality of 26% with a 90% power. Cryoprecipitate Group: 25.3%

Administration 128

Administration Blood Transfusions Outcomes Hospitals 128

The Skeptics' Guide to EM

JULY 20, 2024

Therefore, effective preoxygenation is essential to enhance patient safety during this high-risk procedure. These results are promising and may influence future guidelines and clinical practices, emphasizing the importance of optimizing preoxygenation strategies to improve outcomes in critically ill patients.

COPD 121

COPD Patient Safety Emergency Department Administration 121

Sensible Medicine

APRIL 14, 2024

Some speakers represented patient advocacy organizations and later lashed out at me on twitter. Not only is this new change a risk to patient safety, it is yet another straw on the back of American health care. Medicine has become a financial commodity with the rare adverse event of better health outcomes.

Patient Safety 145

Patient Safety Academics Outcomes Wellness 145

American Medical Compliance

MARCH 6, 2025

This training equips healthcare professionals with the skills and knowledge needed to enhance accountability, improve patient safety, and foster a positive work culture. Positive Outcomes of Accountability: Employees thrive in environments where accountability is not just linked to negative consequences.

Documentation/Coding 52

Documentation/Coding Patient Safety Leadership Outcomes 52

EMDocs

FEBRUARY 28, 2024

The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. He undergoes a thrombectomy, but his outcome is poor. Plaintiff : The family’s concern is that a delay in appropriate treatment led to his poor outcome. UpToDate Online.

Documentation/Coding 104

Documentation/Coding Stroke Outcomes EMS 104

EMDocs

AUGUST 22, 2024

Certified interpreter use can improve communication and patient outcomes. Improving patient safety systems for patients with limited English proficiency: a guide for hospitals. Hospital and health system-level interventions to improve care for limited English proficiency patients: a systematic review.

Documentation/Coding 104

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 104

Don't Forget the Bubbles

JUNE 17, 2024

High levels of incivility correlate with adverse outcomes for patients, staff, and the organisation. staff wellbeing/turnover and patient safety) can boost engagement. At its heart lies an unpleasant reality- a critically unwell child with an anxious carer hoping for a positive outcome.

Leadership 105

Leadership Resuscitation Teamwork Patient Safety 105

American Medical Compliance

AUGUST 7, 2024

These infection data can help identify trends and prevent future occurrences. Conclusion Infection control is a vital component of patient safety and healthcare quality. Together, we can work towards minimizing infection risks and improving overall healthcare outcomes. Access the course here.

PPE 105

PPE Best Practices Patient Safety Urgent Care 105

EMDocs

MAY 9, 2024

The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. judgment vs. negligence” and “causation,” or the likelihood of a better outcome with earlier surgery). To opt in to the free subscriber list, click here.

Seizures 104

Seizures Dehydration Documentation/Coding Infectious Diseases 104

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. This story, while unlikely to reflect the standards of most readers, has a somewhat surprising outcome. To opt in to the free subscriber list, click here. What role do discharge instructions play?

Radiology 97

Radiology Radiology EKG/ECG Documentation/Coding 97

American Medical Compliance

NOVEMBER 30, 2022

According to the Emergency Care Research Institute, staffing shortages posed the greatest threat to patient safety in 2022. With staffing shortages expected to worsen in the coming years, finding ways to protect patient safety and combat healthcare-associated infections will improve patient health outcomes.

Patient Safety 52

Patient Safety CDC Operations Outcomes 52

American Medical Compliance

AUGUST 7, 2024

Patient safety is a critical concern, with the World Health Organization (WHO) estimating that 1 in 10 patients is harmed while receiving healthcare. Compliance with healthcare regulations is crucial not only for avoiding legal repercussions but also for ensuring high standards of patient care and safety.

Hazardous Materials 105

Hazardous Materials Documentation/Coding Legal Issues Patient Safety 105

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. To become certified, please visit us at: American Medical Compliance (AMC). Reach out for other courses by visiting the AMC Course Library.

Patient Safety 97

Patient Safety Documentation/Coding Outcomes Wellness 97

Taming the SRU

FEBRUARY 24, 2024

ENRICH Trial - the leadership journey - EMS grand rounds - r4 capstone - r1 clinical knowledge - pediatric lecture ENRICH Trial WITH visiting professor Dr. david wright ICH makes up only 10-15% of all strokes yet has a higher mortality than ischemic strokes and SAH Current 2022 AHA/ASA guidelines for spontaneous ICH (prior to ENRICH Trial) minimally-invasive (..)

Leadership 94

Leadership EMS Pediatrics Stroke 94

American Medical Compliance

JUNE 5, 2024

These guidelines help dental healthcare providers navigate the complexities of opioid prescribing while prioritizing patient safety. Comprehensive patient assessment is essential before prescribing opioids. Adhering to standard precautions and contraindications is essential to ensure patient safety.

Anaphylaxis 52

Anaphylaxis Operations Patient Safety Best Practices 52

Ziqitza HealthCare Ltd

SEPTEMBER 15, 2023

These online consultations give paramedics fast medical advice so they may administer the right treatments right away, potentially improving patient outcomes. Ensuring Patient Safety and Comfort with State-of-the-Art Ambulance Design During an ambulance transfer, patient comfort and safety are top priorities.

Ambulance Services 52

Ambulance Services Telemedicine Patient Safety Outcomes 52

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. 3 A study of CT use trends in the ED has shown increasing use of CTs by almost 60% from 2005 to 2013. West J Emerg Med. 2017;18(5):835-845.

Radiology 99

Radiology Radiology Emergency Department Hospitals 99

EMDocs

OCTOBER 10, 2024

The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. A delay in antibiotics administration was unfortunate but no one can say on a “more probable than not” basis that earlier treatment would have changed the outcome. No case was filed.

Documentation/Coding 97

Documentation/Coding Hospitals Sepsis Infectious Diseases 97

American Medical Compliance

JULY 3, 2023

Safe working conditions foster a culture of patient safety, minimizing the chances of medical errors and improving overall healthcare outcomes. Reduced occupational risks lead to fewer instances of absenteeism, turnover, and burnout, ensuring a stable workforce and continuity of care.

Patient Safety 52

Patient Safety Wellness Outcomes 52

American Medical Compliance

JANUARY 12, 2024

Moreover, these tools facilitate efficient and effective communication of critical patient information among members of the healthcare team. Furthermore, by facilitating the exchange of critical information for patient safety, these communication platforms improve the standard of care across disciplines.

Hospice 52

Hospice Legal Issues Teamwork Patient Safety 52

Ziqitza HealthCare Ltd

JUNE 14, 2023

By engaging patients in meaningful conversations and addressing their concerns, chatbots enhance patient education, empower individuals to take control of their health, and ultimately improve health outcomes. These virtual assistants empower patients, promote self-management, and improve overall health outcomes.

Ambulance Services 52

Ambulance Services Patient Safety Outcomes 52

American Medical Compliance

FEBRUARY 28, 2023

When a child is abandoned by a caregiver, they are more likely to incur serious harm or threats to their health and safety. Children need adequate support to develop fully, and a lack of parental presence can have detrimental impacts of child outcomes. Here are a few of them: Unexplained injuries is a common sign of abuse.

Burns 52

Burns Patient Safety Fractures Outcomes 52

Taming the SRU

MAY 5, 2023

The CLASSIC trial is a randomized controlled trial conducted in the ICU setting which compared restrictive versus standard fluid strategies with a primary outcome of death by 90 days in patients with septic shock. for patients with ESRD in the restrictive group (95% CI; -41.9 versus 59.2%). versus 14.9% Crit Care 26 (1): 19.

Sepsis 52

Sepsis Shock Administration Resuscitation 52

EMDocs

SEPTEMBER 25, 2023

Still, there are those that believe that FPS is more of a physician-centered endpoint that does not fully reflect important patient-centric outcomes (16). 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).

Emergency Department 91

Emergency Department Soft Tissue Injuries Airway Management Operations 91

Mind The Bleep

NOVEMBER 23, 2023

Always prioritise patient safety; if in doubt, don’t hesitate to seek help from the on-call ENT team. Following the steps outlined in this quick reference guide can ensure the best possible outcome for your patients facing these common ENT emergencies. Remember that a cautious approach is often the safest one.

Patient Safety 52

Patient Safety Resuscitation Outcomes 52

Don't Forget the Bubbles

SEPTEMBER 5, 2024

Obesity is considered a contributing factor for some musculoskeletal outcomes. The main outcome measure was a GP consultation with a recorded musculoskeletal symptom or diagnosis. This approach prevents severe complications and improves patient safety by enabling timely catheter adjustments. Arch Dis Child.

Ultrasounds 52

Ultrasounds Research Emergency Department Outcomes 52

EB Medicine

MAY 3, 2019

Jeff: And finally, how many of you wish there was a clearly outlined evidence-based approach to managing such patients to improve care and outcomes? Nachi: With the staff notified and the patient searched, the patient should be placed in a room without potentially dangerous items, like tubing or needles.

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

EB Medicine

JULY 8, 2019

with generally good clinical outcomes including improved quality of life and reducing or staving off comorbidities. The history of metabolic and bariatric surgery: development of standards for patient safety and efficacy. Jeff: Still, the complication rate is low - about 2.3% Obesity (Silver Spring). 2013;21 Suppl 1:S1-S27.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

EMDocs

JULY 20, 2023

A second primary outcome was added at the 30-month time frame by request of the FDA, the trial was still blinded at that time. A second primary outcome was added at the 30-month time frame by request of the FDA, the trial was still blinded at that time. POWER: 86% to detect a 1-point difference in the group’s first primary outcome.

Stroke 97

Stroke Outcomes Head Injuries Psychiatric 97

RebelEM

JULY 31, 2023

Outcomes: Primary Outcome: Successful intubation on the first attempt. Secondary Outcomes: Severe complications of tracheal intubation. 1420 patients were enrolled. 1420 patients were enrolled. 1420 patients were enrolled. VL vs 8.7% percentage points; 95% CI, 9.9 The absolute risk difference was 0.5

Operations 98

Operations Outcomes Emergency Department Airway Management 98

ACEP Now

AUGUST 1, 2023

The weighting must strongly be on patient safety and on expanding the opportunities for board certified emergency physicians. As your council officer, I commit to ensuring your voice contributes to the best outcome for our College, our members, EM residents, and our patients. We must always work against a balance.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

ACEP Now

AUGUST 28, 2024

John Hospital in Detroit, MI, did not resolve their concerns about working conditions, staffing levels, or patient safety. Physicians are turning to unionization as one of the few remaining pathways they see available to them to effect change and improve patient outcomes. Only time will tell,” he says.

Emergency Department 98

Emergency Department Hospitals Patient Safety Leadership 98

The Skeptics' Guide to EM

MARCH 22, 2019

Reference: Impact of scribes on emergency medicine doctors’ productivity and patient throughput: multicentre randomised trial, BMJ January 2019 * Population: Five emergency departments in Australia * Intervention: Scribes rostered to a physician for a shift * Comparison: Same physicians working shifts without scribes * Outcomes: * Primary: Total patients/physician/hour (..)

Emergency Department 52

Emergency Department Dislocations Documentation/Coding Research 52

The Skeptics' Guide to EM

APRIL 14, 2019

Although there are numerous validated screening tools, such as the PHQ9, the ED-Safe Patient Safety Screener, and the Suicide Behaviors Questionnaire–Revised (SBQ-R), none have been tested against physician gestalt, and none are widely used in clinical practice [2,3,4]. . million visits a year in the United States [1].

Emergency Department 52

Emergency Department Psychiatric Patient Safety Outcomes 52

ACEP Now

AUGUST 1, 2023

Additionally, pre-ED telehealth, post-ED telehealth, and other programs that address frequent use are effective ways for ED physicians to improve patient safety, increase efficiency, and unload hospitals of patient care that may be better delivered in other settings. References American College of Emergency Physicians, et al.

Military 98

Military Hospitals Emergency Department Leadership 98