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Search results for "General Hospitals"
Perspectives on Safety > Perspective
with commentary by David P. Sklar, MD; Cameron Crandall, MD, Patient Safety in Emergency Medicine, June 2010
Emergency medicine has evolved from a location, with variably trained and experienced providers ("the ER"), to a discipline with a well-defined knowledge base and skill set that focus on the diagnosis and care of undifferentiated acute problems.(1) The importance of rapid diagnosis and treatment of serious conditions (e.g., myocardial infarction, stroke, trauma, and sepsis) has made timeliness not simply a determinant of patient satisfaction but also a significant safety and quality concern—delays in care can be deadly.(2) Emergency physicians (EPs) have identified delays caused by crowding from boarding of admitted patients as their most significant safety problem.(3) We present a model for understanding emergency department (ED) patient safety and identify solutions by deconstructing care into three realms: individual provider, patient, and environmental system (Table).
Cases & Commentaries
- Web M&M
Mitch Rodriguez, MD, MBA; Rebecca Mannel, BS, IBCLC; Donna Frye, RN, MN; September 2008
After several pediatric visits, parents of a newborn with low output and weight loss contact a lactation consultant, who discovered that ankyloglossia (tongue-tie) was preventing the infant from receiving adequate intake from breastfeeding.
Journal Article > Commentary
McCauley K, Irwin RS. Chest. 2006;130:1571-1578.
This article, co-authored by the immediate past presidents of the American Association of Critical Care Nursing and the American College of Chest Physicians, calls for improving patient safety in the intensive care unit (ICU) by redesigning the ICU work environment to achieve collaborative, patient-centered care. The authors cite the recommendations of the seminal Institute of Medicine reports on medical errors and health care quality as drivers of their recommendations to carry out multidisciplinary education and patient care, encourage patient participation in safety measures, and evaluate providers on their teamwork skills. An accompanying editorial (available via the link below) lauds these initiatives but cautions that significant cultural barriers will need to be overcome before true patient-centered care can be achieved.