Emergency Service

Latest Issue of OR Manager
December 2017

Nurse-run telephone triage service for after-hour calls by neurosurgery patients

Editor's Note Clinical Advice Service (CAS), a nurse-run telephone triage service for after-hour calls, developed at the Stanford University School of Medicine, provides well-coordinated care to neurosurgery patients while reducing physician workload, this study finds. Between July 2016 and June 2017, CAS nurses received 1,021 after-hours calls from neurosurgery patients.…

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By: Judy Mathias
November 10, 2017
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Joint Commission updates emergency management requirements

Editor's Note The Joint Commission on November 3 updated its emergency management requirements for hospital, ambulatory, home health, and hospice settings, effective November 15. The updated standards will assist healthcare organizations in more effectively planning for disasters and coordinate with federal, state, tribal, regional, and local emergency preparedness systems. The…

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By: Judy Mathias
November 6, 2017
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Capitol Hill lawmakers participate in ACS bleeding control training

Editor's Note Nearly 40 members of Congress and staff on October 12 received training from surgeon members of the American College of Surgeons (ACS) on how to stop life-threatening bleeding. The class was designed to teach individuals with no prior medical knowledge how to control rapid bleeding from traumatic injuries…

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By: Judy Mathias
October 16, 2017
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ECRI Institute offers free disaster preparedness, recovery resources

Editor's Note In response to the destruction caused by hurricanes Harvey, Irma, and Maria, the ECRI Institute is providing free access to resources, publications, and tools to help guide healthcare facilities affected by natural disasters. The Disaster Preparedness and Recovery Resource Center, which includes links to material from the ECRI…

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By: Judy Mathias
October 11, 2017
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Diffusion, implementation of acute care surgery across the US

Editor's Note Acute care surgery (ie, an organized system of trauma, general surgery, and critical care) implementation has occurred unevenly across the US, with rural communities and regions the slowest, this study finds. Of 1,690 hospitals surveyed, 272 had implemented acute care surgery by 2015−an increase from 34 in 2001…

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By: Judy Mathias
October 9, 2017
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Development of Service Line Leadership as Teachers and Coaches for Daily Improvement

Organizations implementing Lean systems, methods, and tools must transition from just using the tools to creating a culture of process improvement. David Mann (The Missing Link: Lean Leadership) asserts that a successful Lean transformation should focus 20% of the time on implementing tools and the other 80% on changing leaders’…

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Mode of transport to hospital linked to mortality in penetrating trauma patients

Editor's Note Private vehicle transport was associated with a significantly lower likelihood of death compared with ground emergency medical services (EMS) transport for patients with gunshot and stab wounds in this study. In this analysis of 103,029 patients in the National Trauma Data Bank, 87.6% were male, 47.9% were black,…

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By: Judy Mathias
September 21, 2017
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23 Houston-area hospitals move patients; 25 more are vulnerable

Editor's Note At least 23 hospitals in the Houston area affected by flooding from Hurricane Harvey have moved patients to other facilities, and another 25 are considered vulnerable to flooding or shortages of staff and supplies, the August 29 Houston Chronicle reports. The full tally of evacuated patients was not…

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By: Judy Mathias
August 30, 2017
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Flooding from Harvey prompts HHS to declare public health emergency

Editor's Note Health and Human Services (HHS) Secretary Tom Price, MD, has declared a public health emergency because of flooding and lingering rain in the aftermath of Hurricane Harvey, the August 28 Healthcare Finance News reports. This declaration gives healthcare providers in Texas and Louisianian greater flexibility in treating people displaced by the…

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By: Judy Mathias
August 29, 2017
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Houston Hospitals hit by flooding from Harvey

Editor's Note Flooding from Hurricane Harvey is pushing some Houston hospitals to close or evacuate, the August 27 Modern Healthcare reports. Baylor College of Medicine and clinics closed Sunday, August 27, as did all Texas Children’s Hospital’s pediatrics practices and urgent care locations. The University of Texas MD Anderson Cancer…

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By: Judy Mathias
August 28, 2017
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Public expects physicians, nurses to protect them during active shooting events

Editor's Note Results of a new national survey by the Hartford Consensus about views of the public and healthcare professionals on active shooter events in hospitals show that: 61% of the public and 62% of professionals believe physicians and nurses have a special duty to protect patients during an active…

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By: Judy Mathias
August 22, 2017
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The Missing Link: Connecting Process Improvement to Strategic, Financial, Quality and Service Outcomes

This presentation will demonstrate how to map surgery services process metrics to corporate strategy, including strategic financial, quality, and service outcomes. The multidisciplinary leadership team and behavioral change approach integrates Lean Six Sigma initiatives with strategic goals to meet Affordable Care Act requirements. Learning objectives • Develop a clearer understanding…

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