Using her cell phone, Carla Chapman desperately tried to call for help, but she kept losing her signal. So in what she thought was her last chance, she punched in 911 and then threw the phone out of the sinkhole where she was trapped.
Richard M. Paylor, 55, Fairless Hills, Bucks County, told city police he was driving the rig west about 9 when he started to choke on a piece of apple and blacked out, investigators said. The next thing he knew, his truck had smashed through the concrete barrier near Lancaster Avenue, he told police.
“This accident saved his life,” police Lt. Madison Winchester said. “Witnesses said that he was slumped over the wheel before the truck crashed. It appears that the apple chunk was dislodged when he hit the concrete barrier and his body hit the steering wheel.”
From Fierce Healthcare:
In Washington state, however, an investigative reporter for KOUW radio unearthed a tax law that requires the state to verify that their top hospital salaries are comparable to private-sector pay, or possibly lose their tax-exempt status. The reporter, John Ryan, indicates that many state hospital CEO salaries don’t meet the requirement, with at least 15 making $1 million or more per year. The reporter also created a “how-to” guide for journalists, encouraging them to dig into their own state records and create similar reports.
Air Evac Lifeteam is now the largest air medical company to complete the implementation of Night Vision Technology at all of its air ambulance bases. Air Evac Lifeteam, the largest independently-owned and operated air medical service in the United States, operates 92 bases in 14 states.
From the Journal of Emergency Medicine:
Wait times and patient satisfaction are important administrative metrics in emergency departments (EDs), as they are critical to return patronage, liability, and remuneration. Although several factors have been shown to impact patient satisfaction, little attention has been paid to understanding the psychology of waiting and patient satisfaction.
Objective: We utilize concepts that have been applied in other service industries to conceptualize factors that impact patient satisfaction. We focus on wait times, a key factor in patient satisfaction, and describe how these concepts can be applied in research and daily practice.
Discussion: Patient satisfaction can be conceptualized as the difference between a patient’s perceptions and their expectations. Perception is the psychological process by which an individual understands and interprets sensory information. Changes in the wait experience can decrease the perceived wait times without a change in actual wait times. Other changes such as improved staff interpersonal and communication skills that provide patients with an increased sense of the staff’s dedication as well as a greater understanding of their care, can also affect patient perceptions of their care quality. These changes in patient perception can synergize with more expensive investments such as state-of-the-art facilities and increased ED beds to magnify their impact on patient satisfaction. Expectation is the level of service a patient believes they will receive during their ED visit. Patients arrive with expectations around the component of their care such as wait times, needed diagnostic tests, and overall time in the ED. These expectations are affected by individual-specific, pre-encounter, and intra-encounter factors. When these factors are identified and understood, they can be managed during the care process to improve patient satisfaction.
Conclusions: Interventions to decrease perception of wait times and increase the perception of service being provided, when combined with management of patient expectations, can improve patient satisfaction.
From MedPage Today:
“We began to understand that the choices we were making from an anesthesia standpoint may have far-reaching impacts on the morbidity and mortality of the patient,” Buckenmaier said here at the American Academy of Pain Medicine meeting.
But there is a big barrier to changing the way pain is managed in the military: the way soldiers and commanders think about pain.
“We have to redesign the system to support case recognition,” said Rollin Gallagher, MD, deputy national program director of pain management at the Veterans Health Administration. “So it’s not ‘Pain is weakness leaving the body,’ but ‘I’m going to tell you about my pain; let’s manage it so I can get back to work or back to the field successfully.'”
So the military medical establishment has launched a campaign to change the way pain is treated both on and off the battlefield.