ED Throughput: A Fixable Problem

From EP Monthly:

Here are a few of the ideas that get thrown around:

  • Provider at triage
  • PAs, NPs
  • Scribes
  • Triage only when patients are waiting
  • Fast track
  • RVU-based compensation
  • Patients don’t own their beds
  • Internal waiting rooms for lab/discharge
  • Chairs over gurneys for minor cases
  • Point-of-care lab testing
  • Physician staff trained in ultrasound
  • Move admitted patient to ward hallways
  • Order sets (not one of my favorites)

The Interstate Licensure Compact: A New Effort to Ease the Doctor Shortage

From Governing:

States have a long history of making agreements with one another as a way to act without the federal government. The latest such compact circulating in state legislatures for 2015 would make it easier for doctors to get licenses in multiple states so they can practice medicine in person or remotely.

The Interstate Medical Licensure Compact would essentially create express lanes for highly qualified doctors who would normally have to endure long waits navigating different processes with individual state medical boards. The aim is to encourage doctors who want to practice at least part-time in another state or through digital platforms but are hesitant because they consider the effort of obtaining multiple licenses too daunting.

‘Miracle’ Woman Survives After 45 Minutes Without Pulse

From ABC:

Doctors glanced up at the monitors to call the time of death for a patient whose heart hadn’t beat in 45 minutes and who hadn’t breathed in three hours.

Then, they saw it: a blip on the screen.

Ruby Graupera-Cassimiro was alive.

“She spontaneously resuscitated,” Boca Raton Regional Hospital spokesman Thomas Chakurda told ABC News. “We had brought the family in. We had announced to them that we had done all we could.”

200 hospital benchmarks (ED Section)

From Becker’s:

Emergency department patients

Average time spent in the ED before patients were admitted to the hospital as an inpatient: 274 minutes
Average time patients spent in the ED after the physician decided to admit them as an inpatient but before leaving the ED for their inpatient room: 98 minutes
Average time patients spent in the ED before being sent home: 134 minutes
Average time patients spent in the ED before they were seen by a healthcare professional: 26 minutes
Average time patients who came to the ED with broken bones had to wait before receiving pain medication: 57 minutes
Percentage of patients who came to the ED with stroke symptoms who received brain scan results within 45 minutes of arrival: 57 percent

Is violent injury a chronic disease? Study suggests so and may aid efforts to stop the cycle

From Medical XPress:

Teens and young adults who get seriously injured in an assault are nearly twice as likely as their peers to end up back in the emergency room for a violent injury within the next two years, a new University of Michigan Injury Center study finds.

The researchers call this repeating pattern of violent injury a reoccurring disease, but their landmark study also suggests potentially powerful opportunities to intervene in ways that could stop the cycle.

Comfort-focused ER to streamline care, improve patient experience

From Fierce Healthcare:

At this $53-million emergency department, pediatric patients will receive treatment in one of the facility’s seven rooms that feature soft lighting, animated scenes on the walls and ceiling art, according to the article. The facility has four isolation rooms, a radiology suite–which also features nature scenes on the ceiling– and an ambulance bay that can fit six of the vehicles at a time, and also boasts recessed hallway lighting, rather than glaring overhead lights, the Tampa Tribune reported.