Simple variations to traditional models of care can dramatically improve emergency department performance

From the BMJ:

  • Implementing a system of nurse-led care, using clinical protocols based on a patient’s presenting complaint, can lead to an improvement in emergency department performance.

  • Pragmatic randomised controlled trials are a valid and feasible research methodology for evaluating the impact of nurse-delivered protocols on the quality of care in the emergency department.

Medical costs of bike crashes on the rise

From Reuters:

Over the last two decades, the number of people injured in bicycle accidents in the U.S. has been rising and the cost of each crash has also gone up, according to a recent study.

The increases in accidents and medical costs are partly the result of increased ridership overall, the researchers write in the journal Injury Prevention, but the higher cost per accident is mainly driven by larger numbers of riders over age 45 and more street and highway crashes that may involve cars.