Reducing LWBS With a Phlebotomist Based in the Emergency Department
Using an ED phlebotomist to initiate lab draws in patients with wait times over 20 minutes cut the number of patients who leave before treatment completion in half.
Does Crowding Increase Mortality In Low-Acuity Discharged Patients?
ED crowding was associated with markedly increased odds of 10-day mortality in lower acuity patients who were discharged home.
Do Freestanding EDs Help or Hurt?
Freestanding EDs are popular with patients and physicians but do little to expand access to care, reduce traditional ED congestion, and lower overall healthcare costs.
Do We Still Need Annual TB Skin Testing?
The CDC no longer recommends* annual TB screening of health care providers in the absence of a known exposure or ongoing transmission.
Resident Patients Per Hour – What’s Normal?
Want to see how many patients per hour you should be seeing, according to resident data from this single center? Plug in your number of months as a resident. Patients/hour = (0.018 × month of training) + 1.113.
Dumping Uninsured Patients – We All Know It’s Happening
Uninsured patients had 66% greater odds of ED discharge and 241% greater odds of ED transfer than similar privately insured patients in hospitals that had capacity to care for them in-house.
Shock Index Predicts Admission and Mortality
Shock Index (SI) >1.3 was predictive of both hospital admission and inpatient mortality. This could act as an early warning to flag patients likely to need increased resources in the ED and a bed in the hospital.
RCT – Scribes Increase Productivity and Profit
Scribes were a benefit to physician productivity and profit in this multicenter Australian RCT. The only question is, why are you not utilizing them yet?
VIPs in the ED – Practical and Ethical Issues
The authors argue that it is ethical to triage or place some VIP patients differently based on privacy concerns (assuming no harm to other patients), but it is unethical and usually harmful to actually provide different care based on VIP status.
Are You a Test/Admit or Treat/Street Doc?
There was a positive correlation with individual physician resource utilization and hospital admission. Testers are admitters.