Patient satisfaction is important.  But the most commonly used metric in the US, the Press Ganey survey, may not be a good measure of individual emergency physician and clinician performance.  Giving emergency clinicians feedback on their Press Ganey scores, ostensibly so they could take steps to improve, did not lead to appreciable score improvements.

Electronic, asynchronous sign-out to the admitting team was widely used, reduced time to admission order completion, and seemed to be safe in this single center retrospective study.

Get ready to face the backlash from this bash of ED billing practices.  Internal Medicine just threw us under the bus.

Triage nursing protocols that allowed early use of ondansetron and oral fluids significantly reduced the number of children who needed IV fluid without prolonging length of stay.

Scribes appear to be revenue positive in higher acuity adult patients.  The jury is still out on low acuity adult patients and pediatric patients.

Time in the ED was reduced by 42 minutes, and a decreased percentage of patients left without being seen when diagnostic studies were initiated in the waiting room.

Having a pharmacist in the ED helped catch multiple medication errors, the majority of them potentially severe and clinically relevant.

A city-wide plan of care for frequent ED users for pain-related complaints decreased the number of visits and opiate prescriptions.

Workplace violence in healthcare is all too common, and the ED is hardest hit.