Spoon Feed
In this Cochrane review, hand-hygiene programs reduce the incidence of clinical acute respiratory illness (ARI), while masking probably does not provide additional benefit.
Source
Physical interventions to interrupt or reduce the spread of respiratory viruses. Cochrane Database Syst Rev. 2023 Jan 30;1(1):CD006207. doi: 10.1002/14651858.CD006207.pub6.
Spoon Feed
Diagnostic errors in the ED occur at rates similar to those in other clinical settings. Not all errors have human causes, and not all are inevitable – this article suggests systems-level opportunities for improvement.
Spoon Feed
Violence directed at healthcare workers (HCWs) is common in the ED setting. Studies have demonstrated workplace violence is underreported and can have long term effects on HCWs.
Source
Exploring verbal and physical workplace violence in a large, urban emergency department. Am J Emerg Med. 2023 Jan 27;67:1-4. doi: 10.1016/j.ajem.2023.01.036. Epub ahead of print.
Spoon Feed
The Medicare Merit-based Incentive Payment System (MIPS) seems to be ineffective at measuring quality of care and incentivizing quality improvement.
Source
Association Between Individual Primary Care Physician Merit-based Incentive Payment System Score and Measures of Process and Patient Outcomes. JAMA, 328(21), 2136–2146. https://doi.org/10.1001/jama.2022.20619
Spoon Feed
Drowning is a common cause of death worldwide. The duration of submersion is the best predictor of outcome, with immediate on-scene CPR and ventilation improving outcomes. Prevention is the best medicine, with public health intervention and policy being the most effective way to prevent drowning.
Source
Prevention of and Emergency Response to Drowning. NEJM 2022 Oct 6. Doi:10.1056/NEJMra2202392
Spoon Feed
A review of actionable standards set forth by the Joint Commission in 2018-2019 showed that the majority of required changes were only partly, or not at all, supported by quality evidence.
Source
The evidence base for US joint commission hospital accreditation standards: cross sectional study. BMJ. 2022 Jun 23;377:e063064. doi: 10.1136/bmj-2020-063064.
Spoon Feed
There is undeniable corporate influence in the practice of emergency medicine, and this could cause problems for patients or for those of us who care for them. We need to thoughtfully consider this.
Source
Corporate Control of Emergency Departments: Dangers from the Growing Monster. J Emerg Med. 2022 Apr 7;S0736-4679(22)00074-9. doi: 10.1016/j.jemermed.2022.01.026. Online ahead of print.
Spoon Feed
Within academic emergency medicine, female physicians hold fewer leadership roles than male physicians. When they do, they work more clinical hours and are paid significantly less than their male counterparts.
Spoon Feed
A healthcare leader keeps certain commitments, shows character, and learns defined competencies that enable their teams to flourish and succeed.
Spoon Feed
This calculator from Penn Medicine can help local hospitals plan for COVID-19 surges.
