The transition from the ED to the inpatient unit is a very vulnerable time for patients. In this single institutional survey of ED and inpatient physicians (or PA’s), 29% reported a patient of theirs had experienced an adverse event or near miss due to inadequate communication during the transition from ED to inpatient. Qualitative analysis of the errors found multiple sources of error, including: communication (no communication, key content omitted, limited interaction, and conflicting expectations), unclear assignment of responsibility, environment (ED overcrowding and workload), and IT (information not readily available to inpatient team) (abstract). Although the high rate of adverse events and near misses is discouraging, it is encouraging to see that most of these error sources are relatively easily modifiable. By implementing hand-off tools (performed in a less distracted environment) that transmit standardized information, and creating an IT system that is accessible to all care providers, many of these can errors can be mitigated. Many of these are included in the elements of performance of JCAHO’s National Safety Patient Goal 02.05.0.1.
“Membership in the American Academy of Professional Coders has risen to more than 170,000 today from roughly 70,000 in 2008.” “The AMA owns the copyright to CPT, the code used by doctors. It publishes coding books and dictionaries. It also creates new codes when doctors want to charge for a new procedure. It levies a […]
Yeah, I know the headline drew you in. I sleuthed ya—but I have a reason. A study out in BMJ today, and its timing is uncanny given the immigration ban we are now experiencing. First, to declare my priors. I will take an IMG to work by my side any day of the week. You need […]
The Centers for Medicare & Medicaid Services (CMS) has not updated its rules (“conditions for participation”) for nursing homes in twenty-five years. Late last year they finally did. Many of the changes will have an impact on the daily lives of NH residents but are far removed from hospital medicine. Think a resident’s ability to […]