The emergency department is undoubtedly the area of the hospital that most frequently requires the services of interpreters. As of January 1, 2011, the Joint Commission requires the use of “qualified translators” in the emergency department 24/7.
In this installment of "Rick's Picks" Rick Bukata discusses a couple law suits resulting from excessive emergency department wait times. Should the Joint Commission step in?
Are you writing or thinking about writing a book? Do you want to get
published but have no idea how to go about it? As someone who got my
first book published last year, I can tell you it is a confusing and
sometimes arduous process, but one that can be navigated with a little
direction. This article is going to focus on non-fiction writing. The
rules are completely different if you are writing fiction.
When the Office of Inspector General (OIG) released its 2011 Workplan – a
formal announcement of the areas it plans to investigate – it boldly
brought physicians under increased scrutiny for fraud, based solely on
what may be an unintended consequence of the evolution of documentation
Could HHS’s new payment structure really save Medicare as much as $960 million over the next three years?
The management of patients with upper gastrointestinal bleeds (UGIB)
presenting in extremis is enough to make any physician have melena. In
an effort to preserve your own clothes, make your life easier by
classifying the condition in terms of variceal versus nonvariceal.
Emergency physicians have historically been ambivalent about
inappropriate ED utilization. We deplore it but are reluctant to address
it because we believe that there may be no alternative for these
patients, that excessive risk or the threat of an EMTALA violation are
prohibitive, or that it may cost us practice revenue. But failing to
address an issue of critical importance to our hospital customer is the
first step on the path toward losing the contract.
In 2009, Emergency Physicians Monthly polled 5,000 readers online to
determine if and when EPs altered the tests they ordered out of fear of
litigation. The poll, which garnered 385 responses, may not have been
scientifically valid, but it confirmed what most of us know intuitively –
that there is a significant cost to defensive medicine. Now, the
Pennsylvania College of Orthopedic Surgeons has added fuel to the fire,
publishing a study that confirms the very same thing.
EPM executive editor Mark Plaster sat down with emergency medicine
opinion leaders for a candid discussion about continuing medical
education – do we need it, who does it best, and what would the ideal
methodology look like?
24-year-old Hannah A. is “playing tag” in the front yard at 3 a.m. one
cold February Sunday night during a rain storm. She slips, falls, and
horribly breaks both bones in her left leg. Incidentally, she also has a
nasty burn on her right forearm that she says is from a hot water