Hospital Based Emergency Care


Hospital Based Emergency Care
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Hospital Based Emergency Care


Hospital Based Emergency Care
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2007-05-03

Hospital Based Emergency Care written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007-05-03 with Medical categories.


Today our emergency care system faces an epidemic of crowded emergency departments, patients boarding in hallways waiting to be admitted, and daily ambulance diversions. Hospital-Based Emergency Care addresses the difficulty of balancing the roles of hospital-based emergency and trauma care, not simply urgent and lifesaving care, but also safety net care for uninsured patients, public health surveillance, disaster preparation, and adjunct care in the face of increasing patient volume and limited resources. This new book considers the multiple aspects to the emergency care system in the United States by exploring its strengths, limitations, and future challenges. The wide range of issues covered includes: • The role and impact of the emergency department within the larger hospital and health care system. • Patient flow and information technology. • Workforce issues across multiple disciplines. • Patient safety and the quality and efficiency of emergency care services. • Basic, clinical, and health services research relevant to emergency care. • Special challenges of emergency care in rural settings. Hospital-Based Emergency Care is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.



Emergency Medical Services


Emergency Medical Services
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2007-05-03

Emergency Medical Services written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007-05-03 with Medical categories.


Emergency Medical Services (EMS) is a critical component of our nation's emergency and trauma care system, providing response and medical transport to millions of sick and injured Americans each year. At its best, EMS is a crucial link to survival in the chain of care, but within the last several years, complex problems facing the emergency care system have emerged. Press coverage has highlighted instances of slow EMS response times, ambulance diversions, trauma center closures, and ground and air medical crashes. This heightened public awareness of problems that have been building over time has underscored the need for a review of the U.S. emergency care system. Emergency Medical Services provides the first comprehensive study on this topic. This new book examines the operational structure of EMS by presenting an in-depth analysis of the current organization, delivery, and financing of these types of services and systems. By addressing its strengths, limitations, and future challenges this book draws upon a range of concerns: • The evolving role of EMS as an integral component of the overall health care system. • EMS system planning, preparedness, and coordination at the federal, state, and local levels. • EMS funding and infrastructure investments. • EMS workforce trends and professional education. • EMS research priorities and funding. Emergency Medical Services is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.



Future Of Emergency Care Set


Future Of Emergency Care Set
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Author : National Academies Press
language : en
Publisher: National Academies Press
Release Date : 2010-07-15

Future Of Emergency Care Set written by National Academies Press and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-07-15 with Medical categories.


The Institute of Medicine (IOM) introduces the Future of Emergency Care series set, a three-book series that examines the future of emergency care in the United States health system. Each volume in the series provides an in-depth analysis of emergency care and explores broad system-wide concerns. Recommendations for addressing pediatric and pre-hospital emergency medical services (EMS) matters, as well as hospital-based emergency department issues, are addressed in each respective volume. The Future of Emergency Care series focuses on three key areas in emergency care and offers recommendations on: � pre-hospital emergency care, hospital-based emergency care, pediatric emergency and trauma care. The IOM's Committee on the Future of Emergency Care in the United States Health System was tasked with examining the state of emergency care in the United States. Their findings and recommendations are found in this three-book series that offers a vision for the future of emergency and trauma care. The scope of the IOM study addresses the full range of emergency care services, including: 9-1-1 and medical dispatch, pre-hospital EMS including ground and air medical services, hospital-based emergency, and trauma care for both adults and children



Hospital Based Emergency Departments Background And Policy Considerations


Hospital Based Emergency Departments Background And Policy Considerations
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Author : Congressional Research Congressional Research Service
language : en
Publisher: CreateSpace
Release Date : 2014-12-08

Hospital Based Emergency Departments Background And Policy Considerations written by Congressional Research Congressional Research Service and has been published by CreateSpace this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-12-08 with categories.


Hospital-based Emergency Departments (EDs) are required to stabilize patients with emergent conditions regardless of the patients' ability to pay as a requirement of the Emergency Medical Treatment and Active Labor Act (EMTALA). Given this requirement, EDs play an important part in the health care safety net by serving the uninsured, the underserved, and those enrolled in Medicaid. Open 24 hours a day, EDs provide emergency care, urgent care, primary care, and behavioral health care services in communities where these services are unavailable or unavailable after hours. EDs also play a key role during emergencies, such as natural disasters. Some EDs are challenged to provide effective care. For example, EDs provide a disproportionate amount of health care to the U.S. population, in general, and to the safety net population, in particular. Specifically, while 4% of all U.S. physicians are ED physicians, they are the treating physicians in 28% of all acute care visits. Some EDs face financial challenges. ED services are costly both to payers, because services provided in an ED are more costly than those provided in community-based settings, and to hospitals, because operating an ED has high fixed costs and because if patients enter with an emergent condition, hospitals are required by EMTALA to stabilize the patient regardless of the patientâe(tm)s ability to pay. As providers of uncompensated safety net care, some EDs are crowded, in part because hospitals lack staff or inpatient beds to transfer patients from the ED, and in part because of the large number of patients who seek care in the ED because care is unavailable or inaccessible in the community. Crowded conditions have resulted in some patients experiencing long wait times, which, at times, delays access to care and results in worse health outcomes. In addition, hospitals, particularly those in urban areas, are regularly diverting ambulances because they are too crowded to accept new patients. This report describes EDs and the role they play in the health care delivery system. It also discusses the federal role and interest in supporting emergency care. The federal government is the largest payer for overall health care, through the Medicare and Medicaid programs. Also, the federal government has made investments in emergency preparedness, programs and efforts that support the health care safety net, and health care access in general. Given these investments, Congress may be interested in EDs because a well-functioning ED system is necessary to provide surge capacity in an emergency. The function of the ED system, in turn, reflects its surrounding community's access to health care services; therefore, understanding the use of EDs, evaluating whether such use is appropriate, and examining strategies employed to reduce inappropriate use may all be of policy interest. This report discusses three commonly identified and interrelated challenges that EDs face: (1) crowding in EDs, (2) providing repeat care to a subset of patients who are frequent users, and (3) providing care to a large population who have behavioral health conditions when an ED lacks the appropriate resources to provide such treatment. Finally, this report concludes with some policy options that Congress might consider to improve ED functioning and reduce payer costs. This report focuses on EDs that are available to the general population; as such, it does not include EDs operated by the Departments of Defense or Veterans Affairs or those operated by the Indian Health Service.



Aging Well


Aging Well
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Author : JEAN. HASELTINE GALIANA (WILLIAM.)
language : en
Publisher: Springer
Release Date : 2019-01-01

Aging Well written by JEAN. HASELTINE GALIANA (WILLIAM.) and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-01-01 with Geriatric nursing categories.


"This open access book outlines the challenges of supporting the health and wellbeing of older adults around the world and offers examples of solutions designed by stakeholders, healthcare providers, and public, private and nonprofit organizations in the United States. The solutions presented address challenges including: providing person-centered long-term care, making palliative care accessible in all healthcare settings and the home, enabling aging-in-place, financing long-term care, improving care coordination and access to care, delivering hospital-level and emergency care in the home and retirement community settings, merging health and social care, supporting people living with dementia and their caregivers, creating communities and employment opportunities that are accessible and welcoming to those of all ages and abilities, and combating the stigma of aging. The innovative programs of support and care in Aging Well serve as models of excellence that, when put into action, move health spending toward a sustainable path and greatly contribute to the well-being of older adults."--Provided by publisher.



Future Of Emergency Care


Future Of Emergency Care
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2007-06-09

Future Of Emergency Care written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007-06-09 with Medical categories.


In June 2006, the Institute of Medicine (IOM) Committee on the Future of Emergency Care in the U.S. Health System released a series of reports on the state of emergency care. The reports, Emergency Medical Services at the Crossroads; Hospital-Based Emergency Care: At the Breaking Point; and Emergency Care for Children: Growing Pains, identified a number of disturbing problems including overcrowded emergency departments, a lack of coordination among emergency providers, variability in the quality of care provided to patients, workforce shortages, lack of disaster preparedness, a limited research base, and shortcomings in the systems' ability to care for pediatric patients. These problems, while apparent to those who work in the field, are largely hidden from public view, in part because popular fictional television programs frequently depict the emergency care system in fine shape. Despite the lifesaving feats performed every day by emergency departments and ambulance services, the nation's emergency medical system as a whole is overburdened, underfunded, and highly fragmented. The IOM received funding from 14 organizations to conduct a series of dissemination workshops associated with the release of the 2006 reports on the future of emergency care. Three one-day regional dissemination workshops were conducted in Salt Lake City, Utah (September 7, 2006), Chicago, Ilinois (October 27, 2006), and New Orleans, Louisiana (November 2, 2006). Each of the workshops featured focused discussions in two issue areas. The meeting in Salt Lake City focused on pediatric emergency care and care in rural areas; in Chicago it was workforce issues and hospital efficiency; and in New Orleans it was EMS issues and disaster preparedness. A fourth capstone workshop, held in Washington, D.C., provided an opportunity to engage congressional and other federal policy leaders in a discussion of emergency care issue. Future of Emergency Care summarizes the proceedings of the workshops. Each regional workshop began with an overview of the findings and recommendations from the three reports on the future of emergency care. Findings and recommendations from those three reports are also summarized in this report.



Disease Control Priorities Third Edition Volume 9


Disease Control Priorities Third Edition Volume 9
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Author : Dean T. Jamison
language : en
Publisher: World Bank Publications
Release Date : 2017-12-06

Disease Control Priorities Third Edition Volume 9 written by Dean T. Jamison and has been published by World Bank Publications this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-12-06 with Medical categories.


As the culminating volume in the DCP3 series, volume 9 will provide an overview of DCP3 findings and methods, a summary of messages and substantive lessons to be taken from DCP3, and a further discussion of cross-cutting and synthesizing topics across the first eight volumes. The introductory chapters (1-3) in this volume take as their starting point the elements of the Essential Packages presented in the overview chapters of each volume. First, the chapter on intersectoral policy priorities for health includes fiscal and intersectoral policies and assembles a subset of the population policies and applies strict criteria for a low-income setting in order to propose a "highest-priority" essential package. Second, the chapter on packages of care and delivery platforms for universal health coverage (UHC) includes health sector interventions, primarily clinical and public health services, and uses the same approach to propose a highest priority package of interventions and policies that meet similar criteria, provides cost estimates, and describes a pathway to UHC.



Regionalizing Emergency Care


Regionalizing Emergency Care
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2010-06-01

Regionalizing Emergency Care written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-06-01 with Medical categories.


During medical emergencies, hospital staff and emergency medical services (EMS) providers, can face barriers in delivering the fastest and best possible care. Overcrowded emergency rooms cannot care for patients as quickly as necessary, and some may divert ambulances and turn away new patients outright. In many states, ambulance staff lacks the means to determine which hospitals can provide the best care to a patient. Given this absence of knowledge, they bring patients to the closest hospital. In addition, because emergency service providers from different companies compete with each other for patients, and emergency care legislation varies from state to state, it is difficult to establish the necessary local, interstate, and national communication and collaboration to create a more efficient system. In 2006, the IOM recommended that the federal government implement a regionalized emergency care system to improve cooperation and overcome these challenges. In a regionalized system, local hospitals and EMS providers would coordinate their efforts so that patients would be brought to hospitals based on the hospitals' capacity and expertise to best meet patients' needs. In September 2009, three years after making these recommendations, the IOM held a workshop sponsored by the federal Emergency Care Coordination Center to assess the nation's progress toward regionalizing emergency care. The workshop brought together policymakers and stakeholders, including nurses, EMS personnel, hospital administrators, and others involved in emergency care. Participants identified successes and shortcomings in previous regionalization efforts; examined the many factors involved in successfully implementing regionalization; and discussed future challenges to regionalizing emergency care. This document summarizes the workshop.



Hospital Emergency Departments


Hospital Emergency Departments
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Author : Daniel T. Lee
language : en
Publisher:
Release Date : 2015-04-01

Hospital Emergency Departments written by Daniel T. Lee and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-04-01 with categories.


Hospital-based Emergency Departments (EDs) are required to stabilise patients with emergent conditions regardless of the patients ability to pay as a requirement of the Emergency Medical Treatment and Active Labor Act (EMTALA). Given this requirement, EDs play an important part in the health care safety net by serving the uninsured, the underserved, and those enrolled in Medicaid. This book describes EDs and the role they play in the health care delivery system. It also discusses the federal role and interest in supporting emergency care.



Emergency And Trauma Care For Nurses And Paramedics


Emergency And Trauma Care For Nurses And Paramedics
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Author : Kate Curtis
language : en
Publisher: Elsevier Health Sciences
Release Date : 2023-08-01

Emergency And Trauma Care For Nurses And Paramedics written by Kate Curtis and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-08-01 with Medical categories.


Emergency and Trauma Care for nurses and paramedics is a highly respected emergency care text for nursing and paramedicine students and clinicians in Australia and New Zealand. Now in its fourth edition, it provides the most up-to-date and comprehensive coverage of the spectrum of emergency and trauma care. The text spans prehospital and hospital care, enabling students to understand the patient journey and equipping them for their role in a multidisciplinary team. Coverage includes assessment, triage and management of trauma, physiology of emergency care, and the recognition and management of specific body system emergencies, as well as the fundamentals of emergency care such as quality and safety, ethics, leadership, research and patient education. Fully revised to reflect the dynamic and evolving nature of emergency and trauma care, this book is ideal for students, prehospital care providers, rural, remote and urban emergency and trauma care nurses, and other disaster management clinicians. Endorsed by the College of Emergency Nursing Australasia Written by internationally recognised clinicians, researchers and leaders in emergency care Latest evidence-based research and practice across the emergency care continuum Case studies to consolidate knowledge apply theory to practice Practice tips highlight cultural considerations and communication issues Aligns to NSQHSS 2e, NMBA and PBA Standards Includes Elsevier Adaptive Quizzing for Emergency and Trauma Care for Nurses and Paramedics 4e Instructor resources: Image collection PowerPoint slides Case study questions and answers Additional case studies with answers and rationales Additional paramedic case studies with answers and rationales Paramedic test bank Test bank Instructor and student resources: Additional case studies Additional paramedic case studies Videos