Tag: er

Twenty Years of Change and the “View from the Box”

December 23rd, 2011
by:

Once, a really long time ago, before blogs if you can conceive of such a time, I embarked on a part-time writing career. My subject matter was the parade of frailty, the courage and the just plain bizarre that were to be found daily – hourly – in the ER. My first collection of essays […]

read article

Posted in Life in the ER

Doctors are Ready to Cut Costs – But Are Patients?

November 28th, 2011
by:

USA Today this week published another story on the continuing theme of innovative health systems and physician leaders who are finding big cost savings while providing better patient care. I know most if not all physicians are interested in providing more cost-effective care, but a recent encounter in the ER led me to wonder whether […]

read article

Posted in Future of Healthcare, Life in the ER

Does Emergency Medicine Really Matter?

November 15th, 2011
by:

I’m always curious when people ask what I do and I say I work in an ER: what exactly do they imagine I do there? They may picture us treating sniffles, ankle sprains, and the uninsured. At least, that’s what some in media and politics would have them imagine. You want to know what I […]

read article

Posted in Future of Healthcare, Life in the ER

The Expanding Role and Bright Future of Advanced Practice Practitioners in the Emergency Department

October 26th, 2011
by:

Advanced Practice Practitioners see a wide variety of patients at our hospital sites, from those with chest pain to those with minor lacerations and everything in between. This practice is not limited to us. Nationally, it is estimated that Physician Assistants (PA’s) see 10 percent of emergency room patients in the United States, and a 2009 […]

read article

Posted in Future of Healthcare, Quality Efficiency Utilization

Child, Scalp, Laceration, Vacation – When the Patient is Your Son

August 17th, 2011
by:

If there were four words I was hoping to combine on our family vacation this past week, it is safe to assume they would not be the four listed above. My 19 month-old son, Chance (aptly named), decided to take a header off a kitchen chair and struck the back of his head while we […]

read article

Posted in Life in the ER

New Observation Unit at WMHS Meets Growing Trend

July 22nd, 2011
by:

We are proud to announce the opening of a new observation medicine unit at Western Maryland Health System (WMHS) in Cumberland, MD. We believe observation medicine will be a growing specialty as health care reform changes the way health care is delivered in the United States. The concept is to allow a focused, intense evaluation of certain patients […]

read article

Posted in Observation Care

Reducing Medical Errors Through Improved Communication

May 24th, 2011
by:

The most important take away point from this WSJ article “Hospitals Overhaul ER’s to Reduce Mistakes” is communication. The article states that most errors in judgment involve missing pieces of critical data or information that one team member may be aware of and assume that others know. In an ideal world, the best model for […]

read article

Posted in Hospital Partnership, Quality Efficiency Utilization

The Future for Overcrowded EDs

May 17th, 2011
by:

At Western Maryland Health System, our daily census of emergency department patients has risen from an average of 150 to 166 over the past 1-2 months. Many people openly acknowledge they can’t get an appointment with their primary care doctor or that no doctor in the area is taking new patients. As health care reform […]

read article

Posted in Future of Healthcare

Emergency Medicine – Whom Do We Serve?

March 30th, 2011
by:

I give a talk to new employees regarding service in emergency medicine. One of the questions I pose is whom do we serve when we practice emergency medicine? Seems like a simple question. We serve patients that come to the ER desiring care. At the most basic level that is indeed what we do. Like […]

read article

Posted in Leadership, Life in the ER

Improving Healthcare Literacy

March 14th, 2011
by:

Emergency medicine has long been called the “safety net” in our medical system, taking care of people who cannot access healthcare through other avenues. While emergency medicine would be more efficient if we only saw true emergencies, this is not a practical reality in today’s healthcare system. We take care of patients with urgent conditions; […]

read article

Posted in Future of Healthcare