Navigation Links
Emergency Department Guidelines to Improve Quality Patient Care

A unique system to reduce medical errors and improve patient care in local hospital emergency departments was developed by researchers from University of Cincinnati (UC)

Although guidelines for care on select disease conditions may be available in some emergency departments, the UC researchers believe they are the first to develop a comprehensive, evidence-based online system that covers numerous conditions from triage and diagnosis to treatment and discharge.

Weve been developing a system for the last three years to establish evidence-based guidelines and forms for nurses and physicians to use for every aspect of the patients pathway through the emergency department, says Stewart Wright, MD, assistant professor of emergency medicine.

The development and results of the initiative, called the Committee for Procedural Quality and Evidence-Based Practice (CPQE), are reported in the June 26 early online version of Annals of Emergency Medicine.

Many reports have been published on patients suffering from medical care that isnt evidence-based, or supported by clinical research that establishes the optimal approach to care for a particular disease, says Brian Gibler, MD, chairman of UCs department of emergency medicine. We wanted to assess how we were doing in our emergency practice and how we could improve.

Our emergency physicians work in three emergency departments in Cincinnatiat University, Christ and Jewish hospitalswhich makes it difficult to standardize care, he says.

A centralized committee like the CPQE, which focuses on quality care in the emergency department is critical to developing easily accessible, standardized guidelines and protocols, allowing us to provide care that is high quality and uniform at all three hospitals.

The committee began developing and implementing guidelines with a disease that has been well studiedasthma. They to ok existing guidelines, reviewed literature to update the guidelines with new knowledge, and consulted with pulmonologists to incorporate their needs in the final guidelines.

The guidelines and summary of the literature review were then presented during a monthly, evidence-based meeting in the UC emergency medicine department for input from faculty, residents and nurses.

Since the first one was developed, guidelines for more than 20 other conditions, such as pneumonia, ischemic stroke, diabetes and gallbladder disease, have been added. Nearly 40 instructional discharge sheets for patients are on the site, as well as common medical forms and procedure guidelines.

Guidelines can be very helpful for all physiciansfrom new residents to those with years of experience, says Wright. Anyone can overlook a step in treating a condition at the end of a long shift because theyre tired.

Physicians in the emergency departments at University, Christ and Jewish are not required to use the CPQE tools but are encouraged to do so, and even receive a scorecard based on their performance.The scorecards include core measures from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and CPQE guidelines.

The goal is to make physicians better, because if they find themselves below the mean for procedural complications, such as with inserting a chest tube, it will provide motivation for them to improve, says Wright.

Wright says the scorecards also track which physicians may need more education on a particular therapy or procedure.In addition, if there are physicians who are doing an excellent job, we want to try to emulate their practice, Wright says.

Wright admits that although nursing staff have embraced the new focus on quality care and the use of guidelines, physicians compliance with using CPQE tools is low. But hes hoping that will change as th ey continue trying to prove the system actually works.

The shift from relying on memory to utilizing guidelines is challenging for most practitioners, says Wright.We want to prove the CPQE tools can save lives and money and improve the quality of patient care, and then we expect to be able to bring use of our site or a similar system to the national level.


'"/>




Related medicine news :

1. Gas Masks Dont Always Fit an Emergency
2. London Emergency Services Receive Wide Appreciation
3. WHO declares Tuberculosis – ‘An Emergency’ in Afrca
4. Indian Health Ministry approves sale of Emergency contraceptives as over the counter drug
5. Emergency Treatment Found Wanting In Anaphylactic Reactions
6. Chlamydia Screening To Be Offered With Emergency Contraception
7. Apollo And Stanford Team To Train Emergency Medical Technicians
8. Mumbai To Get Emergency Ambulance Service
9. Extravagant Pay For Emergency Department Head Of Caboolture Hospital
10. Andhra Junior Doctors Call Off Strike Partially; To Attend Emergency cases
11. Nursing Home Residents Receive Appropriate Emergency Care Despite Poor Funds
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:2/10/2016)... ... February 10, 2016 , ... The 9th annual meeting ... Congress (WMIC), will be held in New York City, NY on September 7 ... The congress will highlight and emphasize how imaging reveals a greater understanding of ...
(Date:2/10/2016)... (PRWEB) , ... February 10, 2016 , ... ... working together to expand dental health services to the developmentally disabled in the ... Care Dental’s operations to a new facility at 71-949 Highway 111, Suite 100-B, ...
(Date:2/10/2016)... ... 10, 2016 , ... Compliancy Group LLC is pleased to ... throughout the country. The Guard was specifically designed to handle each element required ... regulatory updates, and compliance coaching. , In addition to meeting the compliance needs ...
(Date:2/10/2016)... ... ... Dr. Jessica Barron, of Barron Family Dental in Thornton, Colorado , ... in the North Metro Denver area. The new dental practice focuses on comfort where ... in the most relaxing environment. , While some dental visits can create anxiety for ...
(Date:2/10/2016)... ... February 10, 2016 , ... AxoGen, Inc. (NASDAQ: AXGN), a leading medical technology ... quarter and full year ended December 31, 2015 on Monday, February 29, 2016 after ... the investment community following the release at 4:30 PM ET. Investors interested in participating ...
Breaking Medicine News(10 mins):
(Date:2/10/2016)... England och PITTSBURGH ... Erbjudandet lämnas inte, och detta pressmeddelande ... indirekt, i eller till, och inga anmälningssedlar ... av aktieägare i, något land där Erbjudandet, ... accept av Erbjudandet skulle strida mot tillämpliga ...
(Date:2/10/2016)... February 10, 2016 A new report from business intelligence ... states that the Alzheimer,s disease market will more than double from just under ... Compound Annual Growth Rate (CAGR) of 11%. Canada , ... , Spain , the UK, and Japan ... forecast period. --> Canada , France ...
(Date:2/10/2016)... , Feb. 10, 2016 Urologix, the ... the treatment of Benign Prostatic Hyperplasia (BPH), announces new ... Ash Keswani , a medical device industry veteran of ... the Limited Liability Company.  Plymouth, ... service lines, Cooled ThermoTherapy™ and Prostiva® RF Therapy, will ...
Breaking Medicine Technology: