Hospital emergency department

QualityTools

Quality Field Notes: Reducing Inappropriate Emergency Department Use 07/29/15

This toolkit provides resources and recommendations for reducing inappropriate emergency department (ED) use. It includes key lessons to begin the process of reducing ED use, information on how data can help to identify avoidable ED use, and initiatives currently in place to engage stakeholders. A downloadable resource guide provides additional materials for EDs to use when undertaking this initiative, and a video explains the appropriate use of ED care.

Ask Suicide-Screening Questions 11/05/13

This screening tool, called the Ask Suicide-Screening Questions (ASQ), is a set of four questions that emergency department nurses or physicians can administer to help identify youth at risk for attempting suicide.

 

Eating Disorders in the Emergency Department: Critical Points for the Recognition and Medical Management of Individuals With Eating Disorders in the Acute Care Setting 11/05/13

This guide for emergency department staff and clinicians is intended as a resource to promote recognition and prevention of medical morbidity and mortality associated with eating disorders.

The guide covers the following topics:

  • Common presenting signs and symptoms of eating disorders
  • Emergency department evaluation
  • Acute malnutrition as a medical emergency
  • Emergency department management
Managing Drug-Seeking Behaviors & Super Users in the Emergency Department 10/01/13

This guide for emergency department (ED) physicians, nurses, and caregivers includes information and tools for providing pain management care to “super users” in the ED. The guide offers an approach to understanding and managing two groups of super users—patients exhibiting drug-seeking behaviors and patients with chronic pain—and provides a solution for reducing ED visits.

The appendix to the guide includes sample materials such as a pain management policy, letters, and a pain...

Monmouth Transient Ischemic Attack and Minor Stroke Rapid Evaluation Center Referral Form 02/08/13

This referral form for emergency physicians or other specialists, helps assess a patient who recently experienced a transient ischemic attack (TIA) or a minor stroke. The form is a first step for assessing patients to determine the best stroke prevention strategies, care, and prevention based on individual test results and health needs.

Mission: Lifeline Tools and Resources 02/08/13

This Web site provides hospitals and health systems tools and resources to improve their systems of care when responding to a patient with ST-elevation myocardial infarction (STEMI) or out-of-hospital cardiac arrest.

Resources such as checklists, algorithms, protocols, strategies, requirements, fact sheets, and more are available under the following areas:

  • Systems
  • Emergency medical services
  • Referral center
  • Receiving center
  • ...
ER Is for Emergencies 08/09/12

ER Is for Emergencies is a campaign in Washington State to help reduce preventable emergency room visits and redirect care to the most appropriate setting. The campaign Web site includes the following materials:

  • One-page document outlining the Seven Best Practices
  • Patient brochure to help redirect care to the most appropriate setting (also available in Spanish, Russian, and Vietnamese)
  • Educational videos and archived webinars

Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals 03/13/12

This guide, for hospital administrators and emergency department leaders, provides step-by-step instructions for planning and implementing patient flow improvement strategies to ease emergency department crowding.

The information and resources are organized into the following sections:

  • The need to address emergency department crowding
  • Forming a patient flow team
  • Measuring emergency department performance
  • Identifying strategies
  • ...
Emergency Severity Index, Version 4: Implementation Handbook, 2012 Edition 01/19/12

The Emergency Severity Index (ESI) is a simple to use, five-level triage instrument that categorizes emergency department (ED) patients by evaluating both patient acuity and resources. The algorithm provides clinically relevant stratification of patients into five groups from 1 (most urgent) to 5 (least urgent). ED educators, clinicians, and managers can use this practical guide to develop and conduct an ESI educational program, implement the algorithm, and design an ongoing quality...

Hospital Overcrowding 07/12/10

The Hospital Overcrowding Web site includes resources on overcrowding, including the “full capacity protocol,” which guides the movement of patients when the hospital is full, addressing high hospital census in a distributive and safe fashion. This information may be helpful in changing the culture that surrounds the issues related to hospital overcrowding.

Resources include:

  • Overcrowding PowerPoint presentation—contains information on length of stay, nurse–...

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