Emergency medicine

Innovations

On-the-Scene Video Consultations With Emergency Physicians Reduce Unnecessary Ambulance Transports and Emergency Department Visits, Connect People to Medical Homes 11/05/15

Through a program known as ETHAN (“Emergency Telehealth and Navigation”), the City of Houston Fire Department Emergency Medical Services program uses video and other technology to allow emergency...

Statewide Ban on Ambulance Diversions Reduces Ambulance Turnaround Time and Emergency Department Length of Stay for Patients Admitted to the Hospital 01/14/14

In 2009, the Massachusetts Department of Public Health became the first State to ban ambulance diversions—a practice in which a crowded emergency department temporarily stops accepting patients...

Emergency Department Uses Tool To Identify At-Risk Patients in Need of HIV Testing, Leading to Same Number of Newly Diagnosed Patients with Fewer Screening Tests 12/18/13

Instead of attempting to screen all patients for HIV, the Denver Health Medical Center emergency department uses an electronic risk assessment tool known as the Denver HIV Risk Score to estimate a...

Emergency Department and Urgent Care Clinicians Use Protocol To Reduce Opioid Prescriptions for Patients Suspected of Abusing Controlled Substances 11/13/13

An emergency department and urgent care center that are part of a hospital system in southeastern Maine implemented a one-page, easy-to-understand protocol that physicians and nurses use to decide...

Cross-Agency Mayoral Task Force Promotes Policies and Initiatives To Reduce Prescription Opioid Misuse and Related Problems, Achieves Some Early Successes 04/25/13

A multiagency, cross-disciplinary initiative in New York City, the Mayor's Task Force on Prescription Painkiller Abuse develops and supports implementation of a constellation of policies and...

QualityTools

Prehospital Medical Information System 05/21/14

The Prehospital Medical Information System (PreMIS) is a State-mandated, Internet-based emergency medical services (EMS) information system that collects data on each EMS call report made within the States of Mississippi, North Carolina, South...

Community Paramedic Evaluation Tool 04/16/13

The Community Paramedic Evaluation Tool is a self-assessment tool to be used by communities that wish to assess the current status of their paramedicine program. The assessment tool also provides a common framework by which data can be collected...

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...

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...

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....

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