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Logistics Programs Benefit ED Wait Times

A Focus on Improving Patient Flow With ED crowding continuing to be an important public health issue, hospitals across the United States are scrambling to pursue aggressive strategies that improve patient flow in EDs. A...

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Overcoming Barriers to Clinical Research in the ED

Clinical research in the ED is important to providing supporting evidence for the development of practice guidelines and is vital to enhancing patient outcomes. A recent study was conducted to describe barriers and lessons...

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Do BSN Nurses Provide Better Care?

A paper entitled “An increase in the number of nurses with baccalaureate degrees is linked to lower rates of postsurgery mortality” appeared in Health Affairs in March and generated quite a lot of buzz on the...

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Improving Sepsis Care in the ED

For patients with severe sepsis and septic shock in the ED, studies have shown that goal-directed therapy is effective. However, many EDs throughout the country have not implemented such protocols. In a recent study, a survey...

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Finding a Teachable Moment in Nursing

Patient education is one of the most important aspects of nursing care. It builds patients’ self-esteem, self-awareness, sense of responsibility, and provides them with effective coping mechanisms. Furthermore, it reduces...

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The “Second Victims” in Nursing

Tears rolled down my face as I came across an article written 2 years ago. A veteran pediatric nurse took her own life several months after administering a fatal overdose of an electrolyte to an infant. After investigations and...

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Mild TBI: Identifying Patients at Risk

For emergency nurses, it can be challenging to identify patients with a mild traumatic brain injury (MTBI) and how best to manage these individuals at discharge. A study has found that emergency nurses need to be aware that...

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NPs Practicing Independently? AAFP Says No

The idea of advanced practice nurses directing primary care practices on their own without a physician on staff has been a hot topic of discussion lately among the healthcare and public policy communities. The rationale behind...

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What Happens When a Doctor Is Paged

It’s 8:15 p.m. I am at home. My beeper goes off, and I check it instantly. It reads, “555-1212” [Number changed to comply with HIPAA regulations]. It’s the inpatient surgical floor. Within 10 seconds, I have dialed the number....

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Nursing Shortage? Mmm, Maybe Not

While the retiring baby-boomer nurses have warned of a dangerous nursing shortage, the number of full-time registered nurses aged 23 to 26 increased by 62% between 2002 and 2009, according to this month’s Health Affairs. At...

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Nurses Keep Silent on Physicians’ Shortcuts

Almost 60% of nurses report they have at one time or another felt unsafe to speak up or were unable to get others to listen when medical software alerted them to a problem that may have been missed and harmed a patient (eg, drug...

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