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For better infection control, providers must look in the mirror
By Joan Spitrey
During their education, healthcare providers are taught about disease transmission and infection control. The six links in the chain of infection are a mainstay in infection prevention and well known by all providers. In an effort to contain infections, providers are required to wash their hands between patients, and personal protective equipment is required in carrying for especially contagious patients. However, this logic is counterproductive when the providers themselves are sick.
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Aug. 18-21: Unmatched Prep for Written Boards — Register today!
Join us for the AAEM Written Board Review Course in Orlando this Aug. 18-21! Up to 27 lecture hours of intense review of EM board materials, taught by experienced emergency medicine faculty. This course is a comprehensive review of emergency medicine for all emergency physicians and is ideal for those taking the Qualifying Exam & ConCert Exam or for physicians seeking quality review materials. Learn more!
Exceptional EM Education — Join us at MEMC-GREAT 2015!
Learn about the Pre-Congress Course Options
Join us in Rome, Italy from Sept. 5-9, 2015, for the Mediterranean Emergency Medicine Congress in conjunction with the Italian GREAT Network Congress. Register for the congress, submit an abstract and book your hotel! Learn more about MEMC-GREAT competitions.
Help create “How-To” videos of >100 common procedures. These will be made available for free around the world in multiple languages on Merck Manuals websites and apps.
CLICK HERE to learn more.
Registration now open! — AAEM Fall Oral Board Review Course
Join us for the highly recommended Oral Board Review Course! NEW hands-on simulation practice. Be confident on exam day — prepare with the experts for the new format. Learn more and register.
New Podcasts — Critical Care, Operations Management, and Legal & Policy
New episodes of all AAEM podcast series are now available!
Access all three series at: www.aaem.org/publications/podcasts
- Medical Staff v. Avera Marshall: A New Source of Physician Due Process Rights
- Surgical Airway: Preparedness and Making the Decision
- Common ED Operations Myths - What myths are we facing & what are the best practices to follow?
Lend Your Voice — Join AAEM & AAEM/RSA Advocacy Day!
AAEM and AAEM/RSA are heading to Capitol Hill to be a voice for emergency physicians. Join us on Sept. 29, 2015, for a full day of Hill activities. Start off with a “Lobbying 101” session and then meet face-to-face with lawmakers under the expert direction of our lobbying firm, Williams & Jensen. We need your support! Register today!
July/August 2015 Common Sense
Browse the latest issue of our member magazine in a convenient online format!
Read the July/August issue today.
It's time to modernize the HIPAA privacy rule
Here is a thought-provoking statement about the HIPAA privacy and security rules: These rules were required by the 1996 legislation to support the exchange of health information. They were intended to provide limits and protections on the exchange of information, and were not added after the fact as a reaction against free information exchange.
Is hospital employment of physicians peaking or pausing?
Medscape (free login required)
One year's worth of data does not establish a trend. However, a new report from the physician recruitment firm Merritt Hawkins suggests a drop-off in hospitals hiring physicians. Of the 3120 searches for physicians, nurse practitioners, and physician assistants the firm handled between April 2014 and March 2015, 51 percent were on behalf of hospital and hospital-owned medical groups, a big drop from 64 percent for the previous 2 years. It was the first decline since 2003-2004, when hospitals accounted for 11 percent of the company's searches, according to the report.
CMS answers ICD-10 FAQs for healthcare providers
ICD-10 implementation will begin on Oct. 1, 2015, and as such, the Centers for Medicare & Medicaid Services (CMS) and the American Medical Association (AMA) announced that, in order to ease the transition, they will be flexible when filing claims that do not use specific enough codes. On July 27, the organizations released a frequently asked questions list regarding the guidance.
Risk climbs when BP is moving target
Blood pressure variability across physician's office visits among hypertensive patients is strongly linked to an increased risk for stroke, heart and death, according to a secondary analysis of the ALLHAT hypertension treatment study.
Increased visit-to-visit variability (VVV) of systolic blood pressure among patients on various blood pressure medications was also strongly associated with a higher incidence of heart disease, nonfatal myocardial infarction and heart failure, when compared to patients who had little visit-to-visit fluctuation in systolic blood pressure, researchers Paul Muntner, Ph.D., of the University of Alabama at Birmingham, and colleagues wrote in Annals of Internal Medicine, published online July 27.
Strange case in the emergency room
The New York Times
Author Carl D'Angio, M.D. writes: Years ago I was a medical resident in a busy New York City hospital, doing my stint in the emergency room. A woman walked in, bawling loudly that her boyfriend had hit her on the head with an ax.
Everyone stopped to stare. There was no sign that she had been struck with anything, but she was so insistent that, maybe to cross my fingers, I had her X-rayed. The result was a bit perplexing.
“Lady,” I said, “you have the point of a kitchen knife broken off in your skull.”
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Patients with hidradenitis suppurativa utilize ED, inpatient care more than patients with psoriasis
Patients with hidradenitis suppurativa had greater usage of high-cost medical settings, including ED and inpatient care, compared with patients with psoriasis, according to recently published study results. Researchers at Penn State Milton S. Hershey Medical Center examined the MarketScan medical claims database to identify 7,901 patients with hidradenitis suppurativa (HS) and 69,295 patients with psoriasis between 2008 and 2012. The two cohorts were compared because “both are chronic, inflammatory conditions with intermittent flares and associated with higher rates of obesity, tobacco use and depression,” the researchers wrote.
Opioid prescribing practices in EDs are cautious
Health Leaders Media
A study by researchers at Brigham and Women's Hospital in Boston provides new information about how opioid medications are typically prescribed in emergency departments (ED) across the nation. Study authors hope this new information will enable policy-makers to better target interventions to prevent abuse and inappropriate prescribing in the future.
Do cell phones spread infections in hospitals?
Nurses and doctors might show a patient some lab results on an iPad, then touch the device later in the day without washing it first. They might also touch their phone before or after washing their hands between patients.
Hospital visitors can also contribute to the problem.
Chest pain, no CCTA-detected major CAD can allow early discharge
Medscape (free login required)
Low- to intermediate-risk patients who arrived at a hospital emergency department with chest pain and had a coronary CT angiography (CCTA) scan were discharged in about 8 hours if the scan failed to detect significant CAD; otherwise they were discharged after about 3 days, in a single-center study.
The benefits of telemedicine services for emergency care
As technologies continue to evolve and reform the healthcare industry, telehealth policy will play a major part in expanding medical care access to consumers residing in rural locations or unable to travel to healthcare facilities. Telemedicine services have been growing in popularity among the provider base and mHealthIntelligence.com spoke with Dr. Kevin Biese, Associate Professor of Emergency Medicine and Internal Medicine in the Division of Geriatrics at UNC Hospital, to learn more about the growth of telemedicine services.
Docs turning to mobile devices for patient management
Health Data Management via iHealthBeat
Physicians' use of mobile devices to access electronic health records is expected to rise to 70 percent by the end of the year, according to a report released by Black Book Market Research. For the report, Black Book surveyed about 6,000 physicians across several specialties.
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