Editor's Note A quality improvement protocol at the University of Colorado Anschutz Medical campus resulted in a 48.8% decrease in the number of pediatric urology patients returning to the emergency department (ED) unnecessarily within 30 days of surgery. According to a December 2 university report, the initiative has significantly reduced…

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Editor's Note A recent study conducted at a tertiary care hospital in India showed concurrent COVID-19 infection on patients undergoing emergency surgery resulted in notably longer hospital stays and higher rates of postoperative complications. Published September 8 in Cureus, the retrospective cohort study analyzed data from 48 COVID-19-positive patients and…

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Rural hospitals in the US have been facing a prolonged, multifaceted crisis. The literature presents several reasons for why healthcare facilities in rural areas struggle, including shrinking budgets, rising chronic illness and public health issues like addiction and obesity, poor telehealth and broadband access, aging populations, deteriorating mental health, and…

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Editor's Note The median hospital margin of 3.8% for April is an improvement over the previous month and year-over-year, according to the latest National Hospital Flash Report from Kaufman Hall. Compiled by Kaufman and Syntellis Performance Solutions (now part of Strata), the monthly report analyzes 3 years’ worth of both…

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Editor's Note Solid operating margins and an improved payer mix contributed to robust financial outcomes for HCA Healthcare in the first quarter of 2024, including “significant growth” in inpatient admissions, surgeries and emergency room visits, according to an April 29 article on Investing.com. According to the report, outpatient surgery revenue…

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Editor's Note: Head-butting, kicking, slapping, and verbal assault are among the forms of abuse reported in a recent “pulse check” of Emergency Nurses Association (ENA) members in which more than half of respondents reported being abused within the preceding 30 days. Published April 4—the beginning of Workplace Violence Prevention Awareness…

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Editor's Note Emergency departments (EDs) that see more young patients tend to deliver more timely diagnoses than those that see fewer young patients, where diagnosis is more likely to be delayed. The findings appeared February 12 study in JAMA pediatrics. The cohort study examined data from January 2015 to December…

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Editor's Note More CEOs are considering rural emergency hospital (REH) designation, according to a February 12 article in Becker’s Hospital CFO Report. In January 2023, REH was established as a new Medicare provider type to enable struggling rural hospitals to continue operating with outpatient and emergency services only, instead of…

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Editor's Note A study showing greater likelihood for transgender (TGD) Medicare patients to use the emergency department highlights the need to train staff in transgender-inclusive care, the authors argue. Conducted by the Brown University School of Public Health, the study was published February 13 in JAMA Internal Medicine. As reported…

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Editor's Note: Recent data show a direct correlation between nurse practitioner (NP) burnout and patients– particularly older adults with chronic diseases – utilizing the hospital and emergency department. Sage Journals published the findings on December 25. In 2018 and 2019, researchers collected survey data related to burnout from 1,244 primary…

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