Pdf unscheduled returns to the emergency department. Medical and legal and risk management and the emergency department. The object was unable to be removed with a 6french foley catheter, despite premedication with topical phenylephrine given to reduce nasal mucosal edema. A total of 310 adult patients returned to our adult ed for a total of 369 visits within 30 days of a urologic procedure for an overall bounceback rate of 4. Shortterm outcomes including return emergency department ed visits after discharge from the ed are used as internal quality metrics, as shortterm revisits might represent medical errors or failures in care. Feb 26, 2020 pdf medical legal aspects of medical records second edition volume i foundations of medical read online. Bouncebacks staying within their scope of practiceprivileges. Klauer served as editorinchief for emergency physicians monthly publication for five years and is the coauthor of two risk management books. In march 2014 he received an award for outstanding contributions to the field of. Written by the physicians who actually cared for these patients, this volume is an important tool to.
Ed returns by longstreth et al at over 30 bookstores. Weinstock, md and ryan longstreth, md, facep casebased for most effective learning and retention. Pediatrics and is currently working on bouncebacks. Foreword geriatric emergency medicine consulting editor anybody who has worked in emergency medicine for more than a few years has undoubtedly noticed a changing patient population. Anns emergency department case by case commentary gregory l. The result is a oneofakind look at relevant clinical cases seen in the urgent care or emergency department and in which a misdiagnosis led to delay in appropriate. Bouncebacks emergency department cases ed returns free books. Recognize patients with high risk for bounceback or death. Emergency department management of the airway in obese adults. Casebased for most effective learning and retention, bouncebacks helps emergency physicians sharpen their analytical skills to improve patient safety. Midlevel providers often have overlapping shifts with physicians resulting in signouts. Emergency department ed bouncebacks are a serious concern in patient safety.
The typical emergency medicine em physician working 1,728 hours per year for 30 years seeing 2. Testimonials bouncebacks medical and legal embouncebacks. Lecture this lecture is a part of weekly conference jul 3, 2019. A bounceback is when a discharged patient returns to the ed for care within a short period of time. The elderly represent the fastest growing segment of the u. This is an interesting problem in the emergency department. Pdf the causes of unscheduled returns to the emergency department ed within. The lessons presented are a good reminder for any practicing physician. University of maryland shore emergency center at grasonville university of maryland shore medical center at chestertown harford county our physicians university of maryland harford memorial hospital university of maryland upper chesapeake medical center prince georges county our physicians. Testimonials bouncebacks medical and legal bouncebacks is a medicalegal thrill ride. The illustrative cases educate emergency physicians in documentation, risk management, and evaluation and management. Executive leadership for protecting patients and hospitals. Adult patients were significantly more likely to return to the ed after urologic surgery than pediatric patients p cases course 2016 handbook instructions for getting the most out of the em cases.
The newest book in the series, coming march 2015, bouncebacks. Reliable information about the coronavirus covid19 is available from the world health organization current situation, international travel. But it is logical to consider the possibility that if the initial visit resulted in a return, the patient may want their repeat evaluation to be done by a different center, says michael b. Comparison of 30day emergency department bouncebacks.
The two most important things that you can do to maximize your learning of the course material are. The books primary goal is to improve patient safety. Books, websites, and apps in emergency medicine by drs. The text opens and closes with a brief discussion of how a lawsuit works. Series of books cases will help develop insight to avoid costly diagnosis errors and improve your patients safety. Ed returns is a collection of cautionary tales and pearls of wisdom about the return patient who plagues both the seasoned physician and resident alike. The authors have created a tremendously educational integration of medical facts and legal orientation intertwined with medical expert and deposition testimony including viewpoints of the actual plaintiff and defense attorneys involved in the litigation. Aliem intraining exam prep book free downloadable pdf book with questions. Henry, md, facep ceo, medical practice risk assessment, inc.
You can download and read online pdf file book bouncebacks emergency. Patients were excluded if they had a urologic surgery performed at a different institution or if they returned to the emergency department after the 30day window. Patients were classified as pediatric if they had their surgery performed at our pediatric hospital by a pediatric urologist. However, formatting rules can vary widely between applications and fields of interest or study.
Comparison of 30day emergency department bouncebacks after. The em cases course 2016 handbook instructions for getting the most out of the em cases. If your institution subscribes to this resource, and you dont have a myaccess profile, please contact your librarys reference desk for information on how to gain access to this resource from offcampus. University of maryland school of medicine, department of.
Nms emergency medicine, second edition national medical series for independent study edited by s. In march 2014 he received an award for outstanding contributions to the field of emergency medicine from the university of maryland emergency medicine residency program. Self referral of interesting cases educational opportunities verification of skills. Reviewing the precourse material in the handbook 2. Pediatrics encompasses 28 cases of children who were seen in the emergency department, discharged, and then bounced back with a different diagnosis, sometimes reversible, sometimes lifeending.
Download emergency response and emergency management law. Medical and legal should be mandatory reading for all. A followup appointment was obtained for the patient tomorrow. Although the descriptions given are simplistic, they provide an overview of the process, the players, and the general time frame involved in medical malpractice litigation. Emergency medicine from the university of maryland. Emergency medicine and hospital care in the home and. A multilevel analysis of patients returning to the same or different hospital within 72hours of initial emergency department presentation. Medical and legal emcrit blog emergency department. The atlas of emergency medicine, third edition by kevin knoop. Numerous and frequentlyupdated resource results are available from this search. Ed returns, discussion with the aliem chief residents incubator. Emergency guidelines, policies, procedures and protocols 12. The illustrative cases educate emergency physicians in documentation, risk management, and evaluation and management of common ed complaints and diagnoses. Medical and legal takes the reader along an enlightening educational journey beginning with deceptively well patient visits, followed by the feared patient bouncebacks with their unexpected bad outcomes, and ultimately revealing the courtroom proceedings that arose from the encounters bouncebacks.
Beware exposure if bouncebacks dont return to same ed. This is a list of books relevant to emergency medicine. If your institution subscribes to this resource, and you dont have a myaccess profile, please contact your librarys reference desk for information on how to. Pediatrics includes 28 cases of children who were sent home from the emergency department, only to bounceback with a lifethreatening or lifeending illness. Emergency medicine cases em cases is a free online medical education podcast, medical blog and website dedicated to providing online emergency medicine education and cme for physicians, residents, students nurses and paramedics. Ed returns is an emergency department case study book by michael b. Bouncebacks archives journal of urgent care medicine. Bouncebacks the irresistible emergency medicine audio. Medical and legal is an insightful and pragmatic analysis of emergency department malpractice litigation. Epub bouncebacks emergency department cases ed returns free books. Casebased for most effective learning and retention, bouncebacks. Anns emergency department, westerville, ohio assistant ed director, st. Although these patients were not entirely mismanaged, often important red flags were missed or.
The authors provide the reader with interpretive perspectives from all sides of patient carethe holistic view ultimately evaluated by a jury. Oclcs webjunction has pulled together information and resources to assist library staff as they consider how to handle coronavirus. Annals of emergency medicine vol 49, issue 5, pages a1a82. Between the drama of critically ill and injured patients comes tough, amazing and sometimes hard to believe cases that remind us that there is never anything boring in the emergency department. The journal of urgent caremedicine april 2007 volume 1, number 6 features 9 the dizzy patient in the urgent care setting 21 an approach to care of injured workers 24 new feature. These are more challenging as you dont know the patient as well.
National emergency department ed bounceback rates within 30 days of previous ed discharge have been found to be as high as 26%. Pdf bibliography of the international court of justice 1993. We hypothesize that having a primary care physician pcp would prevent bouncebacks to the ed because a patient would have a medical resource for followup and continued care. View bounceback patients as a gift theyre giving you a chance to make a diagnosis. Regarding cases in which a visit to the emergency department is necessary or unavoidable, the. A 3threeyearold female was taken to the emergency department by her mother after inserting an object initially thought to be the back of an earring into her right nostril.
Emergency physician and victim share experiences from las. Pdf emergency department case management second edition. A 55yearold woman with abdominal pain departments 31 abstracts in urgent care 35 insights in. This book of brief case studies illustrates the interesting, awesome daily life in emergency medicine. Weinstock, md and ryan longstreth, md, with case by case commentary by greg henry. If you are not intrigued and terrified by bouncebacks before reading the book, some startling numbers at the beginning will definitely grab your attention. Emergency department ed bouncebacks are a serious concern in patient. How to spot the wellappearing patient who will soon be dead c. Hey, remember that patient who you saw 2 days ago with. This book is a must read for any clinical emergency physician. History of present illness day 3 the patients familys perception is that the clinic refused him an appointment, and instead, told them to go to the emergency room. The em cases course 2016 handbook instructions for getting the most out of the em cases course handbook the em cases course has been designed around effective adult learning theories. Patients over the age of 65 represent 50% of emergency department visits, 1.
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