Archive for October2010

The Perception of Care Versus Quality of Care

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Emergency services selects for a unique “customer” base. This customer base is comprised of the truly ill and the desperate, those who have no where else to turn for care, as well as those with poor coping skills and a naiveté regarding emergency care realities and, on occasion, those with secondary gain interests. What is being measured is the perception of quality in care and not quality of care. The survey industry has duped the hospital administrators who are trying to promote their “businesses”. Kind, considerate, thoughtful care, with a focus on the patient is absolutely paramount. Inappropriate prescribing of antibiotics and addictive narcotics, exposure to potentially harmful unnecessary studies, especially in developing children, as well as further straining an already economically burdened health care system are just some of the products of blinding following these surveys. The survey industry has duped hospital administration into believing that the same system used to evaluate customer service at my auto dealership translates to all niches of hospital care. Obviously, it doesn’t. Blind focusing on these surveys without true reflection on their source and meaning will lead to many patients becoming victims.

Emergency Department Overcrowding

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I found the following on a general search for a project I’m working on. Interesting points. The google search simply led to a download with no listed author. If you know who wrote this, please let me know!

Emergency Department Overcrowding: Right diagnosis, wrong etiology, no treatment

There’s been a lot of hoopla about the phenomenon of emergency department overcrowding in recent years. This has been an issue worthy of Time magazine, CNN, and Nightline. Do we know the solutions? Are we on message? Or have we done ourselves harm?

Advancement of EMS Oversight For BLS Arena

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Beginning January, 2011, a Medical Director is required for all ambulance services in the Commonwealth of Pennsylvania. Additionally, the ability to contact Medical Command is required of all ambulance services as well. This seems as if we are heading in the right direction regarding oversight. Up until now, AEDs were optional for BLS ambulance services. The mandate that they are onboard has prompted the need for having a Medical Director. Hopefully, this will generate some quality control. Hopefully, this will not be a localized step forward in one individual state.

EMS After 911: The State of Prehospital Care

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It seems as if the overall system for Emergency Medical Care is in need of reinvention. A centrally controlled scene command, an assurance of minimal skill and proficiency for EMTs and first responders, and an ability of hospitals to have a built in cushion to absorb patients, are all core components of an effective disaster preparedness system. This reinvention must be realized on a state or regional level. Failure to address these issues could prove disastrous in the future if such circumstances ever reoccurred

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Jordan Barnett

Jordan Barnett, MD, is an Emergency Medicine Physician in the Philadelphia Suburban Region.  He has previously worked as a volunteer firefighter, was a member of New York City EMS, and provides Medical Command for several ALS Ambulance Services. Dr Barnett provides EMS consultation services. Additionally, he is actively involved with EMS education.
Comments
Abby
Hiding In The Nursing Lounge
Agreed. Very well said.
2013-08-19 00:46:31
Abby
Hiding In The Nursing Lounge
I'm several years too late, but I found these posts interesting. One, the students were clearly in the wrong. Their behavior can't be justified. In any profession you're bound to have good days and bad. People are going to say rude things that are going to make you angry. However, you still must do the…
2013-08-19 00:34:56
Olive
Time for Intelligence in Implementing EMS
I am extremely impressed with your writing skills and also with the layout on your weblog. Is this a paid theme or did you customize it yourself? Either way keep up the nice quality writing, it's rare to see a great blog like this one these days.
2013-04-15 20:21:25
dan chambers
EMS System in NJ
Hey, really appreciate the post.  Its good to give real life accounts of what it is like to be an EMT and work for the EMS, good and bad.   I really think that would-be students would really love reading this post and others you have written.  Anyway, I have an info blog myself that…
2013-02-18 20:54:03
bank mandiri terbaik di indonesia
Time for Intelligence in Implementing EMS
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2013-01-23 23:44:45
October 2010
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