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3 results

  • An Educational Measure to Significantly Increase Critical Knowledge Regarding Interfacility Patient Transfers

  • Torben K. Becker, James F. Skiba, Cemal B. Sozener
  • Journal:
    Prehospital and Disaster Medicine / Volume 30 / Issue 3 / June 2015
    Published online by Cambridge University Press:
    19 March 2015, pp. 244-248
    Print publication:
    June 2015
  • Background

    Patient transfers among medical facilities are high-risk situations. Despite this, there is very little training of physicians regarding the medical and legal aspects of transport medicine.

    Objectives

    To examine the effects of a one hour, educational intervention on Emergency Medicine (EM) residents’ and Critical Care (CC) fellows’ knowledge regarding the medical and legal aspects of interfacility patient transfers.

    Methods

    Prior to the intervention, physician knowledge regarding 12 key concepts in patient transfer was assessed using a pre-test instrument. A one hour, interactive, educational session followed immediately thereafter. Following the intervention, a post-intervention test was given between two and four weeks after delivery. Participants were also asked to describe any prior transportation-medicine-related education, their opinions as they relate to the relevance of the topic, and their comfort levels with patient transfers before and after the intervention.

    Results

    Only a minority of participants had received any formal training in patient transfers prior to the intervention, despite dealing with patient transfers on a frequent, often daily, basis. Both groups improved in several categories on the post-intervention test. They reported improved comfort levels with the medicolegal aspects of interfacility patient transfers after the intervention and felt well-prepared to manage transfers in their daily practice.

    Conclusion

    A one hour, educational intervention objectively increased EM and CC physician trainees’ understanding of some of the medicolegal aspects of interfacility patient transfers. The study demonstrated a lack of previous training on this important topic and improved levels of comfort with transfers after study participation.

    BeckerTK, SkibaJF, SozenerCB. An Educational Measure to Significantly Increase Critical Knowledge Regarding Interfacility Patient Transfers. Prehosp Disaster Med. 2015;30(3):1-5

  • Chapter 51 - Administration

  • from Section 6. - Administration of psychiatric care
  • Edited by Leslie S. Zun
  • Edited in association with Lara G. Chepenik, Mary Nan S. Mallory
  • Book:
    Behavioral Emergencies for the Emergency Physician
    Published online:
    05 April 2013
    Print publication:
    21 March 2013, pp 382-390

  • Summary

    The Emergency Medical Treatment and Active Labor Act (EMTALA) was enacted in 1986 as a component of the Consolidated Omnibus Budget Reconciliation Act of 1985. The emergency physician must ensure that a psychiatric presentation is not masking or coinciding with another illness, such as an occult head injury, metabolic disturbance, or toxic ingestion. It is commonplace for mental health screeners from the community to participate in the evaluation of patients with psychiatric emergencies and assist in locating inpatient availability when the emergency medical condition (EMC) is not stabilized and inpatient care is required. Failure to comply with EMTALA can lead to substantial consequences for hospitals and physicians. Emergency psychiatry involves a broad healthcare team and members vary in their level of responsibility and education. Understanding the requirements imposed by EMTALA is an essential compliance topic for each team member.

  • 10 - Legislative Authorities and Regulatory Issues

  • from PART II - OPERATIONAL ISSUES
  • Edited by Kristi L. Koenig, University of California, Irvine, Carl H. Schultz, University of California, Irvine
  • Book:
    Koenig and Schultz's Disaster Medicine
    Published online:
    05 August 2011
    Print publication:
    30 September 2009, pp 151-164

  • Summary

    This chapter reviews disaster legal issues primarily from the perspective of a person or institution, who collectively provide medical care to patients in the midst of catastrophic disaster or other public health emergency. It summarizes the key changes in the legal environment under which disaster medicine is practiced. Most medical providers use well-developed procedures to assure that any exchange of patient information complies with law. In the U.S., states regulate the practice of medicine. Thus, providers must be licensed in the state in which they are providing medical care. Medicare in the U.S. also promulgates federal hospital emergency management plan accreditation requirements. The U.S. Emergency Medical Treatment and Labor Act (EMTALA) requires Medicare participating hospitals to provide any individual presenting for care on hospital grounds with medical screening, stabilizing services, and appropriate transfer to a higher level of care if indicated.