Patient Dumping in the Hospital Emergency Department: Renewed Interest in an Old Problem

1988 ◽  
Vol 13 (4) ◽  
pp. 561-595
Author(s):  
Lisa M. Enfield ◽  
David P. Sklar
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Adverse Effects ◽  
Emergency Care ◽  
Common Law ◽  
Federal Legislation ◽  
Hospital Emergency Department ◽  
Hospital Emergency ◽  
Limited Effectiveness ◽  
History Of

AbstractAlarm about the adverse effects of transferring emergency patients for economic reasons has resulted in federal legislation aimed at curbing the practice. We review the history of common law hospital liability for denial of emergency care and analyze the federal legislation designed to restrict the transfer of medically indigent patients with emergency problems. We conclude that the currently proposed solutions to patient dumping will have limited effectiveness without more specific incentives for the provision of health care to the medically indigent.

Pseudodiagnosis of Pseudoseizure

2020 ◽  
pp. 105-110
Author(s):  
Pat Croskerry
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Hospital Emergency Department ◽  
Hospital Emergency ◽  
The Past ◽  
Autopsy Report ◽  
History Of ◽  
History Of Depression ◽  
Tomography Scan ◽  
Surprising Finding

In this case, a 35-year-old male is brought to a community hospital emergency department by ambulance having suffered an apparent seizure in the street. He is well known to the nurses and physician who see him. He has had several visits for seizures, and he has a history of depression. He has had electroencephalography studies and a computed tomography scan of his head in the past and has had assessments by both neurology and psychiatry. While he is in the department, he has an atypical seizure. There is a consensus among the ED staff that his seizures may be factitious. After a period of observation, he is discharged. Approximately 6 months later, the physician hears that the patient has died and tracks down his autopsy report, which had a surprising finding.

scholarly journals Effectiveness of Hospital Emergency Department Regionalization and Categorization Policy on Appropriate Patient Emergency Care Use - A nationwide long-term observational study in Taiwan

2020 ◽  
Author(s):  
Chih-Yuan Lin ◽  
Yue-Chune Lee
Keyword(s):  
Emergency Department ◽  
Observational Study ◽  
Emergency Care ◽  
Research Database ◽  
Policy Intervention ◽  
Hospital Emergency Department ◽  
Care Policy ◽  
Hospital Emergency ◽  
Visit Rate ◽  
Ed Visits

Abstract Background: The goal of this study was to examine the effect of hospital emergency department (ED) regionalization policy and the categorization of hospital emergency care policy (categorization policy) on patient appropriate ED use.Methods: We conducted an observational study of the effect of emergency care policy intervention on patients' visits. Seven years of data from the Taiwan National Health Insurance Research Database (NHIRD) were examined. Taiwan implemented a nationwide three-tiered hospital ED regionalization and categorization policies in 2007 and 2009, respectively. There were 1,835,860 ED visits found among one million random samples from the NHIRD between 2005 and 2011. ED visits were categorized by the modified New York University ED algorithm. A time series analysis was performed to examine the change in the rate of appropriate ED use after the policy took effect.Results: Total ED visits increased by 10.7% from 2005 to 2011. Average appropriate ED visit rate was 66.9% during the policy intervention. The trend in the appropriate ED visit rate showed no significant policy effect.Conclusions: Provider side of regionalization and categorization policies did increase emergency care accessibility. However, regionalization and categorization policies no significant effect on patient appropriate ED use.

scholarly journals Ambulatory health care use by patients in a public hospital emergency department

1998 ◽  
Vol 13 (9) ◽  
pp. 614-620 ◽  
Author(s):  
Kimberly J. Rask ◽  
Mark V. Williams ◽  
Sally E. McNagny ◽  
Ruth M. Parker ◽  
David W. Baker
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Public Hospital ◽  
Health Care Use ◽  
Hospital Emergency Department ◽  
Hospital Emergency ◽  
Ambulatory Health Care

Frequent use of the hospital emergency department is indicative of high use of other health care services

2001 ◽  
Vol 37 (6) ◽  
pp. 561-567 ◽  
Author(s):  
Helen Hansagi ◽  
Mariann Olsson ◽  
Stefan Sjöberg ◽  
Ylva Tomson ◽  
Sara Göransson
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Health Care Services ◽  
Hospital Emergency Department ◽  
Hospital Emergency ◽  
Care Services ◽  
Frequent Use

scholarly journals Suicide by Fentanyl

2007 ◽  
Vol 58 (3) ◽  
pp. 317-321 ◽  
Author(s):  
Davorka Sutlović ◽  
Marija Definis-Gojanović
Keyword(s):  
Emergency Department ◽  
Alcohol Abuse ◽  
Cause Of Death ◽  
The Body ◽  
Hospital Emergency Department ◽  
Clear Liquid ◽  
Hospital Emergency ◽  
Manner Of Death ◽  
History Of ◽  
Drug And Alcohol

Suicide by FentanylFentanyl is a potent, short-acting narcotic analgesic widely used as surgical anaesthetic. This article presents a case in which fentanyl was self-injected by a 41-year old nurse, an employee at the hospital emergency department, who was found dead at home. She had no known history of drug and alcohol abuse. Two syringes, one empty and one filled with a clear liquid, were found near the body, while a needle was stuck into her hand.Toxicological analysis showed fentanyl poisoning. Fentanyl overdose was declared the cause of death and the manner of death was classified as suicide.To our knowledge, death due to the intravenous injection of fentanyl has not previously been reported in Croatia.

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