PetrackConsulting.com

Nov/Dec 2006
Volume 4, Issue 7



Consultant's Corner
Feature Article
Quote of the Month
New Articles / Abstracts
In the News
Upcoming Meetings


Upcoming Conference:

Dr. Petrack will be speaking at the Emergency Nurses Association Leadership Challenge, to be held February 22-25, 2007 in Boston, MA (see the Upcoming Meetings section for details). His topic will be "Through the Eyes of Children and Families: How to Enhance Your Department's Emergency Care."


For free articles, abstracts, Emergency Care Briefs, and more, visit our Resource Center at PetrackConsulting.com...

Click here...



CalmerKids: the first ever CE training module that changes how your facility serves children and their families...

Show me...


Consultant's Corner
Emory Petrack, MD, FAAP, FACEP

I'd like to welcome the 200-plus new readers who joined our Spotlight on Emergency Care subscriber list during the recent Emergency Nurses' Association conference. It was a pleasure to speak with so many of you, and to share stories and insights related to improving emergency services.

I find it very helpful to hear firsthand about innovative ideas and programs-as well as the various frustrations-you deal with in your departments and institutions. While the major focus of our consulting and training work is to enhance emergency services, I also find it important to be aware of and grateful for aspects of emergency services that work well, especially at this time of year. I wish you a very happy Thanksgiving!


Feature Article

Take Care of Simple Problems

It was raining cats and dogs; thunder was booming. I was taking my son to an appointment with a new doctor, whose office was on a very busy main thoroughfare. There were several buildings clustered together and, although I knew I was in the right area, I was unsure of which building was hers.

The outside of what I thought was the right building had no number on it. In the lobby, I found a plaque with office names and numbers, but doctors did not seem to be among them. Upon closer inspection, I saw the name of an obscure group that I thought might be it. And it turned out I thought right.

As the receptionist handed me the new patient forms, I casually mentioned to her about the lack of signage, both outside the building and in the lobby. She smiled and rolled her eyes a bit, clearly aware of the issue, and told me that others have complained as well. And yet it was equally clear to me that she had no intention of following up.

Two issues here. First, good signage really is important. Why upset new patients when just a little forethought and minimal expenditure can significantly improve that all-important first impression? Second, get the right people on the bus. There simply is no excuse for not fixing an obvious problem like this, especially after many complaints (or perhaps even after only one or two complaints).

Enough said.


In the News

About 700,000 People Each Year Seek Care In Emergency Departments For Adverse Supplement And Drug Reactions, Study Says, Medical News Today, October 2006.

Nursing Schools Reject Increased Number Of Applicants Over Lack Of Faculty Members, Medical News Today, October 2006.

Statement On Pediatric Telephone Care By The American Academy Of Pediatrics, Medical News Today, October 2006.

Top Drivers of Hospital-Patient Satisfaction Unveiled, Yahoo News, October 2006.

Nurses Struggling to Balance Work, Family, Medcinenet.com, September 2006.


Quote of the Month

"There is nothing so useless as doing efficiently that which should not be done at all."
- Peter Drucker


New Articles/Abstracts

Brief summary of recent new articles and abstracts from http://www.PetrackConsulting.com/articles.html

Staffing, Capacity, and Ambulance Diversion in Emergency Departments: United States, 2003-04.

This is a summary from the Centers for Disease Control and Prevention, with some excellent statistics and information.


Child Life Council, Committee on Hospital Care, American Academy of Pediatrics
Child Life Services
Pediatrics. 2006 Oct;118:1757-1763.

This policy statement from the American Academy of Pediatrics is an excellent overview of the value child life specialists bring to enhancing family-centered care in healthcare settings. It discusses their function in emergency departments, and comments on some of the challenges related to justifying the cost of child life services. They offer specific recommendations, beginning with a statement that child life services should be considered an essential component of quality pediatric health care and noting that these services are integral to family-centered care and best-practice models for pediatric services.


Nieman CT, Manacci CF, Super DM et al.
Use of the Broselow tape may result in the underresuscitation of children.
Acad Emerg Med. 2006 Oct;13:1011-9.

This descriptive study looked at more than 7,500 children, examining the correlation between predicted weights with the Broselow tape and actual recorded weight. While errors were noted with both under- and over- dosing, under-dosing was significantly more common, likely reflecting the increasing problem of childhood obesity. The Broselow tape system inaccurately predicted actual weight in one-third of children. The authors suggest caution when using this system to determine weight and dosing during pediatric resuscitation.


Upcoming Meetings

Feb 22-25, 2007, Emergency Nurses Association, Leadership Challenge, Boston, MA
Conference Information

May 9-12, 2007, Urgent Care Association of America, National Conference, Daytona Beach, FL

May 16-19, 2007, Society for Academic Emergency Medicine, Annual Meeting, Chicago, IL
Conference Information

Sept 26-29, 2007, Emergency Nurses Association, Annual Meeting, Salt Lake City, UT
Conference Information


About Our Organization

Created in 2003, Petrack Consulting is dedicated to helping physician and hospital leadership bring excellence to emergency services. We work collaboratively to fully understand our client's needs, and then address programmatic initiatives with measurable outcomes. Our unique background in emergency medicine, administrative medicine, and organization development allows us to create uniquely effective solutions for enhancing emergency services.

Website: http://www.PetrackConsulting.com
Email: epetrack@PetrackConsulting.com


To subscribe to this newsletter, click here.

© 2006 Petrack Consulting, Inc. All rights reserved. Permission granted to excerpt or reprint with attribution.