Using comprehensive sample administrative and clinical protocols, this fully updated and practical second edition guide to observation medicine (OM) provides a detailed account of how to establish and run an observation unit (OU) and reviews medical/surgical/obstetrical-gynecologic/psychiatric/social conditions in which OM may be applicable. The book covers clinical topics including improving patient outcomes, avoiding readmissions, and using OM in a pandemic or disaster. Practical topics on design, staffing, and daily operations; fiscal and business aspects, such as coding, billing, and reimbursement; regulatory concerns such as aligning case management and utilization review with observation; nursing considerations are all present. The new edition features many new chapters and topics ranging from the geriatric OU, psychiatric observation, telemedicine in OM, to the cancer patient in the OU. Applicable to an international audience, it offers instructions for implementing observation in any setting or locale and in any type of hospital or other appropriate facility.
A comprehensive new edition covering successful practices in observation medicine, with new chapters explaining how to deliver the latest cutting-edge medical care in a cost-effective manner that is patient/family centered and benefits the provider, hospitals and healthcare systems. For all healthcare professionals working in an acute setting.
Muu info
The complete guide to observation medicine, covering observation unit set-up and operation, fully updated for healthcare professionals.
Foreword Nicholas Jouriles; Preface; Prologue; Section I.
Administration:
1. Key concepts of observation medicine: How to start (and
maintain) an observation unit What you need to know: Clinical issues Sharon
E. Mace;
2. Key concepts of observation medicine: How to start (and maintain)
an observation unit: What you need to know: Administrative issues Sharon E.
Mace and Michael A. Granovsky;
3. Development of observation medicine over
time Louis G. Graff;
4. Principles of observation medicine Louis G. Graff;
5.
Design: Features common to successful observation units David J. Robinson;
6.
Staffing considerations David A. Meguerdichian and Christopher W. Baugh;
7.
Nursing Sharon E. Mace;
8. Risk management Howard Blumstein and Bret A.
Nicks;
9. Metrics and performance improvement: Patient quality, safety, and
experience Sharon E. Mace and Elaine Thallner; Section II. Clinical Setting
and Education:
10. The community hospital perspective in a suburban/rural
setting Ryan Prudoff and Stephen F. Sayles III;
11. Observation medicine and
the urban community hospital Robert S. Bennett;
12. The tertiary care
hospital and academic setting Anwar Osborne;
13. Rural observation medicine
J. Lane Schnell;
14. Observation medicine and the critical access hospital
Jeffrey E. Goode and Justin Rodgers;
15. Observation medicine and the
hospitalist David G. Paje;16. Observation medicine and advanced practice
providers Stephanie M. Figueroa and Dean T. Harrison;
17. Observation
medicine training and education Residents Pawan Suri;
18. Observation
medicine training and education medical students/fellows Bradley D.Lepore
and Margarita E. Pena; Section III. New Developments:
19. Simple, complex,
and extended observation Pawan Suri;
20. Complex and extended observation
Ramupriya Vaithi and Bret A. Nicks;
21. Hospital readmissions Sharon E. Mace
and Elaine Thallner;
22. Level of care determination: Medical necessity risk
stratification Louis G. Graff;
23. Acute medicine in the United Kingdom
Louella Vaughan;
24. Point-of-Care ultrasound in the observation unit
Courtney M. Smalley and Matthew Kostura;
25. Telehealth use in observation
medicine George B. Hughes; Section IV. Clinical: Subsection 4A clinical
Cardiac;
26. Chest pain Stephen Boone and W. Frank Peacock;
27. Acute heart
failure Edgar Ordonez and W. Frank Peacock;
28. Atrial fibrillation Catherine
T. Puetz;
29. Syncope T. Andrew Windsor, Zachary Rogers, and Amal Mattu;
30.
Cardiac stress testing; Akilesh Honasoge, Kami M. Hu, and Amal Mattu
Subsection 4B clinical Respiratory;
31. Asthma Eric Anderson;
32. Acute
exacerbation of chronic obstructive pulmonary disease and bronchitis Eric
Anderson;
33. Community acquired pneumonia Eric Anderson;
34. Primary
spontaneous pneumothorax Chai Chew Yian Subsection 4C clinical Vascular;
35. Venous thromboembolism Carol L. Clark and Hamzeh W. Omar;
36. Acute
pulmonary embolism David G. Paje;
37. Anticoagulants David G. Paje;
Subsection 4D clinical neurologic;
38. Transient ischemic attack Jill A.
Mohr and Jonathan Glauser;
39. Headaches Sharon E. Mace and Lucy Franjic;
40.
Seizures Sharon E. Mace and Lucy Franjic;
41. Dizziness and vertigo Saurin
Bhatt;
42. Central nervous system Shunts David A. Meguerdichian Subsection 4E
clinical Metabolic, endocrine;
43. Hyperglycemia Pawan Suri and Taruna K.
Aurora;
44. Hypoglycemia Pawan Suri and Taruna K. Aurora;
45. Electrolyte
abnormalities Grace Lambert and Jonathan Glauser Subsection 4F Clinical
Hematologic;
46. Sickle cell disease Matthew Lyon, Ann Marie Kuchinski, and
Robert W. Gibson;
47. Blood product transfusions Ryan Yavorsky and Jonathan
Glauser Subsection 4G clinical Oncologic;
48. Oncology Adam Klotzb
Subsection 4H clinical Infections;
49. Skin and soft tissue infections
Robert S. Bennett Subsection 4I clinical Gastrointestinal;
50. Abdominal
pain Louis G. Graff;
51. Upper gast
Sharon Mace is Professor of Medicine at the Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, Ohio; Director Emeritus of the Observation Unit, Director of Research, Director of Community Paramedicine, and previously Director of Pediatric Education and Quality Improvement at the Emergency Services Institute, Cleveland Clinic, Cleveland, Ohio.
