The Last 5 Blogs

A patient comes into your hospital’s Emergency Department (ED). He is acutely psychotic and hears voices telling him that people want to hurt him. Staff approach the patient and he strikes out at them. The ED physician orders Zyprexa 10mg IM STAT. The patient receives…

In 2019 CIHQ will celebrate its 20th anniversary! Twenty years ago, CIHQ was nothing more than a pipe dream – literally a flight of fancy as I sat taking the train home from another day slogging through the nonsense of corporate bureaucracy. I still remember sitting...

A 23 year old male presents to your Emergency Department under the influence of a synthetic substance known on the streets as “K2”. He is paranoid, agitated, and striking out at staff. The patient is emergently placed in restraint and an order for the restraint...

Surveyors cite what they see! That simple truth explains why deficiencies in the care environment are among the most frequently identified by CMS and accrediting organizations. So what do surveyors look for when assessing the care environment? Here are the top…

It’s the second day of your accreditation survey. The surveyor is reviewing the medical record of an 85 year old female admitted two days prior for heart failure. During the course of the review, it’s discovered that the admission history and physical (H&P) is…