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A Call to All Who Run Towards Mayhem

You chose this career.

Why?

Why did you go into public safety? Why did you go into healthcare? Why did you choose your specialty?

There are a number of possible reasons: Money. Prestige. Honor. Love. Fear. Anger. Hope. Adrenaline. Desire. Pressure. People.

Many of us in public safety and healthcare are just wired differently — especially those of us who deal with time sensitive emergencies. Imagine a group of people witnessing an emergency - a house fire, a car crash, a mass casualty event, a cardiac arrest, a sudden collapse, a STEMI, a stroke. If you were to watch their responses, you would see three types of people:

  1. Those who run towards the mayhem.
  2. Those who run away.
  3. Those who stand still and watch.
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Patient-Centric Healthcare is a Failed Philosophy.

Is your job in healthcare to focus on and serve only the patient or is it also to serve others on the TEAM who are caring for the patient?

Patient centric healthcare as we currently practice it is a failed philosophy. We focus on serving the patient for a finite moment in time even though the patient's journey extends well beyond our specific tasks.

In this mindset, we have a system where we — yes, you and I — cause 400,000 deaths per year and 10,000 serious medical complications every day, costing the U.S. an estimated one trillion dollars a year. Additionally, 80% of these errors occur secondary to miscommunication during transitions of care.

Patient centric healthcare is not enough.  We need to realize that just serving the patient is not enough — we ALSO need to serve the fellow clinicians who are serving the patient. We need patient- and people-centric healthcare.

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PeaceHealth Southwest Medical Center Sets New Precedent for Emergency Care Using Mobile Technology [Press Release]

FOR IMMEDIATE RELEASE

PeaceHealth Southwest Medical Center is the first hospital on the west coast to use the healthcare communication platform, Pulsara, and the first in the nation to use the company's Prehospital Alerting Package.

BOZEMAN, MT -- SEPTEMBER 12, 2017 -- Stroke is a leading cause of disability and death in the U.S., with close to 800,000 cases each year. The outcome can be devastating, and every delay in care impacts a stroke survivor’s chance at a full recovery. To minimize those delays and make emergency communication more efficient, PeaceHealth Southwest Medical Center in Vancouver, Washington, has partnered with several local EMS services to begin using the healthcare communication platform, Pulsara.

PeaceHealth Southwest is the first hospital on the west coast to use Pulsara for STEMI and stroke communications both with EMS and within the hospital, and the first in the nation to use the company's Prehospital Alerting Package for all EMS-transferred patients.

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The Future of Healthcare Is Mobile

Healthcare systems must continue to adopt mobile-friendly platforms to meet users' expectations and offer high-quality care.

Many industries have overhauled their businesses to meet consumers’ expectations of using their mobile devices to do everything from checking in for a flight to ordering takeout food. The healthcare industry has been slower to adopt mobile-friendly platforms, but it is increasingly doing so to meet patients’ and health professionals’ needs. But simply taking current methods of communication and putting them on smartphones is not sufficient — platforms must capitalize on the many advantages mobile technology offers in order to truly transform and improve healthcare.

**This post is an excerpt from our eBook, "It's About Time: Addressing the Communication Crisis in Emergency Medicine." Download the full eBook here!**

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Pulsara Releases Version 6.2, Debuting 'Flexible Teams' Feature [Press Release]

FOR IMMEDIATE RELEASE

Bozeman, MT – August 16, 2017  Pulsara announced today the release of software version 6.2. The highlight of the release is the Flexible Teams feature, which allows hospital admins to create, assign and alert unlimited CUSTOM teams. In addition, users can now go on call for custom teams, with the option of being assigned for MULTIPLE hospitals at the same time. "This feature is a big step in our efforts to make Pulsara work for YOU and your unique system," said Erich Hannan, Chief Development Officer.

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Provider Teamwork Can Lead to Better Patient Outcomes

Physician collaboration is associated with fewer patient deaths, readmissions, and emergency room visits.

A study of patients who underwent coronary artery bypass grafting (CABG) found that when physicians collaborated more, patients had a 24 percent lower rate of emergency room visits and hospital readmissions, and a 28 percent lower rate of death.[10]

**This post is an excerpt from our eBook, "It's About Time: Addressing the Communication Crisis in Emergency Medicine." Download the full eBook here!**

Physician groups that worked more closely together in caring for patients who underwent coronary artery bypass grafting (CABG) procedures were able to produce better patient outcomes, according to recent research.[11] The study examined claims data for 251,630 patients who underwent CABG between 2008 and 2011; the patients received care from 466,243 physicians across more than a thousand health systems. At 60 days post-procedure, patients treated by physician teams with higher levels of cooperation had:

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Hospitals Deliver Better Care by Streamlining Communication

Communication and operational changes at hospitals, and within EMS systems, play key role in recent drop in the death rate from heart attacks. 

Although heart disease is still the number one killer of American adults, in recent years the nation has witnessed a dramatic decrease in the death rate from heart attacks. From 2003 to 2013, the rate at which people in the U.S. died from heart disease dropped 38%.[7]

**This post is an excerpt from our eBook, "It's About Time: Addressing the Communication Crisis in Emergency Medicine." Download the full eBook here!**

This striking improvement can be attributed to a number of factors, including more effective treatments for heart disease and risk factors like high cholesterol and high blood pressure. In addition, fewer people are smoking these days. And notably, some hospitals have made sweeping changes in how they treat people having heart attacks. Many of those changes have not involved new drug therapies or procedures, but simply operational shifts that address patient flow and provider communication.

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When Things Go Wrong: Medical Error a Leading Cause of Death

Listen to this post on the go with Pulsara's new Podcast!

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Research suggests that medical errors play an even bigger role in preventable deaths in U.S. hospitals than previously estimated, and 80 percent of all serious medical errors involve miscommunication. That amounts to 250,000 - 400,000 deaths every year in the U.S. Tools that help medical professionals communicate more quickly, accurately, and collaboratively are critical to saving lives. 

More than fifteen years ago, the Institute of Medicine released a groundbreaking report on the incidence of medical errors in U.S. hospitals. The report suggested as many as 98,000 people die every year from medical errors.[1] Recent analysis from the Johns Hopkins School of Medicine says that report may have significantly underestimated the problem, putting the actual number closer to 250,000 - 400,000.[2] In fact, medical error is now considered the third leading cause of death in the U.S.

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Automated Chest Compression Devices: 10 Things You Need to Know to Save Lives

Knowing how and when to use these devices could save lives.

EDITOR'S NOTE: The following content originally appeared on EMS1.com as paid content sponsored by Pulsara. Special thanks to our guest blogger, Drew Rinella for EMS1 BrandFocus. Drew is the clinical coordinator for Bonner County EMS in rural North Idaho. He is a paramedic, public servant, and competition shooter. Drew is an advocate for quality in EMS and also blogs his crusade against bad EKGs in product advertising. 

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Automatic CPR devices have been available for several decades now, yet they haven’t received widespread acceptance as the standard of care for cardiac arrest management. Here are 10 things you need to know about automatic CPR devices:

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It’s About Time: Addressing the Communication Crisis in Emergency Healthcare [eBook]

As an emergency room physician, I experience firsthand the impact of outdated communication systems — how they hamper good patient care and challenge even the most talented, dedicated, and well-trained medical professionals. In emergency situations, when seconds count, fast and accurate communication between care teams can mean the difference between life and death.

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