Observation Medicine: Principles and Protocols, 2nd Edition

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.

• Covering the many clinical conditions in which observation medicine (OM) can be applied, the book offers practical standardized order sets that can be used for any clinical scenario, saving valuable time for the clinician and decreasing the chance of omitting a useful diagnostic or therapeutic option.
• Gives examples of how observation can be used to deal with emergency department (ED) patients with social issues, substance abuse issues and nonviolent psychiatric patients in a way that not only benefits the patient but also helps address the issues of ED crowding and boarding, and improves ED throughput.
• Provides guidance on how to approach high risk and/or vulnerable patients such the geriatric or pediatric or complex patient with multiple comorbidities presenting to the emergency department who do not have a definitive diagnosis requiring admission.

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