ED Crowding means worse outcomes for chest pain patients?

The article isn’t available yet.  Here’s the pre-publication take from Medwire news:

Crowded emergency departments pose increased risk for chest pain patients

By Mark Cowen

05 June 2009

Acad Emerg Med 2009: Not yet available online

MedWire News: Heart attack patients and those with other forms of chest pain are significantly more likely to experience serious complications after admission to hospital if they were initially treated in a crowded emergency department, US research shows.

“What shocked us is that these complications were not explained by what goes on in the emergency department,” said lead researcher Dr Jesse Pines, from the University of Pennsylvania in Philadelphia. “The adverse events occurred after the patient had been admitted to the hospital. Emergency department crowding is really more of a marker of a dysfunctional hospital.”

Hmm.  Delays are delays, but I’ll wait until I see the actual article to comment more.  My first question: are these different hospitals, or same ED with different censuses (which would be a better apple to apple comparison).

Don’t change where you go just yet.

Hmm, those sure do go up a little high…

From Amazon today…

pelican_yuk

KeithHennessey.com » Understanding the Kennedy health care bill

The author was a Policy person in the Bush 43 White House, so you know the angle in the analysis:

KeithHennessey.com » Understanding the Kennedy health care bill
As the committee staff emphasized to the press after the leak, this is an interim draft. I assume things will move around over the next several weeks as discussions among Senators and their staffs continue. This is therefore far from a final product, but it provides a useful insight into current thinking among some key Senate Democrats.

Here are 15 things to know about the draft Kennedy-Dodd health bill.

I read his analysis, and no I didn’t read the full bill. It’s a starting point for the conversation, not the end.

via Ace

A Happy Hospitalist: It’s Time To Gut The Education Process

A Happy Hospitalist: It’s Time To Gut The Education Process

This is quite a good idea. Whether it’d have any effect on specialist pay is a different question.