There are 136 million emergency department visits every year in the US.

There are 136 million emergency department (ED) visits every year in the US.  Risk in the ED is high because physicians and nurses encounter a broad range of problems, often with atypical presentations, in a fast-paced and dynamic environment. Not surprisingly, the ED is a large source of malpractice claims as a result of failed or delayed diagnoses, improper assessment, and breakdown in communication.

GNOSIS for Emergency Medicine addresses these areas of risk. It is built upon and substantiated by peer-reviewed literature, adverse event datasets, and medical malpractice claims.  Designed to improve patient care teams, courses for nurses and providers are focused on the highest areas of risk in the ED, including: chest pain, abdominal pain, nursing triage, and communication. The evidence-based content ensures that ED teams are using commonly-understood protocols and language to minimize misunderstandings and errors. Courses and topics include:

High Risk Abdominal Pain in the ED
Ectopic Pregnancy
Ovarian Torsion
Ruptured Ovarian Cyst
Pelvic Inflammatory Disease
Bowel Obstruction
Diverticulitis
Cholecystitis
Pancreatitis
Perforated Viscus
Appendicitis
Abdominal Aortic Aneurysm
Mesenteric Ischemia
Testicular Torsion

High Risk Chest Pain in the ED
Acute Coronary Syndrome
Pulmonary Embolism
Aortic Dissection
Gastric Volvulus
Cardiac Tamponade
Esophageal Perforation

Communication in the ED
Pitfalls in Team Coordination of Care
Creating a Shared Mental Model
Crew/Crisis Resource Management
Requesting a Consult
Consultation Pitfalls to Avoid
Challenges and Opportunities in Handoffs
Error in Internal Handoffs
Error in Handoffs from ED to Inpatient
Handoff Models
Challenges/Opportunities in Patient Transfers
Communication Flow/Patient Satisfaction
Communication at Discharge
Notification of Death and Bad News

Nursing Triage in the ED (nursing role only)
Improving Patient Outcomes with Triage Innovation
Patients with Immediate Life-saving Needs
Patients Requiring Rapid Medical Intervention
Determining Resources and Uses
Specialized Tools for Pediatric Triage
Tools for Behavioral Health Triage
15 Case Reviews

Pediatric Fever without a Source - New 10/19
Neonatal immunology and fever development
Epidemiology and serious bacterial infection
Neonates to 90-days, manage bacterial infection
91-days to 3-year-old, manage bacterial infection
Hemodynamically unstable young pediatric
patients, manage bacterial infection

Download Overview PDF

 

Designed for Emergency Medicine teams

With GNOSIS, hospital leaders gain unprecedented clinical proficiency data in order to reduce risk—while clinicians master learning in critical risk areas to achieve their highest potential.

Medicine Team

  • Physicians and Nurses in the ED
  • Directors of Emergency Medicine
  • Risk Managers
  • Quality Officers
GNOSIS for EM is built upon substantiated by peer-reviewed literature, adverse event datasets, and medical malpractice claims.
 

Course 1: High Risk Abdominal Pain in the Emergency Department

Focus: A detailed program on triage, evaluation, and critical thinking of abdominal pain and accurate diagnosis. Topics include testicular torsion, appendicitis, diverticulitis, pancreatitis, cholecystitis, vascular abdominal emergencies, and high-risk 
gynecological etiologies.

Learning Outcomes:

  • Triage and differential diagnosis of undifferentiated abdominal pain: presentation, risk factors and pitfalls, with emphasis on special populations
  • Life threatening and high morbidity abdominal and pelvic pain: Gynecologic emergencies
  • Life threatening abdominal pain: Vascular emergencies
  • Life threatening and high morbidity abdominal and pelvic pain: Extra-abdominal and inflammatory surgical emergencies (testicular torsion, appendicitis, diverticulitis)
  • Life threatening and high morbidity abdominal pain: Bowel perforation, obstruction, and volvulus
  • Life threatening and high morbidity abdominal pain: pancreatitis and cholecystitis
  • Cognitive bias: Hazard and risk in emergency medicine.
 

Course 2: High Risk Chest Pain in the Emergency Department

Focus: A thorough review of how to utilize the history, exam,diagnostic studies, and decision rules to evaluate and diagnose patients with chest pain.

Content includes recognizing ECG patterns, avoiding evaluation, workup and diagnosis pitfalls, and avoiding cognitive bias.

Learning Outcomes:


  • Risk factors and pitfalls in the triage and assessment of patients with undifferentiated chest pain
  • Life threatening causes of chest pain: epidemiology, pathophysiology, presentation and initial management of aortic dissection, pulmonary embolism, cardiac tamponade, esophageal rupture and gastric volvulus
  • Life threatening causes of chest pain: ACS
  • ECG and typical and unusual appearances of STEMI, NSTEMI, and mimics of STEMI
Total Course Length - 4.5 hours (content: 3.5 hours, assessment: 60 minutes)
 

Course 3: Communication in the Emergency Department

Focus: A collaborative approach to best practices and theories of action for maximizing communication between clinicians in the emergency department.
Content includes optimal communications around family notifications, discharges, handoffs, and transfers.

Learning Outcomes:

  • Improve team coordination of care by examining the pitfalls and solutions to team communication in regards to acuity cases, consults, and crisis resources.
  • Improve emergency department handoffs and transfers by identifying challenges and opportunities, studying common errors, and learning effective models.
  • Improve emergency department communication with patients and families to facilitate satisfaction and promote understanding especially during discharge, notification of bad news, and 
other special circumstances.
Total Course Length - 3.5 hours (content: 3 hours, assessment: 30 minutes)
 

Course 4: Nursing Triage in the Emergency Departments

Focus: A comparative examination of the most common emergency department triage systems. Content includes improving outcomes with triage innovation, assessing patients using a 5-level system, and triage for special populations.

Learning Outcomes:


  • 5-level triage systems
  • Pitfalls and barriers to effective and accurate triage in the emergency department
  • Life threatening conditions requiring immediate and emergent triage in the emergency department
  • Triage for urgent / semi-urgent / non-urgent patients in the emergency department
  • Triage of special populations: pediatrics and behavioral health patients
Total Course Length - 2.25 hours (content: 1.75 hours, assessment: 30 minutes)
 

Course 5: Pediatric Fever without a Source

Focus: An examination of principles behind the evaluation and management of fever in pediatric patients. Content includes: basic immunology and physiology of fever; and epidemiology of febrile illness and evidence supporting clinical practice guidelines in this population.

Learning Outcomes:


  • Understand basic immunology of the neonate and the development of fever in the neonate through toddler years
  • Understand the epidemiology and presentation of serious bacterial infections in the neonate, infant, and toddler
  • Develop a rational approach to the evaluation and management of fever in the neonate, infant, and toddler through evidence based data
  • Develop an understanding of early signs of deterioration in the neonate, infant, and toddlers who present with a fever without a source
  • Understand the early management of hemodynamically unstable neonates, infants and toddlers who present with sepsis physiology
Total Course Length - 3.0 hours (content: 2.25 hours, assessment: 45 minutes)
 

ACCME Accreditation. Advanced Practice Strategies, Inc. (APS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

AMA PRA Category 1 Credit(s)TM. APS designates this enduring material for a maximum of AMA PRA Category 1 Credit(s).  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ANCC Accreditation. This activity is provided by Advanced Practice Strategies (APS). APS is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. Provider approved by the California Board of Registered Nursing, Provider # CEP-16168 for Contact Hours as cited. Participants who complete this activity in its entirety will be awarded contact hour(s) as cited.