Emerging problem in medical education: ancillary staff and order sets

Hospitals are constantly trying to improve quality of patient care by increasing compliance with the core measures required by the Centers for Medicare and Medicaid Services, a federal organization that administers the Medicare and Medicaid programs (health insurances provided by the federal government of the United States for people age 65 or older and those with limited income, respectively). The agency also tracks a variety of evidence-based and scientifically-researched standards of care that have been shown to result in improved clinical outcomes.1 The ending result is that the US health care system will become more outcomedriven and cost-effective. To reach these goals of providing more accountable care to the patients, many hospitals establish various teams that are comprised of specialty nurses and nurse practitioners for the management of wound care, nutrition, respiratory care, rapid response (RRT), sepsis, diabetic care, and code blue (a national communication cue among hospitals in the United States to gather physicians and other supports responding to a patient with cardiopulmonary arrest).