2010; McCarthy et al. 2009; Zimmerman 2004). These studies have also shown that a reduction in boarding numbers and crowding can eliminate or reduce these problems.
After all of these considerations, the fourth step in Rosswurm and Larrabee's (1999) model for change is to design the actual changes to practice that should be implemented. In this case, this requires few additional resources other than learning materials for hospital staff to acquaint themselves with new procedures and practices -- there is no equipment necessary, and supplies used by the emergency department should actually decrease pretty much across the board as patients are more quickly sent to other departments of the hospital after stabilization (AEM 2008). The design, then, is one that is purely procedural, and should consist of clear triage and stabilization practices that effectively assess patients and determine the appropriate continuation of their care, whether that be on an outpatient basis or an inpatient basis in a non-emergency department of the hospital.
Actually implementing the designed changes is the next step in the model developed by Rosswurm & Larrabee (1999), and is again a matter of procedural change brought about training and education regarding new policies and standards. A specific hospital with a demonstrable overcrowding issue brought about by emergency department patient boarding should be selected for a pilot study, so that the results of the implemented changes can be rendered as clear as possible (with more dramatic change equating to clearer results, generally speaking). It has already been established that increasing the capacity for emergency department boarding is not really an effective solution to the observed problems, meaning that an elimination of the problem at its root should be more effective (Zimmerman 2004).
An evaluation of the pilot study and decisions regarding adaptations and adoptions marks the end of the fifth step in the Russwurm and Larrabee (1999) model, and leads directly to the sixth and final phase: the integration and maintenance of the proposed changes. It is likely that each individual institution will develop slightly different procedures for the assessment of patients in their...
Emergency Room Efficiency Improving Emergency Department Flow by Using a Provider in Triage Emergency room triage plays an essential role in the speed and quality of the emergency room departments. Triage represents only one small part of the process that determines quality of patient care. Emergency rooms can be crowded. Busy times are often unpredictable, making it difficult to avoid bottlenecks in the system. This has an affect on the amount of
Hiring a Nurse Practitioner reduces wait times (overcrowding) in the Emergency Department estimation of the ED (Emergency department) compromise with care afforded to patients because of overcrowding from the perspective of the provider of services. /I researched literature and bonafide / authenticated texts that chose to: Study causation, impacts and resolution tactics aimed at ED crowding; Collected and analyzed data using established methods; specifically target the ED scenario and the day-to-day crowding
ED Patient Boarding | Emergency Department Patient Boarding Emergency Department (ED) crowding is a nationwide crisis which affects the efficiency and the quality of patient care (Sox, Burstin, Orav, et al., 2007). A huge contribution to patient over-crowding is the boarding of admitted patients in the ED. An alternative use of time which is lost in the admitting of patients is used to treat patients who are waiting to be seen; this
Consideration should be given to the development of a common form to be used by both law enforcement and epidemiology personnel. This form should allow the sharing of necessary information while protecting the confidentiality of victims (Department of Defense. 2000)." Criminal Investigation The criminal investigation is a critical step as it allows the law enforcement agencies and the health community to determine the cause of the attacks and the gravity of
They need to know what their responsibilities are not only as individuals but also as team members and corporate employees. David cites an excerpt from a corporate security document that illustrates his point: "A security policy serves many functions. It is a central document that describes in detail acceptable network activity and penalties for misuse. A security policy also provides a forum for identifying and clarifying security goals and
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