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Redrawing the Boundaries: Conceptualizing Emergency Medicine as a Complex Communication System

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Abstract:

In recent years, the practice of emergency medicine has been forced to negotiate between its traditional mission of saving lives and the social pressures accruing from a severe shortage of qualified nurses. Moreover, the demographics of emergency room visitors have changed dramatically due to inadequate levels of health insurance and ineffective mental health and substance abuse treatment. This 18-month ethnographic study of communication in an urban emergency room investigated the organizing practices used to cope with these changes, highlighting the various disconnects between current practices and traditional models of emergent care. A narrative description of the ER culture produced by the researchers served as an impetus for practical improvements at this site and prompted a better appreciation for the complex interdependencies characterizing emergency care today.

Most Common Document Word Stems:

patient (125), ed (101), emerg (74), nurs (60), hospit (54), depart (45), triag (44), care (43), wait (41), time (40), staff (39), room (35), process (34), one (34), bed (33), chc (32), make (28), er (27), work (26), use (26), result (25),

Author's Keywords:

organization, hospital, health communication, emergency medicine, emergency rooms, ethnography
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Association:
Name: International Communication Association
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http://www.icahdq.org


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MLA Citation:

Eisenberg, Eric., Pynes, Joan. and Baglia, Jay. "Redrawing the Boundaries: Conceptualizing Emergency Medicine as a Complex Communication System" Paper presented at the annual meeting of the International Communication Association, Marriott Hotel, San Diego, CA, May 27, 2003 <Not Available>. 2009-05-26 <http://www.allacademic.com/meta/p112302_index.html>

APA Citation:

Eisenberg, E. M., Pynes, J. and Baglia, J. , 2003-05-27 "Redrawing the Boundaries: Conceptualizing Emergency Medicine as a Complex Communication System" Paper presented at the annual meeting of the International Communication Association, Marriott Hotel, San Diego, CA Online <.PDF>. 2009-05-26 from http://www.allacademic.com/meta/p112302_index.html

Publication Type: Conference Paper/Unpublished Manuscript
Review Method: Peer Reviewed
Abstract: In recent years, the practice of emergency medicine has been forced to negotiate between its traditional mission of saving lives and the social pressures accruing from a severe shortage of qualified nurses. Moreover, the demographics of emergency room visitors have changed dramatically due to inadequate levels of health insurance and ineffective mental health and substance abuse treatment. This 18-month ethnographic study of communication in an urban emergency room investigated the organizing practices used to cope with these changes, highlighting the various disconnects between current practices and traditional models of emergent care. A narrative description of the ER culture produced by the researchers served as an impetus for practical improvements at this site and prompted a better appreciation for the complex interdependencies characterizing emergency care today.

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Document Type: .PDF
Page count: 37
Word count: 9997
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clinical practice. But it really isn’t fair to blame others for our present situation; the blame game is all too prevalent at CHC and gets us nowhere. True we’re tired and it gets old being the hospital scapegoat. But things do seem to be getting better and many of us are hopeful. We take great pride in the work that we do and everyone in the department wants to do a good job. We haven’t given up on wanting


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