All Academic, Inc. Research Logo

Info/CitationFAQResearchAll Academic Inc.
Document

Redrawing the Boundaries: Conceptualizing Emergency Medicine as a Complex Communication System
Unformatted Document Text:  19 before being evaluated. Elopements are, of course, unbillable. Consequently, a primary challenge of any emergency room is to reduce elopements by identifying and addressing their root causes. At CHC, the number of monthly elopements is tracked and a nurse is assigned to make follow-up calls to these individuals to determine the reason why they left before being seen. The process mostly seems to work, although the staff is slow in making these calls, creating a significant backlog. With rare exception, elopements are the result of prolonged wait time that leads patients to decide that the service they are about to receive is not worth the wait. 3K\VLFDO HYDOXDWLRQ. Some of the physical evaluation that takes place in the ED—notably for cases that are truly life threatening—takes place quickly. On many occasions, we witnessed how well the ED team pulled together in a crisis. All staff, regardless of status or role, seemed to “just know” when they were needed to pitch in. This is when these employees are at their best, responding to real emergencies using their considerable skill. It was in the more routine evaluations that things sometimes slipped. Nurses in particular feel that their jobs have become increasingly routine, and both nurses and physicians struggle to use good communication skills when first greeting a patient who is likely upset (and often hungry) after having waited for hours. The nursing shortage affecting all health care facilities in the United States is also affecting CHC. CHC is confronting a nursing shortage in all units but especially in the ED. Not all nurses are trained to work in emergency medicine,

Authors: Eisenberg, Eric., Pynes, Joan. and Baglia, Jay.
first   previous   Page 19 of 37   next   last



background image
19
before being evaluated. Elopements are, of course, unbillable. Consequently, a
primary challenge of any emergency room is to reduce elopements by identifying
and addressing their root causes. At CHC, the number of monthly elopements is
tracked and a nurse is assigned to make follow-up calls to these individuals to
determine the reason why they left before being seen. The process mostly seems
to work, although the staff is slow in making these calls, creating a significant
backlog. With rare exception, elopements are the result of prolonged wait time
that leads patients to decide that the service they are about to receive is not
worth the wait.
3K\VLFDO HYDOXDWLRQ. Some of the physical evaluation that takes place in
the ED—notably for cases that are truly life threatening—takes place quickly.
On many occasions, we witnessed how well the ED team pulled together in a
crisis. All staff, regardless of status or role, seemed to “just know” when they
were needed to pitch in. This is when these employees are at their best,
responding to real emergencies using their considerable skill. It was in the more
routine evaluations that things sometimes slipped. Nurses in particular feel
that their jobs have become increasingly routine, and both nurses and physicians
struggle to use good communication skills when first greeting a patient who is
likely upset (and often hungry) after having waited for hours.
The nursing shortage affecting all health care facilities in the United States
is also affecting CHC. CHC is confronting a nursing shortage in all units but
especially in the ED. Not all nurses are trained to work in emergency medicine,


Convention
Need a solution for abstract management? All Academic can help! Contact us today to find out how our system can help your annual meeting.
Submission - Custom fields, multiple submission types, tracks, audio visual, multiple upload formats, automatic conversion to pdf.
Review - Peer Review, Bulk reviewer assignment, bulk emails, ranking, z-score statistics, and multiple worksheets!
Reports - Many standard and custom reports generated while you wait. Print programs with participant indexes, event grids, and more!
Scheduling - Flexible and convenient grid scheduling within rooms and buildings. Conflict checking and advanced filtering.
Communication - Bulk email tools to help your administrators send reminders and responses. Use form letters, a message center, and much more!
Management - Search tools, duplicate people management, editing tools, submission transfers, many tools to manage a variety of conference management headaches!
Click here for more information.

first   previous   Page 19 of 37   next   last

©2012 All Academic, Inc.