Tag: throughput

Job #1 for New ER Docs: After Being a Good Clinician, Find Your Emergency Medicine Niche

August 28th, 2012
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As I left residency a mere two months ago, my program director imparted a couple principles to his departing residency class: Be the strongest clinician you can be, don’t stop learning, and spend the first year just providing good care. After that, find a “niche” in Emergency Medicine. The first point is without a doubt […]

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Posted in For Residents, Life in the ER

Thoughts on Choosing Wisely and Overuse

August 2nd, 2012
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About five months ago nine physician specialty groups got together and decided to examine specific tests and procedures that are commonly used but not necessary in their respective fields.  They named their organization “Choosing Wisely”, and compiled a list of over 45 specific recommendations on practices that should be curtailed.  Examples included “lumbar series in […]

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Posted in Quality Efficiency Utilization

Culture Change in the Bristol Emergency Department

April 24th, 2012
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After five months of helping to manage the emergency department at Bristol Hospital, it is tempting to talk about the various changes in the department – our metrics, efficiencies, ongoing efforts to improve throughput, or our relations with nursing, ancillary services, and other departments within the hospital. But I fall back on the one factor […]

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Posted in Hospital Partnership, Life in the ER

Observation Medicine Playing Bigger Role in the ER

April 20th, 2012
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Traditional observation units often focus on chest pain and a few other diagnosis. But as the health care market continues to change, so has the need to decrease length of stay, decrease re-admissions, and streamline patent care. Accordingly, our Observation Services at Western Maryland Health System continues to grow. We have physically expanded from ten to […]

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Posted in Future of Healthcare, Observation Care