The causes of the problem are two fold. The first is that the inflow of patients into the ED is not evenly spaced throughout the day and occurs as a rush during fours in the late evening and night. No plan can be created for changing the pattern of inflow of patients into the ED, as they occur as naturally. The second is that during the peak flow of patients into the ED, the services that are required to provide support for the ED in the provision of timely and quality care are functioning at their minimal ability, since they are in the after-hours mode. This is the cause that the sigma team to address in overcoming the problem.
Practical barriers to receiving quality care in an ED is dependent on two key factors of access to service at the ED and the availability of the services required support services either in the ED or immediately accessible (Rust et al, 2008). Overcoming these barriers to quality service calls for consideration of the types of patients and the emergencies and the resources at the ED (Frush, 2007). The essential problem in quality care in an ED is the mismatch in the demand and supply of resources at the ED. From the perspective of the patient seamless provision of care from the time of arrival at the ED is the quality of service expected. The first step is this direction is preventing diversion of ambulances to the ED, which will reduce the overcrowding at the ED (Stokowski, 2007).
The next step consists in organizing the ED into three separate areas to attend to areas to attend to medical problems, surgical problems and Urgent care area for triaging of patients. Staffing of the ED is the next issue. Since the ED peaks between 6.00 pm and 10.00 pm specialist services in the required different branches of medicine will be available. In addition the number of interns or residents at the ED will peak during this period of
The hospital averages an intake of about one hundred patients everyday. A quality issue in terms delay in care provision and poor care in the emergency issue has emerged. Initial evaluation of the cause…
Aim 1: Collaborative work between the neonatal, pediatric, adult and cardiac unit representatives. Proposed changes: To update and review policies and procedures in respiratory care, clarifying the rules for respiratory therapy and preventing or minimizing any untoward incidents in the future.
Asthma is a prominent cause of impaired quality of life, use of primary health care, and mortality, and has economic ramifications through widespread prescription drug use and hospital admissions (Anderson et al., 2007). Risk factors for asthma in adults include female gender, poor lung function, atopy, nasal allergy, obesity, parental asthma, respiratory infections in early life, and high-risk occupations (Anto et al., 2010).
The conclusion from this study states that strengths and opportunities of the Emergency Department outweigh its weaknesses and threats. According to the research findings, it can, therefore, be said that the Emergency Department can achieve a prosperous future if the organization improves its competencies on a continuous basis.
Emergency departments of hospitals are now integral parts of hospitals, and it is quite difficult to imagine how a medical center could survive without any such department (Rowe, 2009). However, crowding in emergency departments is on the rise and it is a major concern for medical practitioners and governments in the contemporary world.
A medical practitioner is in a position to get out of the resuscitation; he or she informs the members of the family on the status of the patient (Hung and Pang, 2011). The practice of resuscitation is transforming as families practice their right to be there throughout the entire period.
Many patients present to the Accident and Emergency with minor lacerations. These small wounds frequently require suturing for appropriate wound care. This is a very common presentation in the emergency departments of almost all hospitals, may it be tertiary, regional, or rural emergency departments.
My choice to conduct field research at this university is based on the high ranking status of the university's computer science department. In particular, I have a great desire to work with a professor in this department who is highly admired and well respected in his field.