Books on the topic 'Emergency Department waiting room'

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1

Rossip, Martin. Continuous monitoring and desplay of emergency department patient flow and waiting times: A method to reduce overall length of stay. [New Haven, Conn: s.n.], 1996.

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2

Virginia. Dept. of Medical Assistance Services. Emergency room use by Virginia's fee-for-service Medicaid recipients: Report of the Department of Medical Assistance Services to the Governor and the General Assembly of Virginia. Richmond, Va: Commonwealth of Virginia, 2004.

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3

New Jersey. Legislature. General Assembly. Select Committee on Solid Waste Disposal. Public meeting before Assembly Select Committee on Solid Waste Disposal, Assembly Bill 3892: Authorizes DEP to implement emergency plans on behalf of counties during a declared state of solid waste emergency : March 30, 1987, Room 373, State House Annex, Trenton, New Jersey. [Trenton, N.J.]: The Committee, 1987.

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4

New Jersey. Legislature. General Assembly. Housing Committee. Public hearing before Assembly Housing Committee: Testimony and discussion relative to proposed rules of the Department of Community Affairs concerning maintenance and operation standards of emergency shelters for the homeless (Proposal No. PRN 1988-65; 20 N.J.R. 341) : April 18, 1988, Room 373, State House Annex, Trenton, New Jersey. Trenton, N.J. (State House Annex, CN 068, Trenton 08625): The Unit, 1988.

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5

Nicks, Peter. The waiting room. 2013.

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6

Grauer and DX/RX. Acls Case Studies: Emergency Room Department. Mosby-Year Book, 1999.

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7

Ronen, Boaz, Joseph S. Pliskin, Shimeon Pass, and Donald M. Berwick. The Hospital and Clinic Improvement Handbook. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190843458.001.0001.

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The Hospital and Clinic Improvement Handbook is about doing more using existing resources. For example, achieving more throughput in the operating rooms, reducing waiting times at the emergency department, and improving clinical quality. This is done using the well-established Lean techniques together with the breakthrough philosophies and techniques of the theory of constraints (TOC). These methods and their underlying tools are put together with techniques and methodologies implemented by the authors in dozens of healthcare organizations. The tools include the complete kit concept, the Pareto methodology, the focusing table, and the focusing matrix. The book introduces simple tools that can be implemented quite easily in any hospital or clinic. It also focuses on the implementation process using tools like the 3–1–1 model that directs managers where to focus their limited time resources to best improve the performance of their organizations. Finally, the book introduces effective yet simple performance measures and prescribes the process of ongoing improvement.
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8

Canadian Institute for Health Information., ed. Understanding emergency department wait times: Who is using emergency departments and how long are they waiting? Ottawa: Canadian Institute for Health Information, 2005.

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9

Canadian Institute for Health Information., ed. Understanding emergency department wait times: Access to inpatient beds and patient flow. Ottawa: Canadian Institute for Health Information = Institut canadien d'information sur la santé, 2007.

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10

Mahmoud, Mohamed, Robert S. Holzman, and Keira P. Mason. Pediatric Anesthesia Outside of the Operating Room. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190495756.003.0027.

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This textbook provides an important tool to cover major aspects of anesthesia care in non–operating room anesthesia (NORA) locations. It outlines perioperative concerns for the most commonly performed procedures in NORA settings. An overview of various anesthesia delivery techniques and tools required to optimize the patient before endoscopy, cardiac, and neuroradiology procedures are provided. The text also covers specialized situations, including a pediatric update on anesthesia/sedation strategies for dental procedures, electroconvulsive therapy, cosmetic procedures, ophthalmologic surgery, procedures in the emergency department, and infertility treatment. Practical recommendations based on current literature and author experience are presented, and current practice guidelines are reviewed.
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11

Ronen, Boaz, Joseph S. Pliskin, and Shimeon Pass. Success Stories (DRAFT). Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190843458.003.0020.

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This chapter describes some success stories that show how the tools, methods, and philosophies were used in a variety of healthcare systems. The cases presented here include successful implementations in the United States, United Kingdom, and Israel. Each story highlights the objectives and the results of the organization. Objectives include reducing emergency room wait times, reducing delayed admissions, improving emergency department and operating room throughput, improving quality and customer satisfaction. Although the cases use a variety of methods, approaches include eliminating dummy constraints, using specific contribution for prioritization, and working with complete kits, focusing on the theory of constraints, and reducing work in progress.
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12

Markus, Hugh, Anthony Pereira, and Geoffrey Cloud. Organization of stroke services. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198737889.003.0016.

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The chapter on organization of stroke services discusses the evidence for stroke unit care and defines what this means within hospitals. The chapter sets out the patient pathway starting with pre-hospital care the assessment using the Face Arm Speech Test (FAST). It then moves to the acute hospital care emergency department (Recognition of Stroke in the Emergency Room, ROSIER) and consideration of thrombolysis and admission to an acute stroke unit. Rehabilitation and transition of care into the community including early support discharge bookends the chapter. Staffing levels are discussed as is the relationship between stroke unit nursing levels and mortality.
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13

Grech, Dennis, and Laurence M. Hausman. Anesthetic Techniques. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190495756.003.0004.

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Anesthetic techniques for procedures performed outside the traditional operating room are varied. General anesthesia, sedation, and regional anesthesia can all be delivered in this venue. The choice of technique is based on safety considerations and patient comorbidities. Perioperative monitoring such as pulse oximetry, end-tidal carbon dioxide monitoring, and electrocardiography and blood pressure monitoring protocols must be consistent with American Society of Anesthesiologists guidelines. Common procedures include elective office-based anesthetics, emergency room sedations, endoscopic retrograde cholangiopancreatographies in the gastroenterology suite, and minimally invasive interventions in the radiology department. Because most of these locations have limited postanesthesia care unit capabilities, the patient’s rapid return to baseline functioning and the ability to be discharged quickly, safely, and comfortably are important goals. Thus, anesthetic technique and the pharmacokinetics and pharmacodynamics of the anesthetics, analgesics, antiemetics, and local anesthetics are of utmost importance.
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14

Rai, Samarpit, Zachariah G. Goldsmith, Michael E. Lipkin, and Glenn M. Preminger. Ureteric stones. Edited by John Reynard. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199659579.003.0026.

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Acute renal colic is a common presentation to the emergency department. It is estimated that about 12% of men and 5% of women will have at least one symptomatic stone by the age of 70. Renal colic has an annual incidence 16 cases per 10,000 per year, and a lifetime incidence of 2–5%. In the year 2000, there were over 600,000 emergency room visits for urolithiasis listed as the primary diagnosis in the United States alone. In this chapter, acute pharmacologic management of patients diagnosed with ureteral stones will be outlined. The pharmacology and clinical efficacy for narcotic and non-narcotic analgesics will be reviewed. In addition, medical expulsive therapy using alpha blockers and other agents will be extensively reviewed, in order to provide a targeted approach to the pharmacologic management of patients diagnosed with acute renal colic secondary to a ureteral stone.
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15

Anitescu, Magdalena, and Chirag Shah. The Vasovagal Reflex and Neuraxial Techniques. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190271787.003.0042.

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Syncope, or the transient loss of consciousness, is one of the leading causes of emergency department visits. Syncope can be neurally mediated, orthostatic, cardiac, or cerebrovascular. Neurally mediated vasovagal syncope is the most frequent form. Diagnostic modalities are tilt- table testing and implantable loop recorders. Therapeutic options usually begin with supportive measures, such as a fluid bolus or changing patient positioning, but complex cases may require vasoactive agents or placement of a pacemaker. In many situations patients who present to the operating room for various surgeries may suffer from asymptomatic neurally mediated syncope. Regional anesthetic techniques and interventional pain procedures can complicate syncope by superimposing sympathectomy.
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16

Lonser, Russell, and Brad Elder, eds. Surgical Neuro-Oncology. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190696696.001.0001.

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Surgical Neuro-Oncology, part of the Neurosurgery by Example series, has the overarching goal of spanning the spectrum of clinical practice and complexity within adult surgical neuro-oncology using representative cases. The presentation and discussion reflects the logic, thought process, and technical details behind surgical candidacy, planning, surgical procedure (including bail-out options, and complication avoidance/management), aftercare, evidence and outcome, and lessons learned. Authors with expert knowledge and technical skills address a wide range of complex clinical cases, which are presented as they are encountered the neurosurgical clinic, hospital emergency department, and operating room. While addressing the overall diagnosis, treatment, and outcome, the authors provide insight into how they handle each case. The books transmits experience gained from leaders to colleagues and provides a great background for maintenance of certification preparation, with each chapter providing lists that highlights elements of accurate diagnosis, successful treatment, and effective complication management. Cases included cover the spectrum of clinical diversity and complexity within surgical neuro-oncology.
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17

Jacquet, Gabrielle, and Lawrence Page. Odontogenic Infections. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199976805.003.0013.

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Odontogenic infections often arise from dental caries (usually the mandibular teeth) or from dental extraction. Acute necrotizing ulcerative gingivitis (ANUG) is more common in immunocompromised patients. These infections may spread into the parapharyngeal and retropharyngeal spaces, involving the airway and mediastinum. Airway management is critical as odontogenic infections can compromise airways via mass effect. Complications include the following: abscess, facial or orbital cellulitis/abscess, intracranial invasion, Ludwig’s angina, Lemierre syndrome, carotid artery erosion, descending necrotizing mediastinitis, airway compromise, hematogenous dissemination to distant organs, intraoral or dentocutaneous fistula formation, and cardiovascular disease. Antibiotics are not a substitute for definitive airway management. In addition, many cases of odontogenic infection will require surgical drainage, either at the bedside in the emergency department or in the operating room. Prior to this, consider using a nerve block to obtain anesthesia to the affected area of the face. Patients with necrotizing infections need emergent surgery with wide local debridement.
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18

Rogula, Tomasz G., Philip R. Schauer, and Tammy Fouse, eds. Prevention and Management of Complications in Bariatric Surgery. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190608347.001.0001.

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This book focuses on prevention and management of complications in bariatric surgery. The book will serve as a practical guide for healthcare providers, including bariatric and general surgeons, primary care physicians, nurse practitioners, cardiologists, gastroenterologists, anesthesiologists, psychologists, and dietitians. Chapters describing surgical management of complications should be of special interest to emergency department doctors and surgeons. The book covers most aspects of typical and atypical problems and can be used as a study guide for fellows, residents, and medical students. The text provides a comprehensive overview in four sections: 1. Standards and guidelines for perioperative care of the bariatric patient. 2. Perioperative complications. 3. Procedure-specific complications. 4. Economic and legal considerations. The 40 chapters were written by top experts in bariatric and metabolic surgery, including the faculty of the renowned Cleveland Clinic. Many chapters include high-quality illustrations and surgical case photographs. The discussions emphasize preoperative risk optimization, medical and psychological evaluation, and risk-scoring systems, including preoperative risk assessment tools developed as a result of extensive research involving thousands of patients. Attention is paid to very-high-risk patients undergoing bariatric surgery. A special section includes guidelines for appropriate operating room set-up as well as for anesthesia and recovery issues. Management of intestinal failure after bariatric surgery, including intestinal transplantation, is a unique contribution of this book. Common, historical, and new bariatric procedures are described in detail from the perspective of management of their specific complications. Postoperative complications, including infection, thromboembolism, nutritional deficiencies, and endocrinologic problems are addressed. Practical guidelines for medicolegal issues are also presented.
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