Emergency room er crowding has become a widespread problem in hospitals across the united states two main reasons can be cited first emergency medicine is the only specialty in the house of medicine that has a federal mandate to provide care to any patients requesting treatment. American patients spend about two hours on average in the emergency department ed and more than half an hour in the waiting area in part three of his ongoing series saving americas hospitals . Increase in the nursing satisfaction survey score fifth establish and create sustained trust between emergency department nurses and receiving floor nurses this is to be measured by an increase in the nursing satisfaction survey score overall it will be the goal of the msn cnl student to develop a safe process for handoff. Abstract objective to analyze the challenges for the management of care in a hospital emergency department based on the perspective of nurses methods a qualitative descriptive and exploratory study conducted from june to september 2009 through semi structured interviews with 20 nurses in the emergency department of a university hospital in southern region of brazil. A hospital wide strategy for fixing emergency department overcrowding january 2010 article by a lean transformation can help the doctors nurses and other staff members spend more of their time helping patients midlevel managers can regularly review the results with the frontline managers so that they can identify and resolve the
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