For this reason, the children will get five beds, the female five beds and the male will have five beds. Partitioning the fifteen beds available in the clinic in that manner will reduce the congestion for all the patients that will visit the clinic (Auerbach, 2007)
Devise a strategic plan for overcoming the problems associated with the current ER. In an attempt to devise strategic plan to overcome the problems associated with the current problems of overwhelming number of patients needing attention from the doctors with the 15-bed Emergency Room and lack of enough doctors, the first measure is to increase the working hours of the physicians (Egol & Strauss, 2012)
In the past, most of the patients only consulted the doctor regarding the disease and infection and acquired appropriate advice and prescription of the most vital medication to use. For this reason, a small 15-bed Emergency Room designed and constructed to cater for the seriously injured patients that required full medical attention from the physicians (Kavaler & Spiegel, 2003)
The increase of the patients in the clinic attributed by the diverse outbreaks in the society results the numerous patients that need proper medical attention from the doctors. Most of the patients that arrive at the clinic for treatment have advance problems with the stomach hence cannot feed adequately (Penner, 2004)
The lack in the number of patients that required operations and keen scrutiny from the doctors is what promoted to the construction of the 15-bed Emergency Room. The poor attendance of the sick patients to the hospital checkups also discouraged the construction of a larger emergency room (Stefan, 2006)
For a time, hospitals placed some hope that retail health clinics like Emergi-Care and Minute Clinic could alleviate some of the load. But studies have found that 95% of patients utilizing such clinics would have otherwise sought care at a physician's office or other clinic, and not at an ED (Bachenheimer, 2008)
This has important repercussions for President Obama's emphasis on passing universal health care because it means that providing health insurance for everyone will not, by itself, solve the problem of overcrowding. Many contributors to the increase in visits to EDs exist: population increases, the aging of our population, the increased numbers of time-sensitive interventions requiring state-of-the-art hospital care, larger numbers of patients with complex medical problems requiring evaluation in a setting in which sophisticated testing and consultation are available, and complications from medical and surgical treatments (Bernstein, 2008, para
"That's 70,000 visits a year in our two facilities," says Art Chance, VP of Operations at East Texas Medical Center. Things are so bad there that they are warning patients who really don't need emergency care to go elsewhere for treatment (Chance, 2009)
Note what the Australiasian College of Emergency Physicians suggests as the solution to the problem: "Overcrowding in the nation's emergency departments is killing 1,500 people a year, according to the Australasian College of Emergency Physicians. Recent research suggests that these avoidable deaths occur because there just are not enough beds in the rest of the hospital system to take emergency patients once they need more specialized, longer term care" (Epstein, 2009, para
Robert Rosenbloom, President of the California Chapter of the American College of Emergency Physicians says this: "Long waits mean patients don't get the treatment they need when they need it. We have had to resuscitate patients in waiting rooms and hallways because the ER is full" (Gozzo, 2009, para
It would be also important to determine what conditions caused women to present more than men at emergency rooms. (Awadh, Chu, Grunfeld, Simpson, & FitzGerald, 1996) more comprehensive study at the Ponce School of Medicine in Puerto Rico studied the female to male ER utilization ratios
This study points to the fact that, in addition to management of the asthma of the patient through protocols and model designs, the emotional and mental states of primary care givers like parents has also to be taken into account. (Bartlett et al
The study showed that such asthma management programs were useful because not only did they reduce hospitalizations, they also reduced emergency room utilizations. (Branin & Cochran, 2002) These results were supported by a study that compared morbidity results in children with asthma in ERs vs
There is a possible relation between an inherited variant in the IL (interleukin) 4 promoter gene which gives hypersentivity to allergens that are harmless to others. (Burchard et al
The study found that though most patients do not follow up, the likelihood of those following up to visit the ER again was higher. (Cabana, Bruckman, Bratton, Kemper, & Clark, 2003) Environmental factors play an important role
This meant that patients more often than not had to undergo hospitalization because of ineffective dosages of medication and improper diagnoses of the severity of the asthmatic condition. (Canny et al
Nasal lavages with leukotrienes receptor agonists such as montelukast have helped in decreasing the levels of cytokines such as IL3 and IL4 (interleukins) and IFN gamma. These medication modulate the levels of these cytokines, effectively making the system less sensitive to allergens (Ciprandi et al
6 times higher for children living in low-income zip codes than for children residing in high-income zip codes. (Davidson, Klein, Settipane, & Alario, 1994) Even when Medicaid was associated with a model of Managed care, and Medicaid recipients were provided with a primary care provider, a pediatric care provider and pediatric hospitalization, emergency room utilizations did not decrease, though hospitalizations from asthma did
Though one would surmise, that children are better of in the care of a primary care physician. (Dinkevich, Cunningham, & Crain, 1998) Such programs reduced the strain on emergency rooms personnel and will result in improved care
The researchers Dutta and Li indicate the beta agonists when administered properly have very few side effects. (Dutta & Li, 2002) Other studies showed the results of the efficaciousness of one combination over the other