...THE EFFECTS OF OVERCROWDING IN THE EMERGENCY ROOM MICHELLE POWELL MSN –BL 510: NURSING PROBLEM SOLVING SKILLS DEVELOPMENT MAY 20, 2012 PROFESSOR NKECHI ILEKA The Emergency department provides an extraordinary important public service mission by providing emergency care 24 hours a day, 365 days per year without discrimination by social or economic status (Derlet, Richards & Kravitz, 2001). One of the key foundations of EDs is to provide immediate access and stabilization for those patients with medical emergencies (Derlet et al, 2001). The Emergency Department has always been there available to help, unfortunately the basic tenet is now being challenged, and the general public may no longer be able to rely on EDs for quality and timely emergency care, placing the people at risk (Favotich & Hirsch, 2003). According to the Emergency Nurses Association all people are entitled to timely and appropriate access to safe and effective health care. This paper will discuss the problem of overcrowding in the Emergency Room and strategies that the Nurse leader may do to help control overcrowding. Overcrowding in the emergency department (ED) is the most serious issue confronting EDs in the developed world (Favotich & Hirsch, 2003). Overcrowding is a situation “in which the demand for emergency services exceeds the ability of department to provide quality care with acceptable time frames (Joint...
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...Overcrowding and its effects on the criminal justice system Overcrowding and its effects on the criminal justice system Prison overcrowding is a growing issue in the criminal justice system. It puts a strain on prison resources, effects rehabilitative programs, This paper will cover the effects of overcrowding on the justice system. It will cover the different causes of overcrowding, and possible solutions. This paper will also cover some changes that were directed at improving overcrowding directly or indirectly. Lastly this paper will include the authors ideas for more changes to improve overcrowding. Prison overcrowding is caused by a variety of reasons. An examples of a contributing factor is a rise in crime rates. Some of the factors that influence crime rates are economy, demographics, and education. It is easy to fathom that in a less then affluent area where education may not have been the priority could play a part in the rise of crime. Other influence on the fluctuation of crime rates are demographics, economic and social conditions, prisons that run at or over capacity, resources and expenses, changing laws and new advancements to law enforcement strategies. All of these reasons help create a combination of obstacles for an efficient, effective justice system. Overcrowding in prison is also a key factor in ineffectual operations and poor prison conditions. According to Attorney General Eric Holder, "the U.S. prison population has grown by almost...
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...Emergency departments throughout united states face overcrowding, the challenge is due to the high demand for services, an increasing number of visits, overuse and misuse of services, and escalating healthcare costs. All hospitals follow a triage system to cope with overcrowding. When there is overcrowding, that will result in longer wait time for treatment, lengthens door to provider time, increase in number of patients leaving ED before treatment, and diverting ambulances to another facility. “Boarding” of patients is one of the main issues in emergency departments and ultimately impacts the service and quality of care patients receive. Emergency department is the front door of the hospital and is the actual revenue generating center of the hospital. Today's entire healthcare revenue cycle has shifted from a provider-to-insurer paradigm...
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...Overcrowding in the Emergency Department Abstract In this paper I discuss how holding patients in the Emergency Department (ED) has a negative effect on patients. To many patients in the ED , medication errors and patients lingering in the ED instead of being in the Intensive Care Unit (ICU) are the main cause of mortality and morbidity. For this assignment, I gathered information to figure out if the increased number of patients in the ED, medication errors, and the length of time ICU patients are held in the ED at Ohio Valley Medical Center (OVMC) is an actual issue that is effecting our patients. After doing a complete assessment and gathering the needed information, a plan will be put together to cut back on the issues that are causing the morbidity and mortality. Overcrowding in the Emergency Department seems to be an issue that is rising. To many patients are being held in the ED and this is affecting the care of our patients. Overcrowding in the ED and medication errors are occurring because patients are being held in the ED for prolonged periods of time. When these patients are held and the ED has more patients than it should, their is not enough staff and the patients are not getting the care they should. Most of these patient’s are critically ill and need one on one care which is not the option in an overcrowded ED. When a department is to crowded, it leads to delayed care and poorer health outcomes. Overcrowding...
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...ECONOMICS 517 UCHE NWABUEZE DECEMBER 9, 2012 The concept of "quality" has been contemplated throughout history and continues to be a topic of intense interest today. Quality of service is rendered extremely important in any industry and it has been a subject of study and research in many fields. (Reeves and Bednar, 1994) This essay will look at definitions of quality in healthcare; examine the theories of quality in healthcare and approaches taken toward evaluating and improving quality of health services in Uganda’s public health sector with the main focus on the implementation of Millennium Development Goals. The discussion will focus on patient satisfaction as an aspect of quality and how it influences quality of care provided from a District healthcare manager’s perspective, analyse factors that influence patient satisfaction, how the MDGs aim to improve the quality of care provided to patients by exposing the gaps between healthcare management perceptions of service quality and how the service is actually being delivered to the consumers The Harris Health System, previously known as the Harris County Hospital District (HCHD) is a government entity of three hospitals, Ben Taub General Hospital, Lyndon Baines Johnson General Hospital, and Quentin Mease Community Hospital as well several clinics that serve the general public...
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...Constitution's Bill of Rights. The assumption of innocence, due process of law, double jeopardy, mass incarceration, inequity and gun law disparities to name a few are constantly at odds with current affairs. The U.S. Constitution shapes the U.S. Criminal Justice System with rights and due process for all citizens. The US Criminal Justice System is currently faced with challenges of prison overcrowding, mental health, drug offenses, inequity and gun violence. American society keeps asking for changes to be made to each part of the system. Changes and the...
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...being analyzed on. Political The effort of the Vietnam’s government plays an important role in determining the healthcare industry performance. With the underdevelopment of the healthcare in Vietnam, the government of Vietnam prioritize government spending on health care at the same time encouraged foreign investor invest in the Vietnam Healthcare industry with several ways such as through Private Partnerships (PPP), joint venture with local players in Vietnam. On top of that, investors enjoy a preferential corporate income tax of 10 per cent instead of the regular 25 per cent. In relation to the tax exemptions, exception of tax will be granted in the first four years and in the following nine years there will be 50 per cent tax break (HKTDC, 2015). Besides, investors are allowed to operate a 100 per cent owned hospital with the elimination of restricted policies such as foreign qualified doctors are free to practice and healthcare plans are allowed to offer (Austrade, 2015). This plays a crucial part to Price Court whether the decision of entering Vietnam with joint venture or wholly owned since the cost incurred will have a large differential under the government policies. Economic Table 1 With the growing population of 87 million, 13rd most populous country in the world hence there is no doubt that Vietnam potentially be the destination for healthcare industry investments. Over the past years, Vietnam has become one of the fastest growing economies in Asia with promising...
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...Overcrowding in Emergency Departments across the Country Overcrowding in Emergency Departments Abstract: Emergency departments (ED’s) are considered a necessary component in the health care system. Many patients have access to this department 24 hours a day and 7 days a week. There has been an increasingly large volume of emergency room visits by both adult and pediatric patients up to 43% within the last 5 years. The overuse of the ED’s medical services across the nation is commonly referred to as “overcrowding”. One major cause of overcrowding is the misuse of the emergency room. Another cause is the increased volume of illness. The third cause of overcrowding is a shortage of staff. These major issues can delay staff from providing care to those who need it most. Although staff gives priority to patients who have a higher acuity of illness these patients often have to wait long periods of time before a bed becomes available. Overcrowding is serious issue in the ED and most of the contributing factors are beyond the control of the emergency department. The first cause of overcrowding in the ED is the misuse of the emergency room. More than 50% of emergency room visits are for non-urgent concerns and over 46% of these medical complaints could have been solved by a primary care physician (PCP). PCP’s sometimes fail to properly communicate with their patients which can lead to the anxiety that sends the patient to seek assistance in the emergency room...
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...Prisons were established many years ago as a punishment for people convicted of crimes, usually felonies. It’s a place where your freedom, movements, privacy, and access to basically everything is restricted. You’re told when you can eat, when you can sleep, when you can shower, and when you can use the bathroom. You are confined to an eight by six-foot cell, surrounded by concrete walls, sleeping on a metal bed tray with a thin pad. If prison conditions weren’t already bad enough, imagine living with 40,000 other inmates in a facility that was built with a capacity to house 32,000 inmates. Overcrowding in the U.S. corrections system has become an increasing problem in both state and federal prisons, with most facilities operating at more than 100 percent capacity. According to the Bureau of Justice Statistics, there was an estimated 1.51 million prisoners in state and local correctional facilities at the...
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...Abstract This paper explores prison overcrowding and the negative effects it has on inmates. Prison overcrowding causes the inmates to become more aggressive, results in lack of resources, and lastly, it creates an unsanitary environment for staff and inmates. The inmates are idle for extensive periods of time and being confined to tight living quarters, all this restrained energy may lead to an increase in violence on the staff and other inmates. Prison Overcrowding: The Effect It Has On Prison Inmates According to the 2009 Bureau of Justice Statistics, they were 7,225,800 offenders under correctional supervision at the end of 2009. Correctional supervision refers to adults supervised in the community on probation or parole and those incarcerated in state or federal prisons and local jails (Glaze, 2010). Prison overcrowding has become a major concern in recent years and is considered one of the biggest problems faced by the American prison system. It causes harmful effects and consequences for the inmates and prison staff and it is an unpleasant and uncomfortable situation for everyone and is considered a current crisis in America. Overcrowding does not only affect the inmates and the prison staff, but it also affects our economy, the American people, and our lives. Prison overcrowding has several major effects on the daily environment of inmates such as an increase, in violence, lack of resources, and health and sanitary issues. Increase in Violence The first major...
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... An Evidenced-Based DNP Project Report presented to Frontier Nursing University in partial fulfillment of the Degree: Doctor of Nursing Practice September 16th 2016 Dr. Jana Esden Committee Chair Name and Credentials of the chair None Committee Co-Chair (if applicable) Name and Credential of the co-chair Dr. Adit Ginde Content Expert Name and Credentials of the content expert Due in the Registrar’s Office for Graduation September 16th 2016 Abstract Title: Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at PrimaryPlus. Definition of the Problem: Improper utilization of Emergency Departments for non-urgent issues has become a growing problem nationwide and contributes to an extreme wastage of healthcare dollars. Statement of Purpose: The purpose of this clinical doctorate capstone project is to discover ways to decrease the incidence of non-urgent emergency department visits for...
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...WR122 Dec. 3, 2009 Illegal Immigration An illegal immigrant is an “alien who has entered the United States without government permission or stayed beyond the termination date of a visa” (Hill). Today America can’t even take care of the citizens that it has. By having illegal immigrants that we do not plan for using public services like welfare, food stamps, state medical, school services, social security, and criminal justice services, will directly affect all Americans in this economic crisis. Illegal immigrants also cause other problems like crime, overcrowding, and language disputes. The United States of America needs to stand by laws that are in place for illegal immigration. The United States of America border is about 7,515 miles. “Each year, more than 500 million people cross the borders into the United States, some 330 million of whom are non-citizens. There are 118,129, 875 vehicles that enter the U.S. annually and 22.5 million cargo containers” (U.S Customs and Border Patrol). With this amount of traffic it is very difficult for the border patrol to monitor every mile of border between Canada and Mexico, allowing illegal immigrants into the United States. The senator of Arizona says there are a few issues with securing the border, “Insufficient resources dedicated to border security, coupled with a lack of will to effectively enforce the law” (Kyl). One issue the government of the United States thinks about every day is safety for citizens. We have a system that...
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...The matter of the proper treatment of incarcerated women is an underrepresented issue of utmost importance. Despite having established rules, regulations and codes of conduct regarding the matter, a large number of these women fall victim to inadequate healthcare and rehabilitation programs, sexual violation and overcrowding amongst others. In many a country incarcerated pregnant women are still shackled while delivering their babies and some only get to see their child once. Lack of efficient prison systems gives people who were imprisoned due to their drug habits a flowing supply of drugs. The problem, therefore, lies in the implementation of the set rules and regulations rather than the making of these regulations. Brazil has strongly backed treaties like the International Covenant on...
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...Criminal Justice Trends Paper Dwight Blackshire September 9, 2013 CJA/484 Mr. James Herring Criminal Justice Trends Paper New philosophies to aid in the future progress of corrections are being developed as a result of past and current trends. The issues and concerns surrounding the corrections component of the criminal justice system are overcrowded prisons and their decreasing budget. If these issues and concerns are not address, they will continue to affect the effectiveness and future operations of corrections. Restorative and community justice programs are options being considered for the future of corrections as administrators, legislators, and activists debate philosophies to address these issues and concerns resulting from past and current trends. In the past, the national political climate favored the “get tough” approach against crime. It was believed that treatment programs could not reduce recidivism. Furthermore, it was also believed to keep the national crime rate low and protect the public, offenders of crime must be punished to deter crime. As a result, reforms such as truth-in-sentencing and three-strike legislation were implemented into the law. These...
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... An Evidenced-Based DNP Project Report presented to Frontier Nursing University in partial fulfillment of the Degree: Doctor of Nursing Practice September 16th 2016 Dr. Jana Esden Committee Chair Name and Credentials of the chair None Committee Co-Chair (if applicable) Name and Credential of the co-chair Dr. Adit Ginde Content Expert Name and Credentials of the content expert Due in the Registrar’s Office for Graduation September 16th 2016 Abstract Title: Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at PrimaryPlus. Definition of the Problem: Improper utilization of Emergency Departments for non-urgent issues has become a growing problem nationwide and contributes to an extreme wastage of healthcare dollars. Statement of Purpose: The purpose of this clinical doctorate capstone project is to discover ways to decrease the incidence of non-urgent emergency department visits for...
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