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Defensive Charting

An emergency department director was recently asking for advice when a staff member was reprimanded for…

Staffing by Hourly Arrivals

The graphs and tables below were created by matching patient arrivals with physician and advanced practice…

Giving Providers Feedback

The other day I witnessed one of my partners talking to another. One was explaining to…

How Your Staffing Contract Was Lost

It is a common and unfortunate scenario in emergency medicine to see an emergency department staffing…

Rapid Change in the ED

Business media outlets frequently highlight the importance of businesses being agile enough to adapt to changes…

Decision Fatigue … Do You Feel It?

If you haven’t heard the term decision fatigue, you need to familiarize yourself with it. In…

The Prudent Lay Person Standard

Reducing costs in healthcare is a hot topic, and some insurance companies have taken action in…

Why do you stay?

There is a metaphor about boiling a frog which you may have heard. It says: If…

Leadership & Process Improvement

I recall, not too long ago, having a conversation with someone in healthcare administration about his…

Why is that doctor such a pain?

It is flu season, it is winter, and it is 2017. It seems as though every…