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Special OPs

  • Scripps Mercy Hospital San Diego’s Unique ED Culture Breeds Innovation

    The emergency department (ED) at Scripps Mercy Hospital San Diego is a different breed of ED. This...
  • Survival Tactics for Emergency Department Boarding

    A few statistics that help to frame our hospital capacity crisis today: Immediately following World War II,...
  • Re-Engineering Flow in an Academic Emergency Department

    The University of Virginia (UVA) School of Medicine was founded in 1819 by Thomas Jefferson and is...

Scripps Mercy Hospital San Diego’s Unique ED Culture Breeds Innovation

July 3, 2025 - Shari Welch, MD - 2 Comments

The emergency department (ED) at Scripps Mercy Hospital San Diego is a different breed of ED. This…

Read More

Survival Tactics for Emergency Department Boarding

March 5, 2024 - Shari Welch, MD - 1 Comment

A few statistics that help to frame our hospital capacity crisis today: Immediately following World War II,…

Read More

Re-Engineering Flow in an Academic Emergency Department

November 14, 2023 - Shari Welch, MD, FACEP - 0 Comment

The University of Virginia (UVA) School of Medicine was founded in 1819 by Thomas Jefferson and is…

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A Behavioral Health Intake-Process Model

May 2, 2023 - Shari Welch, MD, FACEP - 0 Comment

Lancaster General Hospital (LGH), in Lancaster, Pa., has long had a reputation for an efficient, busy, community…

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The Hospital Geographic Zone Debate Pendulum Is Swinging Back

April 18, 2022 - Shari Welch, MD, FACEP; John vasquez, md - 0 Comment

There is a debate going on in the inpatient world among hospitalists, bed management and other hospital…

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Strategies To Help Your ED Adapt to Variable Volumes and Patient Needs

October 25, 2021 - Shari Welch, MD, FACEP - 0 Comment

One of the unforeseen changes to emergency medicine in the peri-pandemic era is the extreme variation in…

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Hospital-Wide Strategies for Reducing Inpatient Discharge Delays and Boarding

July 27, 2021 - Shari Welch, MD, FACEP - 0 Comment

Many emergency departments got a brief reprieve from boarding during the COVID-19 pandemic, but most are seeing…

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ED’s Shift To Physician-in-Triage Enabled Fast Assessment, Treatment

February 19, 2021 - Shari Welch, MD, FACEP - 0 Comment

The leadership team in the Tennity Emergency Department at Eisenhower Health in Rancho Mirage, California, was struggling…

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Help Prevent Coronavirus Spread by Reevaluating ED Flow

June 15, 2020 - Shari Welch, MD, FACEP and James J. Augustine, MD, FACEP - 0 Comment

Editors’ Note: This article was accepted on May 2, 2020, and was accurate at that time. Because…

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Pennsylvania ED Re-Engineers Patient Flow to Reduce Boarding Burden

March 17, 2020 - Shari Welch, MD, FACEP - 0 Comment

The Hospital of the University of Pennsylvania (HUP) was the nation’s first teaching hospital at the nation’s…

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