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Operations

  • Management of ED Crowding versus Mass Casualty Incidents: Is There an Ethical Difference?

    It is a busy Saturday evening in your emergency department (ED). Every bed is filled, including those...
  • 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...
  • Opinion: Demand Up, Beds Down—The Emergency Dept. Crowding Crisis

    Hospital occupancy demands are projected to substantially increase over the next seven years from 75 percent to...

Management of ED Crowding versus Mass Casualty Incidents: Is There an Ethical Difference?

August 4, 2025 - Kenneth Marshall, MD, MA, FACEP; Candace Leigh, MD, FACEP; Haley M. Sauder, MD, MBA; and Kelly Bookman, MD - 0 Comment

It is a busy Saturday evening in your emergency department (ED). Every bed is filled, including those…

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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…

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Opinion: Demand Up, Beds Down—The Emergency Dept. Crowding Crisis

June 17, 2025 - Harry W. Severance, MD, FACEP - 0 Comment

Hospital occupancy demands are projected to substantially increase over the next seven years from 75 percent to…

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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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Your ED Boarding Stories Shape ACEP’s Advocacy Efforts

February 5, 2023 - ACEP Now - 0 Comment

Wait times and staffing shortages are causing bottlenecks that are overwhelming hospitals, forcing emergency care to spill…

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First Look: Emergency Department Operations in the Pandemic Year 2021

January 6, 2023 - James J. Augustine, MD, FACEP; Nicholas J. Jouriles, MD, FACEP - 0 Comment

There is no disguising it. 2021 was perhaps the most challenging year ever for American emergency department…

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The Power of Your Boarding Crisis Stories

December 6, 2022 - Jordan Grantham - 0 Comment

For emergency physicians, boarding and crowding isn’t a new problem. But in the past several months, you’ve…

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The Big Recovery: Emergency Department Operations in 2021

August 11, 2022 - James J. Augustine, MD, FACEP - 0 Comment

The role of the emergency department (ED) and emergency physicians has been made dramatically more important due…

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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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Tips for Productive Hospital Policy Discussions

August 31, 2021 - Keenan M. Mahan, MD, MBA; and Joshua M. Kosowsky, MD, FACEP - 0 Comment

At the hospital’s monthly interdisciplinary meeting, a lively discussion takes place: Is there an optimal pathway for…

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