¶ … King County Emergency Management System: Ambulances
This paper reviews the relevant literature to determine how the seven unit hour production (UHP) processes work together to simultaneously achieve clinical excellence, response time reliability, economic efficiency, and customer satisfaction in the operation of King County Emergency Management System (EMS) with a specific focus on its ambulance services. An assessment concerning whether any of the processes have unintended consequences that negatively impact the system's performance is followed by a discussion concerning which of these processes work and do not work within the King County, Washington EMS. Finally, a summary of the research and important findings concerning the King County EMS are presented in the conclusion.
Review and Discussion
Today, tertiary healthcare facilities in the United States are required by 42 CFR 482.55 (the Conditions of Participation for Hospitals for Emergency Services) to ensure that they meet the emergency needs of patients in ways that are congruent with acceptable standards of practice (Hamilton, 2006). Although emergency management systems differ in their organization, most of the EMSs in the United States operate using a single-tier system that uses advanced life support (ALS) response personnel and equipment or a multi-tiered system that includes ALS as well as basic life support (BLS) personnel and...
Clinical Outcomes of Patients with ST Elevated Myocardial infarction (STEMI) based on Mode of Transportation to Tertiary Healthcare Facility Private transport vs. Ambulance services. A study by Scherer, Russ, Jenkins et al. (2012) evaluated the effect of private transport vs. ambulance services on the clinical outcomes of 198 STEMI patients. The median age of the patients was 60 years, and 70% (or 138) arrived at the hospital by private transport of
Emergency Room Efficiency Improving Emergency Department Flow by Using a Provider in Triage Emergency room triage plays an essential role in the speed and quality of the emergency room departments. Triage represents only one small part of the process that determines quality of patient care. Emergency rooms can be crowded. Busy times are often unpredictable, making it difficult to avoid bottlenecks in the system. This has an affect on the amount of
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Lynchburg Security Formulating a disaster and risk management is necessary for this jurisdiction. This is based on the knowledge that risk management is a demanding initiative that requires an appropriate and responsive. Satellite units are professionally trained to meet global demands. The Lynchburg, Virginia security system has met federal requirements of quality, and as a result, the system has proved suitable to respond to various hazards experienced in this jurisdiction. This
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door to balloon time is an important determinant of the prognosis of STEMI patients. To reduce D2B times, most centers implement a pre-hospital triage which involves the use of pre-hospital ECG to allow direct transfer of patients with confirmed STEMI to the PCI lab. Since most health facilities do not have PCI laboratories, a quick decision needs to be made regarding fibrinolytic therapy or transfer to a PCI facility.
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