Part 1:

Certain functions are not limited or contained within one department. For example – Drug administration.

Doctor checks patient; Doctor decides on medication; Ward nurse orders it from pharmacy; pharmacy orders it from supplier; pharmacy delivers to nurse on ward; nurse gives to patient; patient swallows pill; as you can see, we have various people in the loop. Hopefully, patient will get the RIGHT medication at the RIGHT time!

1. How do we deal with an inter-departmental function, so that "nothing falls between the cracks"? Your insight on this, please.
2. Describe the components of effective administrative, intra- and inter-departmental communication, including both verbal and written.

Part 2:

1. I would like to focus on Organization Performance.
   Please provide your insight as to:
   a. the Concept;
   b. The need for; and
   c. The implementation of; organization performance.
2. In your Case Assignment you discussed some of the issues in an emergency department. Please comment on each of the following:
   a. Discuss issues of crowding.
   b. List common ED operation metrics.
   c. Identify ED technologies that can help improve patient flow.

Background Readings:

All, A. A. L., Safety, R. W. F. P., & Hiatus, P. (2016). Top Standards Compliance Data Announced for 2015. Retrieved from
https://www.jointcommission.org/assets/1/6/16_AHC_and_OBS_Challenging_Stds_for_2015.pdf

Cooper, S. (2017, Mar 03). Doctors call Fraser Health ERs unsafe; overcrowding stopping treatment of patients in ward hallways has made situation worse, doctor says. The Province.

Émond, M., Grenier, D., Morin, J., Eagles, D., Boucher, V., Le Sage, N., . . . Lee, J. (2017). Emergency department stay associated delirium in older patients *. Canadian Geriatrics Journal, 20(1), 10-14.

Global hospital acquired infections industry trends and 2022 foresight report. (2017, Apr 19). M2 Presswire.

How to prevent the joint commission's top life safety findings. (2017). Healthcare Life Safety Compliance, 19(1), 1-6.

Marshall County invests in first UV disinfection robot. (2017, Aug 02). PR Newswire.

Research from Columbia Business School reveals how to shorten emergency room wait time. (2016, Aug 29). PR Newswire.

Robinson, M. (2017, Aug 08). How hospital overcrowding affects paramedics. The Times – Transcript.

Rojas, E., Sepúlveda, M., Munoz-Gama, J., Capurro, D., Traver, V., & Fernandez-Llatas, C. (2017). Question-driven methodology for analyzing emergency room processes using process mining. Applied Sciences, 7(3), 302.

Smith, B., Bouchoucha, S., & Watt, E. (2016). ‘Care in a chair’ – the impact of an overcrowded emergency department on the time to treatment and length of stay of self-presenting patients with abdominal pain. International Emergency Nursing, 29, 9-14.

Solnik, C. (2017). Raising the grades. Long Island Business News.

Todd, L. (2016, Sep 05). A fix for the 'catch-all' emergency room? High Country News.