![]() This innovative system can be implemented and scaled to suit EDs that have more than single-physician coverage.Ĭopyright © 2018 American College of Emergency Physicians. This new emergency physician staffing model with overlapping shifts decreased the proportion of patient handoffs. A survey of physicians and charge nurses demonstrated improved perceptions of patient safety, ED flow, and job satisfaction. Day passes can be purchased at most parks or online. All Washington state parks require a Discover Pass currently about 10 for a day or about 30 for a full year. The woods are spectacular, and there are waterways and lakes everywhere you look. Immediately after implementation of the new model, there was a 25% reduction in the proportion of encounters with patient handoffs, from 7.9% to 5.9%. From late spring to late fall, Seattlites are outdoors biking, kayaking, hiking, and camping. In addition, surveys were conducted among attending physicians and charge nurses to inquire about perceived impacts of the change.Ī total of 43,835 patient encounters were analyzed. This was a retrospective quality improvement study of a process change that evaluated the percentage of intradepartmental handoffs before and after implementation of a new novel attending physician staffing model. This was replaced with overlapping "waterfall" shifts. The original model required multiple handoffs at shift change. The team sought to decrease patient handoffs, optimize provider efficiency, and balance workload without increasing total attending physician hours. Our objective is to evaluate a novel attending physician staffing model in an academic pediatric ED that was designed to decrease patient handoffs.Ī multidisciplinary team met in August 2012 to redesign the attending physician staffing model. Super calm waters make for easy boating, sandy shores turn into beach volleyball courts, a bathhouse offers changing spaceand buoys separate swim areas from spots where motorboaters and jet skis create wake. However, few have investigated processes designed to decrease the number of handoffs. With more than 7,000 feet of waterfront, this suburban state park is basically a playground for all comers. Numerous methods have been implemented and studied to improve the quality of handoffs to mitigate this risk. ![]() She was a loyal and open-hearted friend who cultivated a host of life-long friendships across wide spans of time and distance.Patient handoffs at shift change in the emergency department (ED) are a well-known risk point for patient safety. Seattle Times staff reporter A young hiker fell through a waterfall to his death Saturday morning while on the Denny Creek Trail in North Bend. She was a generous teacher who eagerly shared her knowledge and love of music with her students. One of Washington States most popular scenic attractions, Snoqualmie Falls is a 270 foot waterfall surrounded by a two-acre park, with an observation deck. She was a deeply spiritual person who practiced her beliefs with dedication and a sense of wonder. Pop in behind Occidental Square Park to read, munch on an afternoon snack, and enjoy the history humming in the air. ![]() Other equally strong and colorful threads wove their way through Linda’s life. The 22-foot (6.71 m) waterfall stands alongside slow-growing trees like Chamaecyparis obtusa and other native Japanese plant life. And in 2016, readers of Seattle Magazine voted Linda one of Seattle’s 20 most-talented people. Her 2015 album, Hometown Girl, was chosen by Seattle Times music critic Paul de Barros as one of his ten favorite albums of the year ( read Paul’s Seattle Times postmortem for Linda). Over the course of her career, Linda was repeatedly named Seattle’s top singer-songwriter. Her ability to apply her personal genius to these styles resulted in a sound that was unique, beautiful, and celebrated. Her music reflected her classical training as well as a wide range of influences, including folk, jazz, blues, rock, and world music. She graduated Phi Beta Kappa from Stanford University, with a B.A. Linda grew up in a musical family where she received early training in classical piano, music theory, composition, and voice. ![]() Fretboard Journal has published a deep and thoughtful article by Paul de Barros, beautifully capturing Linda’s essence and contributions.
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