Emergency department bottleneck proposal Essay Example | Topics and Well Written Essays - 500 words

Emergency department bottleneck proposal - Essay Example The causes of the problem are two fold. The first is that the inflow of patients into the ED is not evenly spaced throughout the day and occurs as a rush during fours in the late evening and night. No plan can be created for changing the pattern of inflow of patients into the ED, as they occur as naturally. The second is that during the peak flow of patients into the ED, the services that are required to provide support for the ED in the provision of timely and quality care are functioning at their minimal ability, since they are in the after-hours mode. This is the cause that the sigma team to address in overcoming the problem. Practical barriers to receiving quality care in an ED is dependent on two key factors of access to service at the ED and the availability of the services required support services either in the ED or immediately accessible (Rust et al, 2008). Overcoming these barriers to quality service calls for consideration of the types of patients and the emergencies and the resources at the ED (Frush, 2007). The essential problem in quality care in an ED is the mismatch in the demand and supply of resources at the ED. From the perspective of the patient seamless provision of care from the time of arrival at the ED is the quality of service expected. The first step is this direction is preventing diversion of ambulances to the ED, which will reduce the overcrowding at the ED (Stokowski, 2007). The next step consists in organizing the ED into three separate areas to attend to areas to attend to medical problems, surgical problems and Urgent care area for triaging of patients. Staffing of the ED is the next issue. Since the ED peaks between 6.00 pm and 10.00 pm specialist services in the required different branches of medicine will be available. In addition the number of interns or residents at the ED will peak during this period of

Essay example --

Statement of Purpose We are accessible only to a limited quantity of resources around us. Considering the current usage and availability of resources, it has become very important for us to use them as wisely as possible. As an industrial engineer my aim is to find ways to eliminate wastefulness and enhance the efficiency of the process or service being provided. I would like to enhance my knowledge and in order to achieve this, I wish to pursue my Master’s degree in Industrial Engineering at the Arizona State University. I aspire to do my PhD after my Masters to fulfil my long term career goal of carrying out postdoctoral industrial research while becoming a tenured professor. Throughout, my inclination has always been towards academics and I consistently strive to achieve the best. I attended one of the best schools in my city, National Public School, Bangalore. Be it in school or my college, I have always been very enthusiastic about learning something new. In 2010, I started my undergraduate degree course in Industrial Engineering and Management in the prestigious M.S. Ramaiah ...

Australian Elections Essay

Institutional factors: Institutional factors relate to the type of the electoral system used in an election. Institutional factors that can influence the election include compulsory voting, the type of ballot, gerrymanders and malapportionment. Compulsory voting ensures 95 per cent of Western Australians participate in elections. However, it has been echoed by some academics that compulsory voting favors major parties. This is due to few people doing their own research into political parties and voting for parties they recognize through the media. The type of ballot used in an election has the most influence on the outcome. In a preferential ballot a seat has to be won by an absolute majority. Which gives an advantage to major political parties. However, in proportional voting a candidate has to get a derived quota to be elected. This means that a small party or independent can get elected with as little as 20% of the vote. Gerrymanders are also another major factor that can influence an election. Gerrymanders allow governments to redistribute electoral boundaries. Governments are then able to win more seats by reducing vote wastage in safe seats and shifting the wasted votes into marginal seats therefore giving them a better chance to win the marginal seats. This tends to favor the government because they have majority support to change electoral boundaries. Malapportionment is another institutional factor which may affect the election outcome. Malapportionment is a calculation used to even out an uneven distribution of population. This is done by increasing the power of votes in smaller districts. The problem with malapportionment is that it tends to favor the party or independent who exploits the weakness in the electoral system. Sociological factors: Sociological factors relate to the values and attitudes voters believe in. When voters are attracted to a particular party this is because they tend to support relatively the same values and attitudes. This will often lead the voter to vote for the party they are attracted to. The values and attitudes people obtain are often related to experiences the voter’s life. The biggest influence on values and attitudes of voters is their family. The fundamental sociological factors include socioeconomic profile, ethnic background, religion, geographical location, age and gender. Socioeconomic factors relate to a person ‘social class’. Social class structures of persons are generally divided by education achieved, employment category and income. Due to the recent blurring of policy in major political parities, voters have not been significantly polarized by the above three particulars. Therefore, socioeconomic factors don’t greatly affect election outcomes. Ethnic background relates to migrant origins. Origins of ethnic groups tend to reflect in political opinion. Trends suggest that ethnic communities that come from oppressive regimes vote on the left wing -Labor-. However, ethnic communities that migrate from democratic countries tend to vote right wing -Liberal-. Religion has become less of a factor in the outcome of an election. In the past religion has played a major role in Australian elections. This is due to mainly European migrants being either protestant or catholic. This division of religion ended in the 1940’s possibly due to World War Two. However, religious people generally cast a stronger conservative vote, relative to people with limited or no assimilation with religion. Geographic location in Western Australia has caused strong political divides. These strong political divides exist between the rural areas and the city. This division is due to different political and economic requirements needed by rural and city Western Australia. These different requirements have been around since foundation so the political division has always been prevalent. Age is an important aspect of the sociological factors. Mature age voters often support conservative right wing political parties. Where as, younger voters tend towards voting for left wing political parties. This trend for younger voters to elect left wing parties has been around since the 1970’s. Some of the early young voters stay loyal to left wing political parties. Gender in the last 30 years has played a prevalent role in Australia’s politics. This is due to the social revolution of the role of women. Women’s votes tend to be for a conservative party. Some psychologists believe this is because women reject change more then men. However, history has seen that women’s votes seen to have been arbitrary and lacking in trends. Political factors: Political factors fundamentally relate to the ability of political parties to make successful decisions. Political factors that may affect the election include the government’s record, opposition performance, economic management, leadership, the electoral campaign and media. The government’s record is an integral part of the party being re-elected. This is because re-election is a test to see if governments have avoided great controversy and delivered on performance. The examiners for the test are the voters. Great controversy can cause a government to lose an election. This is especially true when the controversy relate to money. This is because voters are scrupulous about were the money is being spent in the community. Performance of a government can be measured by how much they have delivered on pre election policy. If voters are disappointed about how much the government has delivered on policy they often wont trust the government for another term. Opposition performance relates to how weak or strongly the opposition party has performed. In order for an opposition party to gain votes and possibly win an election. The opposition party must successfully identify a policy weakness of the existing government. The opposition party must then develop alternative policy options for the voters. However, if an existing  government is clearly going to be defeated in the next election. The best tactic for an opposition would be to make few policy commitments. Economic management is possibly the greatest factor in elections. Economic stability and profitability in a government is fundamentally one of the most important issues. Profitability is more than just a government being in an account surplus. It also includes the ability of a government to provide successful funding to public systems. Stability refers to no great economic fluctuations. Voters lose confidence in governments if economic conditions are always changing. Leadership is important for a party. This is because often people look at the figurehead of the party, rather then the party as whole. Spin doctors or image consultants work on many factors of a leader’s profile. This is to make them as appealing to the public as possible. Leadership also includes how well the leader can hold the party together. This demonstrates a sign of strength to the voters. Strength alludes to the factors of authority and power. The electoral campaign decisions a party has to make include timing to start the campaign, advertising campaigns and areas to target. Timing to start an electoral campaign is important. If a campaign is to close to the election date key policy may not be heard by voters. If the campaign is announced too quickly it will give the opposition time to criticize the policy of the governments. Advertising is expensive and if it is done wrong it can be costly, however, if it is done correctly it can win an election. In recent times Mass media is a great way to advertise this is due to its impact and coverage. However, mass media advertising has to be carefully constructed, this is to minimize any chance of a mistake. Where to target advertising can also be an important decision. Parties often tend to heavily advertise in marginal seats, however, this policy has been costly. This is because other seats have lost support for the party and swung to another party. Media is seen as one of the greatest influences on modern politics. Due to the introduction of television and radio news about politics is always being  articulated. This is because people use media as the main medium to decide on political parties. However, recent pools suggest that media being so influential is overrated. This is due to free to air media needing to gain ratings to sell advertising. Thus, if a political party is unpopular it would not be in the media’s best interest to support the party. As the media could potentially lose ratings. It is echoed by John Willmott that media doesn’t set political opinion it just merely enforces it.

We Are The Cosmos Made Conscious And Life Is The Means By...

â€Å"We are the cosmos made conscious and life is the means by which the universe understands itself.† --Brian Cox. What is consciousness? I remember being a student in a NSCS 200 class, answering the attendance question of whether plants are conscious beings. They aim to fulfill a goal, they sense things, and with those stimuli, they make actions. So theoretically, they are conscious. But do they have consciousness? Are they aware what they are doing and why they are doing it? Do they feel things within themselves? And if the answers are no, what is then the difference between humans and between plants? Susan Schneider wrote in The Blackwell Companion to Consciousness, â€Å"anything that we are at a given moment forms part of our consciousness, making conscious experience at once the most familiar and most mysterious aspects of our lives.† Searching for the word consciousness in the dictionary, a definition of ‘the state or quality of awareness, or, of being aware of an external object or something within oneself’ could be found. It can also be described as sentience, awareness, subjectivity, the ability to think or feel, and the executive control of the mind. Many theories of where consciousness comes from have arisen, but there seems to be an underlying theme of what consciousness is, in the broader sense, to most theories. For instance, most theories agree that all sensory organs and their perceptions must combine within the brain to give us consciousness, and not separateShow MoreRelatedConstructing a Worldview1527 Words   |  7 PagesI consider that conceiving an idea of a worldview is itself an impressive achievement of the human mind. Moreover creating your own is even more impressive. Rome was not built in a day, and neither was my worldview. A worldview takes many years of experiences, and thinking to construct and to differentiate from others. Perhaps, the Christian worldview is centered on the idea of God and the relationship between God and human beings, and indeed it has profoundly influenced the development of WesternRead MoreWorldviews2381 Words   |  10 Pagespurposive, rational, and knowable to other persons. Transcendent means that God is distinct form the universe. He is able and willing to interact with the creation, but His existence is not bound by or limited to the universe. Eve rything that exists is contingent upon God’s creative act. God is both creator and sustainer of all things. God maintains access to the created order and involves Himself with it as he chooses. God designed the universe in such a way that nature follows a recognizable patter. BecauseRead MoreAncient Near Eastern Thought Essay3623 Words   |  15 Pagesof comparative study and to the relationship between comparative study, scholarship, and theology. Part 2 consists of a single chapter in which Walton provides a summary of the literature of the ancient Near East. Parts 3, 4, and 5, Walton then draws on the aforementioned source material to explore comparatively understandings of religion (Part 3), the cosmos (Part 4), and people (Part 5). Part 1 – Comparative Studies Chapter 1 – History and Methods Walton details that comparative study constitutesRead MoreThe Pursuit of God by Awe Tozer2459 Words   |  10 PagesIn the book, the Pursuit of God, Tozer offers many different areas of our life that we need to focus on in order to stay on God’s path. I went through the book and tried to piece together a short summary of each chapter below. The first chapter, Following Hard after God, talks about how though we try to stay on the right course and follow God, there are many distractions in today’s world that can make us veer from the path. The only reason that makes us want to pursue God is that He gave us the urgeRead MoreThe Age Old Question That Is Still Being Debated Essay1888 Words   |  8 Pagescan a good God allow suffering? Why does evil exist? Is God like many have attributed to Him, a watchmaker, who winds us up and lets it go until it runs out? How could God allow the Holocaust? The theological field of inquiry called â€Å"theodicy†, which investigates the basic question: If God is all powerful (omnipotent), all knowing (omniscient), and all-good, (omni-benevolent) how can evil and injustice exist? Since reading Elie Wiesel’s soul shattering Night, this topic seemed fitting. I willRead MoreParmenides and Heraclitus5510 Words   |  23 PagesParmenides. It examines their different the ories as to how the universe was created, understanding of the universe, way of truth, way of opinion and the third way. The author explains that Parmenides, who came after Heraclitus, addressed part of his writings as a refutation of Heraclitus? views. He objected both to Heraclitus? view of the universe and how Heraclitus felt people could gain knowledge of it. From the Paper: While we have discussed what both men see as the make up of the materialRead MoreSymbol of Forest in Literature2639 Words   |  11 Pagesto understand a forest, we cannot talk only of the trees, then it would be like discussing a leaf singly by forgetting the whole complexity of the tree. Our talk of forest cannot be complete if we do not speak of the birds, animals and insects and other organisms living in it, the soil and the rocks, the ponds and the rivers running through it, the grasses and colourful flowers growing there and man living with it, in it, as a part and as a dependent. Accordingly, deliberation on forest means touchingRead MoreThe Evolution Of Science Theory3565 Words   |  15 PagesIntroduction Science may be one of the most difficult â€Å"things† to unveil. It’s nearly impossible to completely grasp science as anything other than a certain phenomenon. Luckily with the evolution of knowledge and the â€Å"founders† of science, we can better understand how things have come to be and if they’ll remain as such. Scientific knowledge has undergone an evolutionary shift starting with triumphalism and arriving at the present-day modern sciences including theories of evolution and an understandingRead MoreEssay on The Poetry of Simon Armitage3052 Words   |  13 Pagesrather deliberate, self-conscious poetic style: O the unrivalled stench of branded skin This language is strong and vivid, and seems to imitate the style of earlier romantic poetry. Butterfingered in line 13 is apt because of the clumsiness of the boys attention seeking behaviour, but also because people used to put butter on burns to soothe the pain. How seriously we take the narrators feelings of guilt depends on the tone in which the first line of eachRead MoreThe Influence of Music on Self and Society - Values in Music in Eastern and Western Cultures8787 Words   |  36 Pagesconcur with that premise and it is primarily from the axiological, rather than a theoretical or aesthetic viewpoint that I approach this discourse. The responsibility of artists to the social environment in which they live and work is something that I have always had strong sentiments. As we now find ourselves beginning a new millennium, questions with regards to musics origins, its spiritual, religious and mystical properties, its moral and ethical power, its transcendent qualities, the role of