title: Institute of Medicine to overwhelmed ED managers: 'you're not alone'.
abstract: ED managers can make a difference, even though forces beyond your department impact your operations, according to just-released landmark reports from the Institute of Medicine. They suggest these changes to help offset the effects of those forces: Become involved in system design and communication issues. Performance indicators for EDs are coming. Make sure you have mechanisms in place for training, compliance, and evaluation. Consider implementing a clinical decision unit to combat overcrowding in your ED.
mesh_terms: D004636:Emergency Service, Hospital / Q000458:organization & administration* / Q000592:standards; D006740:Hospital Administrators; D006801:Humans; D015969:National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division; D014481:United States