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Give special attention to the ED, or face significant liability

The issue of throughput in the ED must be addressed with policies and procedures that ensure patients are not neglected while waiting for a bed, says Dona Constantine, RN, a former ED nurse and senior risk management and patient safety specialist with the Cooperative of American Physicians in Los Angeles. The hospital must have a clear policy that addresses questions such as who is in charge of a patient discharged from the ED but waiting for a bed. Is it the physician the patient has been admitted to, or is it still the physician in the ED?