Tragedy of the ED Commons

In his landmark article, Tragedy of Commons (1968), Garrett Hardin asks, “Is ours a finite world? [If so], a finite world can only support a finite population.” In Hardin’s parable, a single group of herders shares a common pasture. The pasture is large enough to support many animals, but not infinitely many. Rationally, each herdsman… Continue reading Tragedy of the ED Commons

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Quality Detector

“Data is the new gold” is the mantra of our age. The data scientist has been termed the “sexiest job of the 21st century.” Every industry is driven by the impetus to acquire, curate, and analyze all aspects of their business. We measure and quantify everything with the promise of utilizing this data to drive… Continue reading Quality Detector

Thrashing in the Emergency Department

The work of an emergency physician is an exercise in multitasking. We see multiple patients in parallel and respond to all the responsibilities that come with this patient care in addition to being aware of new, potentially sick patients. A typical workflow includes signing EKGs of new patients, documenting on a patient encounter, responding to… Continue reading Thrashing in the Emergency Department