It’s 8 pm and I’m 9 hours into a 10-hour shift when four new patients walk in. Even though I’m feeling drained, I smile warmly as each passes my workstation. I “eyeball” them each as they walk by; my grin persists because they all seem stable and my “TUR” for this shift in the emergency department is now only 45 minutes away. TUR (or “time until relief”) is a metric I continuously track with ruthless …
Read More![The Last Hour Problem The Last Hour Problem](https://www.jucm.com/wp-content/uploads/2021/10/11.21-CEO-Letter-380x253-1.jpg)