Case Study: Emergency Department Response to the Boston Marathon Bombing

Author(s):  
Czarina E. Sánchez ◽  
León D. Sánchez
2021 ◽  
Vol 4 (1) ◽  
pp. 43-56
Author(s):  
Angela Senter ◽  
Mark Beattie ◽  
Demi Deng

Large event security has become increasingly complex over the past 20 years. Security incidents have included headline tragedies such as the Las Vegas shooting in 2017 and the Boston Marathon bombing in 2013. Spokane, Washington, has been no exception to the need to enhance guest security for large-scale events, as evidenced by the Hoopfest gang-related shooting in 2010 and the Martin Luther King Jr. Day bombing attempt in 2011. Balancing the interests of stakeholders has become challenging for event management professionals in both planning and operations phases. Security strategies and trainings designed for security and guest service staff are critical for the success of new protocols. Transparent communication to the public is crucial for the event's success and the guarantee of guest satisfaction. This case study aims to document the leadership decisions made to enhance security for large-scale events held in Downtown Spokane and the Spokane Arena. Focusing on several tipping points, the leadership decisions and implementation are chronicled as a case study, along with the decisions and protocols that continue to influence large event security in the Spokane area. This study will benefit other event planners and venues as they face security system upgrades, protocols, and implementation.


2017 ◽  
Vol 6 (6) ◽  
pp. 680-702 ◽  
Author(s):  
Lamiyah Bahrainwala

Public discourse often forwards Muslim athletes as examples of “exceptional” Muslims who are “moderate.” This signals that engaging in discourse about sports can allow U.S. Muslims to tap into the nationalism and respectability necessary for demonstrating citizenship, and combat increased scrutiny and charges of radicalization. This article examines the discursive ripples that result when this connection between sports, nationalism and respectability, and “moderate Muslims” is disrupted. I take up the case study of the 2013 Boston Marathon Bombing mastermind, Tamerlan Tsarnaev, who was also an accomplished boxer. First, I describe how discourse about sports emerges in conversations about “moderate Muslims,” and second, I examine how Tsarnaev’s athletic accomplishments mediate his terrorist persona in the news coverage. I draw on respectability politics and Jasbir Puar’s concept of the hypertrophied heterosexual in my analysis. In doing so, I establish how discourse about sports mediates conversations about U.S. Muslim identity and furthers U.S. exceptionalism.


CJEM ◽  
2017 ◽  
Vol 20 (4) ◽  
pp. 532-538 ◽  
Author(s):  
Lucas B. Chartier ◽  
Antonia S. Stang ◽  
Samuel Vaillancourt ◽  
Amy H. Y. Cheng

ABSTRACTThe topics of quality improvement (QI) and patient safety have become important themes in health care in recent years, particularly in the emergency department setting, which is a frequent point of contact with the health care system for patients. In the first of three articles in this series meant as a QI primer for emergency medicine clinicians, we introduced the strategic planning required to develop an effective QI project using a fictional case study as an example. In this second article we continue with our example of improving time to antibiotics for patients with sepsis, and introduce the Model for Improvement. We will review what makes a good aim statement, the various categories of measures that can be tracked during a QI project, and the relative merits and challenges of potential change concepts and ideas. We will also present the Model for Improvement’s rapid-cycle change methodology, the Plan-Do-Study-Act (PDSA) cycle. The final article in this series will focus on the evaluation and sustainability of QI projects.


2008 ◽  
Vol 21 (2) ◽  
pp. 120-130 ◽  
Author(s):  
Joseph S. Guarisco ◽  
Stefoni A. Bavin

PurposeThe purpose of this paper is to provide a case study testing the Primary Provider Theory proposed by Aragon that states that: disproportionate to any other variables, patient satisfaction is distinctly and primarily linked to physician behaviors and secondarily to waiting times.Design/methodology/approachThe case study began by creating incentives motivating physicians to reflect and improve behaviors (patient interactions) and practice patterns (workflow efficiency). The Press Ganey Emergency Department Survey was then utilized to track the impact of the incentive programs and to ascertain any relationship between patient satisfaction with the provider and global patient satisfaction with emergency department visits by measuring patient satisfaction over an eight quarter period.FindingsThe findings were two‐fold: firstly, the concept of “pay for performance” as a tool for physician motivation was valid; and secondly, the impact on global patient satisfaction by increases in patient satisfaction with the primary provider was significant and highly correlated, as proposed by Aragon.Practical implicationsThese findings can encourage hospitals and physician groups to place a high value on the performance of primary providers of patient care, provide incentives for appropriate provider behaviors through “pay for performance” programs and promote physician understanding of the links between global patient satisfaction with physician behaviors and business growth, malpractice reduction, and other key measures of business success.Originality/valueThere are no other case studies prior to this project validating the Primary Provider Theory in an urban medical center; this project adds to the validity and credibility of the theory in this setting.


2015 ◽  
Vol 29 ◽  
pp. S7-S10 ◽  
Author(s):  
Daniel Tobert ◽  
Arvind von Keudell ◽  
Edward K. Rodriguez

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