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One such drastic redesign centered on the hospitals electronic medical records program (EMR) system. Believe it or not, we are in the same hospital. We were two floors apart from where the patient was prepped and recovered versus where they're in surgery two floors above. We were actually on different EMR modules. A nurse in the OR could not see what was going on in the pre/post area in the old system, Isaac shared. This was a big thing that we worked through combining these modules in the EMR so we share information. It can get status of where the patient is and create priority about what's going on. Working with the consultant, the hospital not only combined the modules, but stepped back and looked at every step of the process, finding that families were being asked the same questions over and over again. After we combined those modules and drilled that down to the questions that we had to ask, we reduced the total number of questions by a little over 60 percent and duplicate questions by 85 percent, he said. You see it in the numbers, not only percentages but our times to prep the patient for surgery, from the time they arrive to the time they are ready for surgery were at an hour, and a little like an hour and 34 minutes.

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กระเป๋า CHARLES & KEITH ของแท้ width='250px' alt='Boy Scout Casey Chambers carries a rainbow flag during the San Francisco Gay Pride Festival in California June 29, 2014. REUTERS/Noah Berger' align='left' /> REUTERS/Noah Berger The Boy Scouts of America said on Monday the group would begin accepting transgender boys, bucking its more than a century-old practice of using the gender stated on a birth certificate to determine eligibility. "Starting today, we will accept and register youth in the Cub and Boy Scout programs based on the gender identity indicated on the application," Boy Scouts of America communications director Effie Delimarkos said in an emailed statement. Delimarkos cited shifting definitions of gender under state laws, which can "vary widely from state to state," in explaining the change. She said that while the organization offers programs for all youths, its Cub and Boy Scout programs are specifically for boys. The change will allow children to apply even if male is not listed on their birth certificate. Advocacy group Scouts for Equality applauded the move: "This is another historic day for the Boy Scouts of America. The decision to allow transgender boys to participate in the Cub Scouts and the Boy Scouts is an important step forward for this American institution." In 2013, the Boy Scouts voted to lift a ban on openly gay scouts that had been in place throughout the organization's history after gay rights advocates gathered petitions with more than 1.8 million signatures in support of ending the ban. Support also came from some of the biggest American churches, including the Mormons and the Methodists, two of the largest scouting sponsors in the United States. Two years later, the organization lifted its blanket ban on gay adult leaders after its president, former U.S.

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