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Operational efficiency paired with operational flexibility has become critical to the viability and growth of health care systems. Historically, observation medicine provides the next level of care for emergency department (ED) patients that are not ready for discharge to home yet the need for inpatient level of care is undetermined. Observation medicine allows for the tincture of time necessary to make the safest, most evidence-based decisions and safer transitions to home or hospital. The growth of observation medicine is the direct result of need for operational efficiency such as enhancement of hospital throughput and increase of inpatient bed capacity. During the COVID-19 pandemic, observation medicine allowed for operational flexibility at the local emergency department level as well as had global implications on hospital operations allowing necessary pivots for surge in health care demands.
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