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Improving patient flow and reducing emergency department crowding: a guide for hospitals megan mchugh, phd kevin van dyke, mpp mark mcclelland, mn, rn. Clark county, nevada declared a state of emergency in july 2004 because individuals with symptoms of mental disorders were flooding hospital emergency rooms 24 boarding times for psychiatric patients in georgia s emergency rooms average 34 hours, with many waiting several days for an inpatient bed in one of seven state-run psychiatric.
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