Postcard from Pennsylvania: lessons learned during successful fight over Marcellus Shale operations that may have applicability to Australian discussion

2017 ◽  
Vol 57 (2) ◽  
pp. 567 ◽  
Author(s):  
Chris Tucker
Keyword(s):  
New York ◽  
State Government ◽  
Marcellus Shale ◽  
Lessons Learned ◽  
Historical Background ◽  
Environmental Groups ◽  
Hydrocarbon Production ◽  
Media Campaigns ◽  
Well Stimulation ◽  
Natural Gas Development

This article explores the recent history and significance of unconventional natural gas development in the Marcellus region of Pennsylvania, including a look at the state’s historical background on hydrocarbon production, the effect of political and social media campaigns against development activities and the outlook for the future. In consultation with industry and environmental groups, Pennsylvania’s state government has crafted rules and regulations allowing responsible development to proceed, helping industry secure and retain its licence to operate in the process. This success was further made possible by an early and robust public engagement strategy that refuted misinformation and provided proper context for both the benefits and challenges inherent in resource development. However, in neighbouring states like New York and Maryland, similar public strategies and campaigns in support of development were not as quickly assembled and mobilised. The contrasting histories (and final results) help provide a template of lessons learned for other areas considering shale development, including an opportunity to avoid the kinds of mistakes that have led to moratoria, bans or other restrictions on specific well stimulation technologies, such as hydraulic fracturing.

scholarly journals The COVID Army: Experiences from the Deployment of Non-Hospitalist Physician Volunteers during the 2020 COVID Pandemic

2021 ◽  
pp. 1-15
Author(s):  
Kevin Hauck ◽  
Katherine Hochman ◽  
Mark Pochapin ◽  
Sondra Zabar ◽  
Jeffrey A Wilhite ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Medical Center ◽  
The United States ◽  
Lessons Learned ◽  
Front Line ◽  
Clinical Leadership ◽  
Team Members ◽  
Medical Centers ◽  
Hospitalist Physician

Abstract Objective New York City was the epicenter of the outbreak of the 2020 COVID-19 pandemic in the United States. As a large, quaternary care medical center, NYU Langone Medical Center was one of many New York medical centers that experienced an unprecedented influx of patients during this time. Clinical leadership effectively identified, oriented, and rapidly deployed a “COVID Army”, consisting of non-hospitalist physicians, to meet the needs of this patient influx. We share feedback from our providers on our processes and offer specific recommendations for systems experiencing a similar influx in the current and future pandemics. Methods In order to assess the experiences and perceived readiness of these physicians (n=183), we distributed a 32-item survey between March and June of 2020. Thematic analyses and response rates were examined in order to develop results. Results Responses highlighted varying experiences and attitudes of our front-line physicians during an emerging pandemic. Thematic analyses revealed a series of lessons learned, including the need to: (1) provide orientations, (2) clarify roles/ workflow, (3) balance team workload, (4) keep teams updated on evolving policies, (5) make team members feel valued, and (6) ensure they have necessary tools available. Conclusions Lessons from our deployment and assessment are scalable at other institutions.

scholarly journals Preparedness and response to an emerging health threat—Lessons learned from Candida auris outbreaks in the United States

2021 ◽  
pp. 1-6
Author(s):  
Diane Meyer ◽  
Elena K. Martin ◽  
Syra Madad ◽  
Priya Dhagat ◽  
Jennifer B. Nuzzo
Keyword(s):  
United States ◽  
New York ◽  
Qualitative Interviews ◽  
The United States ◽  
Lessons Learned ◽  
Infection Prevention And Control ◽  
Healthcare Organizations ◽  
Candida Auris ◽  
Term Care ◽  
Healthcare Facilities

Abstract Objective: Candida auris infections continue to occur across the United States and abroad, and healthcare facilities that care for vulnerable populations must improve their readiness to respond to this emerging organism. We aimed to identify and better understand challenges faced and lessons learned by those healthcare facilities who have experienced C. auris cases and outbreaks to better prepare those who have yet to experience or respond to this pathogen. Design: Semi-structured qualitative interviews. Setting: Health departments, long-term care facilities, acute-care hospitals, and healthcare organizations in New York, Illinois, and California. Participants: Infectious disease physicians and nurses, clinical and environmental services, hospital leadership, hospital epidemiology, infection preventionists, emergency management, and laboratory scientists who had experiences either preparing for or responding to C. auris cases or outbreaks. Methods: In total, 25 interviews were conducted with 84 participants. Interviews were coded using NVivo qualitative coding software by 2 separate researchers. Emergent themes were then iteratively discussed among the research team. Results: Key themes included surveillance and laboratory capacity, inter- and intrafacility communication, infection prevention and control, environmental cleaning and disinfection, clinical management of cases, and media concerns and stigma. Conclusions: Many of the operational challenges noted in this research are not unique to C. auris, and the ways in which we address future outbreaks should be informed by previous experiences and lessons learned, including the recent outbreaks of C. auris in the United States.

scholarly journals PPE during a pandemic: The experience of obtaining PPE and lessons learned from a department of obstetrics and gynecology in New York city

2020 ◽  
Vol 44 (6) ◽  
pp. 151293
Author(s):  
Jacob K. Lauer ◽  
Karen P. Acker ◽  
Lisa Saiman ◽  
Arnold A. Advincula ◽  
Richard L. Berkowtiz
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Lessons Learned ◽  
Obstetrics And Gynecology

scholarly journals Evolving oxygenation management reasoning in COVID-19

Diagnosis ◽  
2020 ◽  
Vol 7 (4) ◽  
pp. 381-383
Author(s):  
Steven Liu ◽  
Cara Sweeney ◽  
Nalinee Srisarajivakul-Klein ◽  
Amanda Klinger ◽  
Irina Dimitrova ◽  
...  
Keyword(s):  
United States ◽  
Intensive Care Unit ◽  
New York ◽  
New York City ◽  
Intensive Care ◽  
Initial Phase ◽  
The United States ◽  
Lessons Learned ◽  
Hypoxemic Respiratory Failure ◽  
Hospital Wards

AbstractThe initial phase of the SARS-CoV-2 pandemic in the United States saw rapidly-rising patient volumes along with shortages in personnel, equipment, and intensive care unit (ICU) beds across many New York City hospitals. As our hospital wards quickly filled with unstable, hypoxemic patients, our hospitalist group was forced to fundamentally rethink the way we triaged and managed cases of hypoxemic respiratory failure. Here, we describe the oxygenation protocol we developed and implemented in response to changing norms for acuity on inpatient wards. By reflecting on lessons learned, we re-evaluate the applicability of these oxygenation strategies in the evolving pandemic. We hope to impart to other providers the insights we gained with the challenges of management reasoning in COVID-19.

Lessons Learned While Implementing Mandatory Health care–Associated Infection Reporting in New York State

2013 ◽  
Vol 19 (4) ◽  
pp. 294-299 ◽  
Author(s):  
Rachel L. Stricof ◽  
Carole Van Antwerpen ◽  
Perry F. Smith ◽  
Guthrie S. Birkhead
Keyword(s):  
Health Care ◽  
New York ◽  
New York State ◽  
Lessons Learned ◽  
York State ◽  
Health Care Associated Infection
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