Leading Economic Indicators 

In April, a manager at a Dean Health System clinic in Madison, Wis., received corporate instructions to "immediately" lay off 50 listed employees, and the manager (a 30-year nursing veteran) decided that that included pulling one RN out of a room in which she was assisting with surgery, leaving just a physician and lower-level staff members present. A clinic executive later called the manager's timing an error, but said there were no adverse consequences to the patient.

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