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A patient is monitored in an examination room inside the Clinical Decision Unit (CDU) at Kaiser Permanente's Capitol Hill Medical Center in Washington, DC.  Kaiser's CDU allows patients to avoid the frequent delays associated with a typical hospital emergency room.   Kaiser members receive immediate care from clinicians,  doctors and specialists on site,  who have access to patients' complete electronic medical records.   The patient is Ronald Jeffries and the nurse is Gwen LaFontant.