Optimizing patient basic safety and nephrology source utilization are among the two most relevant, he noted. While the underlying known reasons for the observed elevated deaths among AKI sufferers admitted on a weekend are unfamiliar and need further investigation, other studies have referred to delays in assessment, diagnosis, and management of other severe medical ailments on weekends. Research co-authors include Ron Wald, MDCM, Chaim M.Winchell stated, ‘History shows that market forces are insufficient to guarantee a well balanced system. Police, fire and EMS services are not provided based on market profitability; the same criterion must be held accurate for trauma services.’ The statement lays out recommendations for optimal trauma program function. Among these is the theory that designation of trauma centers may be the responsibility of the governmental business lead company with oversight of the regional trauma system. Furthermore, the lead company should be guided by the neighborhood needs of the spot for which it provides oversight, and trauma middle designation should be guided by the regional trauma program based upon the needs of the populace being served, rather than the needs of specific healthcare organizations or hospital groupings.