<prompt> Translate the following text to EnglishMbinu zinazofanya kazi katika idara ya dharura zinatokana na kuamua nini kinawezekana katika mazingira hayo na kurekebisha hatua ambazo zimeonyeshwa kuwa na ufanisi katika mazingira mengine ya kliniki.  <response>: Methodologies that work in the emergency department come from deciding what is feasible in that environment and adapting interventions that have been shown effective in other clinical settings. 