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Interprofessional barriers in patient flow management: an interview study of the views of emergency department staff involved in patient admissions

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Interprofessional barriers in patient flow management: an interview study of the views of emergency department staff involved in patient admissions. / Boiko, Olga; Edwards, Matthew; Zschaler, Steffen et al.

In: Journal of Interprofessional Care, 06.06.2020.

Research output: Contribution to journalArticlepeer-review

Harvard

Boiko, O, Edwards, M, Zschaler, S, Miles, S & Rafferty, AM 2020, 'Interprofessional barriers in patient flow management: an interview study of the views of emergency department staff involved in patient admissions', Journal of Interprofessional Care. https://doi.org/10.1080/13561820.2020.1760223

APA

Boiko, O., Edwards, M., Zschaler, S., Miles, S., & Rafferty, A. M. (2020). Interprofessional barriers in patient flow management: an interview study of the views of emergency department staff involved in patient admissions. Journal of Interprofessional Care. https://doi.org/10.1080/13561820.2020.1760223

Vancouver

Boiko O, Edwards M, Zschaler S, Miles S, Rafferty AM. Interprofessional barriers in patient flow management: an interview study of the views of emergency department staff involved in patient admissions. Journal of Interprofessional Care. 2020 Jun 6. https://doi.org/10.1080/13561820.2020.1760223

Author

Boiko, Olga ; Edwards, Matthew ; Zschaler, Steffen et al. / Interprofessional barriers in patient flow management: an interview study of the views of emergency department staff involved in patient admissions. In: Journal of Interprofessional Care. 2020.

Bibtex Download

@article{1f2a2a34806a45bb84902b7c7410b622,
title = "Interprofessional barriers in patient flow management: an interview study of the views of emergency department staff involved in patient admissions",
abstract = "Patient flow in emergency departments (EDs) is notoriously difficult to manage efficiently. While much of the attention has focused on the procedures, protocols and pathways in which patients receive their first hours of care, less attention has been paid to the relational factors that make it happen. Our study is the first, to our knowledge, to consider the role of interprofessional barriers, defined as suboptimal ways of working, as perceived by ED staff in patient flow management. Drawing on 19 interviews with hospital staff in an acute tertiary trauma center hospital in England, we established three flow-related types of interprofessional barriers: ED teamwork barriers, performance-driven coordination barriers, and referral-related collaborative barriers. Knotworking was recognized as a form of interactions and asset to teamworking, coordination, and collaboration. Identifying processes such as chasing, escalating, and advocating enabled our investigation to highlight a very complex set of interprofessional interactions, and signpost what the suboptimal practices of flow management are. Our analysis holds promise for hospitals beyond the National Health Service in England.",
keywords = "Patient flow, emergency admissions, interprofessional barriers, knotworking",
author = "Olga Boiko and Matthew Edwards and Steffen Zschaler and Simon Miles and Rafferty, {Anne Marie}",
year = "2020",
month = jun,
day = "6",
doi = "10.1080/13561820.2020.1760223",
language = "English",
journal = "Journal of Interprofessional Care",
issn = "1356-1820",
publisher = "Taylor and Francis",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Interprofessional barriers in patient flow management: an interview study of the views of emergency department staff involved in patient admissions

AU - Boiko, Olga

AU - Edwards, Matthew

AU - Zschaler, Steffen

AU - Miles, Simon

AU - Rafferty, Anne Marie

PY - 2020/6/6

Y1 - 2020/6/6

N2 - Patient flow in emergency departments (EDs) is notoriously difficult to manage efficiently. While much of the attention has focused on the procedures, protocols and pathways in which patients receive their first hours of care, less attention has been paid to the relational factors that make it happen. Our study is the first, to our knowledge, to consider the role of interprofessional barriers, defined as suboptimal ways of working, as perceived by ED staff in patient flow management. Drawing on 19 interviews with hospital staff in an acute tertiary trauma center hospital in England, we established three flow-related types of interprofessional barriers: ED teamwork barriers, performance-driven coordination barriers, and referral-related collaborative barriers. Knotworking was recognized as a form of interactions and asset to teamworking, coordination, and collaboration. Identifying processes such as chasing, escalating, and advocating enabled our investigation to highlight a very complex set of interprofessional interactions, and signpost what the suboptimal practices of flow management are. Our analysis holds promise for hospitals beyond the National Health Service in England.

AB - Patient flow in emergency departments (EDs) is notoriously difficult to manage efficiently. While much of the attention has focused on the procedures, protocols and pathways in which patients receive their first hours of care, less attention has been paid to the relational factors that make it happen. Our study is the first, to our knowledge, to consider the role of interprofessional barriers, defined as suboptimal ways of working, as perceived by ED staff in patient flow management. Drawing on 19 interviews with hospital staff in an acute tertiary trauma center hospital in England, we established three flow-related types of interprofessional barriers: ED teamwork barriers, performance-driven coordination barriers, and referral-related collaborative barriers. Knotworking was recognized as a form of interactions and asset to teamworking, coordination, and collaboration. Identifying processes such as chasing, escalating, and advocating enabled our investigation to highlight a very complex set of interprofessional interactions, and signpost what the suboptimal practices of flow management are. Our analysis holds promise for hospitals beyond the National Health Service in England.

KW - Patient flow

KW - emergency admissions

KW - interprofessional barriers

KW - knotworking

UR - http://www.scopus.com/inward/record.url?scp=85086847635&partnerID=8YFLogxK

U2 - 10.1080/13561820.2020.1760223

DO - 10.1080/13561820.2020.1760223

M3 - Article

JO - Journal of Interprofessional Care

JF - Journal of Interprofessional Care

SN - 1356-1820

ER -

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