Modelling coordination in hospital emergency departments through social network analysis.

Coordination theory provides a theoretical framework for analysing complex processes of project groups working towards a common goal. In this study, we explore the relationship between coordination and social networks for the development of a network-based coordination model. This model is applied to measure the performance and quality of complex and dynamic project coordination such as in hospital emergency departments. The dataset used for the study was collected by the 2004 National Hospital Ambulatory Medical Care Survey--a national probability sample survey of visits to emergency and outpatient departments of non-Federal, short-stay and general hospitals in the United States. Using social network analysis, this study allows us to understand the possible causes of inefficient coordination performance and coordination quality resulting in access blocks.

[1]  Carla Simone,et al.  When once is not enough: the role of redundancy in a hospital ward setting , 2005, GROUP.

[2]  P. Sprivulis,et al.  Access block causes emergency department overcrowding and ambulance diversion in Perth, Western Australia , 2005, Emergency Medicine Journal.

[3]  L. LeBlanc,et al.  Modeling emergency department operations using advanced computer simulation systems. , 1989, Annals of emergency medicine.

[4]  M. Chwe.  Communication and Coordination in Social Networks , 2000 .

[5]  E. McGlynn,et al.  Part 2: Measuring Quality of Care , 1996 .

[6]  Aksel Tjora,et al.  Maintaining redundancy in the coordination of medical emergencies , 2004, CSCW.

[7]  Thomas W. Malone,et al.  Modeling Coordination in Organizations and Markets , 1987 .

[8]  John C. Morey,et al.  Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. , 2002, Health services research.

[9]  Ò. Miró,et al.  Quality and effectiveness of an emergency department during weekends , 2004, Emergency Medicine Journal.

[10]  L. McCaig,et al.  National Hospital Ambulatory Medical Care Survey: 2001 emergency department summary. , 2003 .

[11]  W. S. Armel,et al.  The use of simulation to evaluate hospital operations between the emergency department and a medical telemetry unit , 2003, Proceedings of the 2003 Winter Simulation Conference, 2003..

[12]  H. Rubin,et al.  Hospitalists and an innovative emergency department admission process , 2004, Journal of General Internal Medicine.

[13]  Enrico W. Coiera,et al.  Communication behaviours in a hospital setting: an observational study , 1998, BMJ.