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Emerg Med Australas · Aug 2020
Directors of emergency medicine's beliefs about, barriers to, and enablers of solutions to emergency department crowding and access block.
- Andrew Rixon, Samuel Wilson, Simon Judkins, and Peter White.
- Department of Business Technology and Entrepreneurship, Swinburne University of Technology, Melbourne, Victoria, Australia.
- Emerg Med Australas. 2020 Aug 1; 32 (4): 679-682.
ObjectiveTo identify opportunities for directors of emergency medicine (DEMs) to lead change efforts to address ED crowding and access block.MethodsDEMs were surveyed about their beliefs about, barriers to, and enablers of solutions to ED crowding and access block.ResultsKey barriers were insufficient resources, entrenched hospital culture, and lack of political will to address ED crowding and access block. Key enablers were developing hospital-wide understanding of the problems, developing a supportive hospital culture, and improved engagement by hospital executive.ConclusionAddressing the political and cultural forces that sustain ED crowding and access block are key adaptive challenges requiring DEM leadership.© 2020 Australasian College for Emergency Medicine.
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