ArticleBMC health services research2013
Waiting management at the emergency department - a grounded theory study.
Article in BMC health services research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Is wait a hard word for the patient? The impact of waiting time on revisit decisions in patients with respiratory infectious diseases in the post-epidemic era - findings from fever clinics in China.BMC health services research · 2026Article
- Factors Associated with Patients Leaving Without Being Seen in a Canadian Emergency Department.The western journal of emergency medicine · 2025Article
- "The stay here is, of course, not appropriate for an old person": the perspective of healthcare providers on older patients in the emergency department.BMC geriatrics · 2024Article
- Article
- Emergency patients' satisfaction with humanistic caring and its associated factors in Chinese hospitals: a multi-center cross-sectional study.Frontiers in public health · 2024Article
- Pluralistic task shifting for a more timely cancer diagnosis. A grounded theory study from a primary care perspective.Scandinavian journal of primary health care · 2021Article
- Factors contributing to delay intensive care unit admission of critically ill patients from the adult emergency Department in Tikur Anbessa Specialized Hospital.BMC emergency medicine · 2021Article
- The Meaning of Boarding in a Swedish Accident & Emergency Department: A Qualitative Study on Patients' Experiences of Awaiting Admission.Healthcare (Basel, Switzerland) · 2021Article
- Observational
- Factors associated with patients' and companions' satisfaction with a hospital emergency department: A descriptive, cross-sectional study.Nursing open · 2019Article
- Not all waits are equal: an exploratory investigation of emergency care patient pathways.BMC health services research · 2017Article
- The patient safety culture as perceived by staff at two different emergency departments before and after introducing a flow-oriented working model with team triage and lean principles: a repeated cross-sectional study.BMC health services research · 2014Article
- National targets, process transformation and local consequences in an NHS emergency department (ED): a qualitative study.BMC emergency medicine · 2014Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAn emergency department (ED) should offer timely care for acutely ill or injured persons that require the attention of specialized nurses and physicians. This study was aimed at exploring what is actually going on at an ED.
methodsQualitative data was collected 2009 to 2011 at one Swedish ED (ED1) with 53.000 yearly visits serving a population of 251.000. Constant comparative analysis according to classic grounded theory was applied to both focus group interviews with ED1 staff, participant observation data, and literature data. Quantitative data from ED1 and two other Swedish EDs were later analyzed and compared with the qualitative data.
resultsThe main driver of the ED staff in this study was to reduce non-acceptable waiting. Signs of non-acceptable waiting are physical densification, contact seeking, and the emergence of critical situations. The staff reacts with frustration, shame, and eventually resignation when they cannot reduce non-acceptable waiting. Waiting management resolves the problems and is done either by reducing actual waiting time by increasing throughput of patient flow through structure pushing and shuffling around patients, or by changing the experience of waiting by calming patients and feinting maneuvers to cover up.
conclusionTo manage non-acceptable waiting is a driving force behind much of the staff behavior at an ED. Waiting management is done either by increasing throughput of patient flow or by changing the waiting experience.
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