Abstract：
BACKGROUND:The Emergency Department (ED) is consistently described as a high-risk environment for patients and clinicians that demands colleagues quickly work together as a cohesive group. Communication between nurses, physicians, and other ED clinicians is complex and difficult to track. A clear understanding of communications in the ED is lacking, which has a potentially negative impact on the design and effectiveness of interventions to improve communications. We sought to use Social Network Analysis (SNA) to characterize communication between clinicians in the ED. METHODS:Over three-months, we surveyed to solicit the communication relationships between clinicians at one urban academic ED across all shifts. We abstracted survey responses into matrices, calculated three standard SNA measures (network density, network centralization, and in-degree centrality), and presented findings stratified by night/day shift and over time. RESULTS:We received surveys from 82% of eligible participants and identified wide variation in the magnitude of communication cohesion (density) and concentration of communication between clinicians (centralization) by day/night shift and over time. We also identified variation in in-degree centrality (a measure of power/influence) by day/night shift and over time. CONCLUSIONS:We show that SNA measurement techniques provide a comprehensive view of ED communication patterns. Our use of SNA revealed that frequency of communication as a measure of interdependencies between ED clinicians varies by day/night shift and over time.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Patterson PD,Pfeiffer AJ,Weaver MD,Krackhardt D,Arnold RM,Yealy DM,Lave JRdoi
10.1186/1472-6963-13-109subject
Has Abstractpub_date
2013-03-22 00:00:00pages
109issn
1472-6963pii
1472-6963-13-109journal_volume
13pub_type
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