Why can delays persist even when individual parts of an urgent and emergency care pathway work well? Stevan Bruijns examines the gaps between emergency care, acute care and discharge, and the often unrecognised work of bed and site managers who connect them.
Ghost jams and the seams between the Model UEC papers Read More
Evidence from academic studies, professional bodies, coroners, NHS trusts and patient-safety investigators increasingly links corridor care and prolonged emergency department boarding with avoidable harm. Stevan Bruijns asks whether the evidence now warrants a formal public inquiry.
Corridor care and boarding harm: how much evidence is enough? Read More
How do emergency clinicians hold on to hope while acknowledging the reality of a struggling system? Stevan Bruijns reflects on the Stockdale paradox, moral injury and the colleagues who help us endure, while keeping responsibility for working conditions with the organisation.
The limits of holding on to realism and hope alone Read More
What does medical boarding cost patients and the wider emergency care system? Stevan Bruijns reviews regional data linking boarding with mortality, longer stays and ambulance delays, then explores the limitations of the evidence and the argument for action within acute trusts.
JC: Boarding, the crowding tax and a fixable problem Read More
Can ambient AI scribes ease documentation in the emergency department? This appraisal examines who used the tools, the reported time savings and gaps in evidence about note quality, then considers how the clinical environment should shape any local pilot.
JC: Ambient AI scribes in the ED Read More
Why is it so difficult to build an emergency department rota that meets weekend demand? Stevan Bruijns explores full-time and part-time staffing, the separation of substantive, locum and longer-term costs, and what a more complete workforce business case should consider.
The three-body problem and ED clinical staffing Read More
Clinician productivity depends on the conditions in which teams work. This article challenges the use of patients-per-hour targets in isolation and explores how space, staffing, diagnostics and crowding should shape the conversation about emergency department performance.
How many patients should we see per hour? Read More
Emergency Department crowding is hard to explain to non-clinical audiences. A cognitive bridge is a three-step tool to help others understand.
Explaining Emergency Department Crowding Using a Cognitive Bridge Read More
