Author name: Stevan Bruijns

I am an Emergency Physician and systems strategist who views the hospital as a complex adaptive system rather than a simple queue. From pioneering the South African Triage Scale and founding the African Journal of Emergency Medicine to my current role as Regional Specialist Advisor for NHSE (South West), I have spent my career building the bridges between clinical safety and operational flow. Today, I balance frontline consulting at a district hospital with strategic advisory roles for the CQC and NHSE. I specialise in the interface between data and practice, applying complexity science to solve the friction of ED crowding and system-wide bottlenecks. Whether I am auditing regional pathways or writing for St Emlyn’s, my goal is to translate high-level strategy into practical solutions that work for staff and patients alike. Outside the ED, I bring that same problem-solving mindset to homeschooling my two children and managing a household that includes two rogue chickens currently winning a war of attrition against our vegetable patch.

Nurse or doctor in light blue scrubs lying back on a sofa staring at the ceiling

JC: When helping hurts – moral injury and the erosion of trust for UK emergency responders

How do emergency responders experience moral injury? A small UK mixed-methods study explores loss of trust in others, oneself and authority. This journal club considers those different perspectives and what they might mean for organisational support beyond individual resilience.

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