Leadership

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.

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.

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.

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.

Emergency Department crowding is hard to explain to non-clinical audiences. A cognitive bridge is a three-step tool to help others understand.

An introduction to the Trauma Team Leader Tips series, edited by Simon Carley and Greg Yates. Short, practical posts draw on the team’s experience of clinical care, communication and human factors, with downloadable resources for teaching and discussion.