Emergency Department Management
Design as repair: what Emergency Medicine can learn (and why it is so hard)
The NHS drowns in innovation whilst repair work goes unsupported. Why Bronson's Design as Repair framework matters for emergency medicine.
Emergency Department Management
The NHS drowns in innovation whilst repair work goes unsupported. Why Bronson's Design as Repair framework matters for emergency medicine.
Emergency Department Management
What changed in NHS England’s urgent and emergency care plan for 2025/26? This analysis examines its emphasis on shared accountability and care coordination, alongside concerns about funding, workforce capacity and the challenge of turning national ambitions into local improvements.
Emergency Department Management
Emergency departments (EDs) often seem to shift from calm to crisis in an instant. Why? This article explores ED crowding through the lens of complexity science and self-organised criticality, explaining how minor changes—like a few extra patients—can trigger disproportionate chaos.
How can a busy emergency department make learning part of everyday work? This article explores psychological safety, leadership and shared reflection, with practical ideas ranging from brief debriefs to sharing learning between colleagues and testing small changes in practice.
How should leaders respond when a team faces a serious failure? At Tactical Trauma 2024, RCMP commander Kevin Cyr discusses visible leadership, support that continues beyond the immediate aftermath and debriefing for practical learning, with reflections on what healthcare teams can take from his experience.
What does a crowded emergency department feel like to patients and their families? Liz Crowe reviews a small qualitative interview study exploring loss of autonomy, unmet expectations and vulnerability, then considers practical ways to improve communication, comfort and attention to basic needs.
Practical perspectives on trauma care and team leadership.
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