Collaboration and patient safety at an emergency department – a qualitative case study
Journal of Health Organization and Management
ISSN: 1477-7266
Article publication date: 22 January 2018
Issue publication date: 6 March 2018
Abstract
Purpose
The purpose of this paper is to examine how conflicts about collaboration between staff at different departments arose during the establishment of a new emergency department and how these conflicts affected the daily work and ultimately patient safety at the emergency department.
Design/methodology/approach
This qualitative single case study draws on qualitative semi-structured interviews and participant observation. The theoretical concepts “availability” and “receptiveness” as antecedents for collaboration will be applied in the analysis.
Findings
Close collaboration between departments was an essential precondition for the functioning of the new emergency department. The study shows how a lack of antecedents for collaboration affected the working relation and communication between employees and departments, which spurred negative feelings and reproduced conflicts. This situation was seen as a potential threat for the safety of the emergency patients.
Research limitations/implications
This study presents a single case study, at a specific point in time, and should be used as an illustrative example of how contextual and situational factors affect the working environment and through that patient safety.
Originality/value
Few studies provide an in-depth investigation of what actually takes place when collaboration between professional groups goes wrong and escalates, and how problems in collaboration may affect patient safety.
Keywords
Citation
Pedersen, A.H.M., Rasmussen, K., Grytnes, R. and Nielsen, K.J. (2018), "Collaboration and patient safety at an emergency department – a qualitative case study", Journal of Health Organization and Management, Vol. 32 No. 1, pp. 25-38. https://doi.org/10.1108/JHOM-09-2016-0174
Publisher
:Emerald Publishing Limited
Copyright © 2018, Emerald Publishing Limited