Summary
Organisational mechanisms for adaptation and survival in emergency departments
Sánchez M, Salgado E, Miró O
Affiliation of the authors
Medical Emergency Unit. Emergency Department. Hospital Clínic. Barcelona, Spain.
DOI
Quote
Sánchez M, Salgado E, Miró O. Organisational mechanisms for adaptation and survival in emergency departments. Emergencias. 2008;20:48-53
Summary
Over the last decades emergency departments (ED) have undergone a deep transformation.
These changes may be a result of an increase in the complexity of health care departments
which, in turn, led to more heterogeneity in the current organization of the Spanish ED. Frequently,
the organization changes derive from the need to deal with a lack of effective medical
assistance in the ED generated in other levels of assistance. In other cases, they are a consequence
of the need to provide health care in the most effective and efficient way. The
present study was carried out to assess the end results of these adaptive changes and the
most important health care patterns that appeared as a consequence of them.