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Using agency analysis to develop a comprehensive understanding of throughput times in the emergency department

Fernandes, Julia, Müller, Marcus, Wickramasinghe, Nilmini, Kirn, Stefan, Alscher, Mark Dominik and Wasser, Christoph 2013, Using agency analysis to develop a comprehensive understanding of throughput times in the emergency department, Health and technology, vol. 3, no. 4, pp. 283-294, doi: 10.1007/s12553-013-0061-8.

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Title Using agency analysis to develop a comprehensive understanding of throughput times in the emergency department
Author(s) Fernandes, Julia
Müller, Marcus
Wickramasinghe, Nilmini
Kirn, Stefan
Alscher, Mark Dominik
Wasser, Christoph
Journal name Health and technology
Volume number 3
Issue number 4
Start page 283
End page 294
Total pages 12
Publisher Springer
Place of publication Berlin, Germany
Publication date 2013-12
ISSN 2190-7188
2190-7196
Summary Typically patients in the emergency department experience long waiting times, primarily caused by process inefficiencies (Schellein et al. in Anaesthesist 58(2):163-170, 2009). Furthermore, the emergency departments have a significant impact on the revenue generation for the hospital (Schnellen 2008). Thus the emergency department should be made an important area of focus to design and develop appropriate measures for optimisation. Literature reports different inefficiencies such as "loss" of patients in the radiology (Andersson and Karlberg in Health Policy 55(3):187-207, 2001) or social loafing (Morton and Bevan in Health Policy 85(2):207-217, 2008). The present article adopts a socio-technical perspective and focuses on information asymmetries between the various actors as a key reason for these inefficiencies. In so doing, the paper provides an analysis of the emergency department using principal-agent theory (PAT), suggests a software-based monitoring system in order to reduce information asymmetries and evaluates this system in an empirical investigation.
Language eng
DOI 10.1007/s12553-013-0061-8
Field of Research 080699 Information Systems not elsewhere classified
Socio Economic Objective 920299 Health and Support Services not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2013, IUPESM and Springer-Verlag Berlin Heidelberg.
Persistent URL http://hdl.handle.net/10536/DRO/DU:30077573

Document type: Journal Article
Collection: Faculty of Health
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