Table 3 Feedback loops in the paediatric accident and emergency room model
Loop | Description |
|---|---|
R1: Crowding impedes communication | Limited space and high patient numbers increases the workload on staff and reduces the ability to communicate which reduces the appropriateness of treatment. |
R2: Patient outcomes drives burnout | Providing high quality care increases positive patient outcomes, which boosts staff morale and reduces burnout and attrition. |
B1: Staff numbers driving confusion | As there are more staff available, there is more confusion that occurs between staff which limits communication. |
R3: High morale and teamwork driving quality care | High morale leads to increased teamwork and communication within the team, which leads to high quality care and better patient outcomes. |
R4: Treatment elsewhere in the facility drive team morale | Due to the nature of transfer of patients to other units, high quality treatment plans that extend to other units produce positive patient outcomes that boost the morale and further communication of pA&E staff. |
R5: Patient numbers increase supply limitation | More patients demand greater use of equipment and supplies which create a gap in needed versus available supplies which reduces the quality of care able to be provided. |
R6: Staff burden | A lack of needed resources reduces morale and places a burden on staff that leads to burnout over time. |