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Related Experiment Video

Updated: Jul 14, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Emergency department communication links and patterns.

Rollin J Fairbanks¹, Ann M Bisantz, Michelle Sunm

¹Department of Emergency Medicine, University of Rochester School of Medicine, Rochester, NY 14642, USA. Terry.Fairbanks@Rochester.edu

Annals of Emergency Medicine

|June 15, 2007

Summary

This study analyzed emergency department (ED) communication patterns, revealing distinct links and gaps between practitioners. Findings highlight the charge nurse as a communication hub and identify areas for improving ED workflow and patient care.

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Published on: August 5, 2020

Area of Science:

Emergency Medicine
Healthcare Communication
Systems Engineering

Background:

Effective communication is critical in the fast-paced emergency department (ED) environment.
Understanding communication patterns among ED practitioners can identify inefficiencies and improve patient care.
Previous studies have not comprehensively mapped inter-professional communication links within the ED.

Purpose of the Study:

To characterize and describe communication links and patterns among various emergency department (ED) practitioner types.
To identify communication gaps and hubs within the ED setting.
To provide data for designing future communication adjuncts to optimize ED operations.

Main Methods:

Prospective, observational study utilizing link analysis techniques in an academic ED.
Observation of 20 ED staff members (physicians, nurses, charge nurses) in adult and pediatric acute areas.
Systematic recording of communication events, excluding social and direct patient interactions, focusing on duration, mode, partner, location, and interruptions.

Main Results:

1,665 communication events were recorded over 39 hours, with face-to-face being the most common mode.
Identified communication gaps between ambulance providers and receiving ED staff.
Charge nurses served as central communication hubs; attending physicians communicated frequently; interruption rates varied significantly by role.

Conclusions:

Distinct communication patterns and links exist within the ED.
The study identified specific areas of communication breakdown and efficiency.
Results offer valuable insights for developing targeted interventions to enhance ED communication and workflow.