Modelling coordination in hospital emergency departments through social network analysis

Coordination theory provides a theoretical framework for analysing complex processes of project groups working towards a common goal. In this study, we explore the relationship between coordination and social networks for the development of a network-based coordination model. This model is applied to measure the performance and quality of complex and dynamic project coordination such as in hospital emergency departments. The dataset used for the study was collected by the 2004 National Hospital Ambulatory Medical Care Survey--a national probability sample survey of visits to emergency and outpatient departments of non-Federal, short-stay and general hospitals in the United States. Using social network analysis, this study allows us to understand the possible causes of inefficient coordination performance and coordination quality resulting in access blocks.