نوع مقاله : پژوهشی
تازه های تحقیق
عنوان مقاله English
نویسندگان English
In complex, high-pressure, and multi-layered environments such as hospital emergency departments, system inefficiency is not simply due to a lack of resources, but rather the result of the uncoordinated interaction of human, structural, communication, and information components. The present study, with the aim of analyzing the problematic situation in the emergency department and designing the desired change, has used the soft systems methodology as an interpretive, participatory, and human-centered approach. In this study, the seven stages of SSM were fully implemented, from recognizing the current situation and drawing a rich picture, to defining the root system, designing a conceptual model, analyzing gaps, and identifying desirable and feasible changes. The research findings showed that the main functional nodes of the emergency department include: lack of a platform for dialogue and reflection of experiences, opaque structure and unclear division of duties, lengthy decision-making process and administrative bureaucracy, distrust of recorded information and rework, lack of a transparent channel for organizational learning, lack of a performance-based reward system, and lack of meaningfulness of data for stakeholders. In response to these challenges, seven intervention proposals were presented, including: designing the meeting structure, redesigning the admissions process, clearly defining roles and responsibilities, designing training packages, reviewing and modifying electronic documentation forms, setting up rapid feedback stations, and designing and deploying local performance indicators. This model is not only theoretical and generalizable, but also derived from a real organizational context and can be implemented in the field. Overall, the results show that traditional problem-solving approaches, without considering human understanding and systemic interactions, have failed in health-oriented organizations; and only through participation, dialogue, and joint redefinition of the problem can sustainable and effective changes be achieved.
کلیدواژهها English
Copyright © Azim Zarei, Mehdi Ebrahimi
License
This article is released under the Creative Commons Attribution (CC BY 4.0) license. Anyone is free to copy, share, translate, and adapt this article for any purpose, whether commercial or non-commercial, as long as proper citation is given to the authors and original publication.
