THE QUESTION
Why are waits in the emergency department so long?
Spend your stickers on what matters most. An idea with evidence can take a held seat.
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One per idea, 5 total. Floor is one vote.
5 places are held for overlooked ideas — nominate one with a link, and it counts once 2 people agree the source is relevant.
why
At stage close one nominee enters by random draw and the rest by nomination count, at most one per stakeholder class. A model checks only whether the page is about the same subject — never whether it proves the claim. That judgement is the room's, and a nomination nobody else stands behind takes no seat.
Nobody phones the GP because there is no number that answers
Meaning the recurring case, not one incident.
cluster 2
Nothing said yet.
CLUSTER 1
Staff leave faster than we can hire them
15 votesdiscuss
Agency staff cost triple and know nothing about the ward
0 votesdiscuss
CLUSTER 2
Nobody phones the GP because there is no number that answers
Meaning the recurring case, not one incident.
1 votesin focus ↑ · close ✕
Beds are full because nobody can be discharged
14 votesdiscuss
NOT CLUSTERED
We have had four reorganisations and no more beds
3 votesdiscuss
The same patients come back within a week
Scope: here specifically, not everywhere.
15 votesdiscussing (1)
Imaging closes at six and reopens at eight
I mean this happens weekly, not once in a while.
3 votesdiscussing (1)
We measure the four-hour target, so patients are moved not treated
I mean this happens weekly, not once in a while.
0 votesdiscussing (1)
A newly qualified nurse is alone on a bay by month three
Observed, not measured — I would want the data too.
0 votesdiscuss
The people who know the fix are never asked
Narrower than it reads; the wider version is someone else's card.
2 votesdiscussing (1)
The computer system takes eleven clicks to order a blood test
Scope: here specifically, not everywhere.
2 votesdiscuss
Every improvement project ends when its funding does
Observed, not measured — I would want the data too.
1 votesdiscuss
The rota is built for the average day, not the busy one
2 votesdiscuss
Discharge needs a pharmacy that closes before the ward round ends
I mean this happens weekly, not once in a while.
0 votesdiscuss
Managers are judged on the target too, so nobody questions it
3 votesdiscuss
An incident report goes into a system nobody reads back
4 votesdiscuss
The specialist on call is covering two sites
0 votesdiscuss
Triage is done by whoever is free, not by who is trained
1 votesdiscuss
A trolley in a different corridor stops the clock
3 votesdiscuss
There is nowhere else open after six
1 votesdiscuss
Every winter is treated as a surprise
0 votesdiscuss
A pharmacy could have handled a third of today
4 votesdiscuss
The target changes what we do more than the illness does
To be precise: this is about the situation, not a person.
9 votesdiscuss
A patient waits for one test that takes ten minutes to run
I mean this happens weekly, not once in a while.
8 votesdiscuss
The notes from the last visit are in a different building
0 votesdiscuss
Two systems hold the same patient under different numbers
1 votesdiscuss
Patients come here because they cannot get an appointment
I mean this happens weekly, not once in a while.
13 votes
↳ nominated for a seat: https://example.org/ops-incident-review.pdf could not read it (HTTPError) 1 of 2 behind it
discussNobody measures whether the patient got better
I mean this happens weekly, not once in a while.
7 votesdiscuss
Experienced staff leave and take the workarounds with them
4 votesdiscuss
Nobody has time to teach, so nobody learns
0 votesdiscuss
A decision to admit waits for a consultant round in the morning
7 votesdiscuss
A patient fit to leave waits four days for a care package
Meaning the recurring case, not one incident.
1 votesdiscuss
People wait hours in a corridor before anyone sees them
14 votesdiscuss
The out-of-hours service tells people to come here
0 votesdiscuss
Nobody may discharge at night, so a bed is lost for twelve hours
Scope: here specifically, not everywhere.
2 votesdiscuss
Social care and the hospital are funded from different budgets
2 votesdiscuss