Why are waits in the emergency department so long?

THE QUESTION

Why are waits in the emergency department so long?

Does one influence the other? Three quarters of the votes cast decide.

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why

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177 / 180 settled 0 for you to answer

Last tally: 177 decided · 0 escalated to cross-group panels · 0 contested · 3 below quorum — panels need at least max(2, 75% of panel) votes cast; your smallest panel has 15 members.

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Beds are full because nobody can be discharged → influences? → We have had four reorganisations and no more beds

Nothing said yet.

Completed phase — the record of pairs and votes stands above.Logic sidecar ↗

Nobody may discharge at night, so a bed is lost for twelve hours	→	Patients come here because they cannot get an appointment	open	discuss
People wait hours in a corridor before anyone sees them	→	Patients come here because they cannot get an appointment	open	discuss
Nobody may discharge at night, so a bed is lost for twelve hours	→	A decision to admit waits for a consultant round in the morning	open	discuss
Managers are judged on the target too, so nobody questions it	→	An incident report goes into a system nobody reads back	✓ yes	discuss
Imaging closes at six and reopens at eight	→	A patient waits for one test that takes ten minutes to run	✓ yes	discuss
A patient waits for one test that takes ten minutes to run	→	The same patients come back within a week	✓ yes	discuss
The same patients come back within a week	→	Imaging closes at six and reopens at eight	✓ yes	discuss
A trolley in a different corridor stops the clock	→	Staff leave faster than we can hire them	✓ yes	discuss
A trolley in a different corridor stops the clock	→	The same patients come back within a week	✓ yes	discuss
Managers are judged on the target too, so nobody questions it	→	The target changes what we do more than the illness does	✓ yes	discuss
An incident report goes into a system nobody reads back	→	The people who know the fix are never asked	✓ yes	discuss
A pharmacy could have handled a third of today	→	Staff leave faster than we can hire them	✓ yes	discuss
An incident report goes into a system nobody reads back	→	A patient waits for one test that takes ten minutes to run	✓ yes	discuss
A decision to admit waits for a consultant round in the morning	→	Beds are full because nobody can be discharged	✓ yes	discuss
Patients come here because they cannot get an appointment	→	Experienced staff leave and take the workarounds with them	✓ yes	discuss
Experienced staff leave and take the workarounds with them	→	Two systems hold the same patient under different numbers	✓ yes	discuss
Nobody may discharge at night, so a bed is lost for twelve hours	→	Beds are full because nobody can be discharged	✓ yes	discuss
We have had four reorganisations and no more beds	→	Beds are full because nobody can be discharged	✓ yes	discuss
Beds are full because nobody can be discharged	→	People wait hours in a corridor before anyone sees them	✓ yes	discuss
Patients come here because they cannot get an appointment	→	People wait hours in a corridor before anyone sees them	✓ yes	discuss
Experienced staff leave and take the workarounds with them	→	People wait hours in a corridor before anyone sees them	✓ yes	discuss
People wait hours in a corridor before anyone sees them	→	Experienced staff leave and take the workarounds with them	✓ yes	discuss
Beds are full because nobody can be discharged	→	Social care and the hospital are funded from different budgets	✓ yes	discuss
Nobody measures whether the patient got better	→	Nobody may discharge at night, so a bed is lost for twelve hours	✓ yes	discuss
Social care and the hospital are funded from different budgets	→	Two systems hold the same patient under different numbers	✓ yes	discuss
Nobody may discharge at night, so a bed is lost for twelve hours	→	Social care and the hospital are funded from different budgets	✓ inferred	discuss
Imaging closes at six and reopens at eight	→	Managers are judged on the target too, so nobody questions it	✗ no	discuss
Imaging closes at six and reopens at eight	→	The target changes what we do more than the illness does	✗ no	discuss
The people who know the fix are never asked	→	Managers are judged on the target too, so nobody questions it	✗ no	discuss
Managers are judged on the target too, so nobody questions it	→	The people who know the fix are never asked	✗ no	discuss
The same patients come back within a week	→	A trolley in a different corridor stops the clock	✗ no	discuss
A patient waits for one test that takes ten minutes to run	→	Staff leave faster than we can hire them	✗ no	discuss
A patient waits for one test that takes ten minutes to run	→	The people who know the fix are never asked	✗ no	discuss
A trolley in a different corridor stops the clock	→	Managers are judged on the target too, so nobody questions it	✗ no	discuss
Staff leave faster than we can hire them	→	The people who know the fix are never asked	✗ no	discuss
The people who know the fix are never asked	→	A pharmacy could have handled a third of today	✗ no	discuss
The target changes what we do more than the illness does	→	A patient waits for one test that takes ten minutes to run	✗ no	discuss
The same patients come back within a week	→	A patient waits for one test that takes ten minutes to run	✗ no	discuss
The people who know the fix are never asked	→	Staff leave faster than we can hire them	✗ no	discuss
A pharmacy could have handled a third of today	→	The people who know the fix are never asked	✗ no	discuss
A pharmacy could have handled a third of today	→	The target changes what we do more than the illness does	✗ no	discuss
An incident report goes into a system nobody reads back	→	Staff leave faster than we can hire them	✗ no	discuss
The target changes what we do more than the illness does	→	The same patients come back within a week	✗ no	discuss
A patient waits for one test that takes ten minutes to run	→	The target changes what we do more than the illness does	✗ no	discuss
The same patients come back within a week	→	The target changes what we do more than the illness does	✗ no	discuss
The target changes what we do more than the illness does	→	A pharmacy could have handled a third of today	✗ no	discuss
A patient waits for one test that takes ten minutes to run	→	A trolley in a different corridor stops the clock	✗ no	discuss
Imaging closes at six and reopens at eight	→	An incident report goes into a system nobody reads back	✗ no	discuss
A pharmacy could have handled a third of today	→	An incident report goes into a system nobody reads back	✗ no	discuss
An incident report goes into a system nobody reads back	→	Imaging closes at six and reopens at eight	✗ no	discuss
Imaging closes at six and reopens at eight	→	The people who know the fix are never asked	✗ no	discuss
An incident report goes into a system nobody reads back	→	The same patients come back within a week	✗ no	discuss
A pharmacy could have handled a third of today	→	A patient waits for one test that takes ten minutes to run	✗ no	discuss
An incident report goes into a system nobody reads back	→	A pharmacy could have handled a third of today	✗ no	discuss
The target changes what we do more than the illness does	→	An incident report goes into a system nobody reads back	✗ no	discuss
The people who know the fix are never asked	→	Imaging closes at six and reopens at eight	✗ no	discuss
A patient waits for one test that takes ten minutes to run	→	Managers are judged on the target too, so nobody questions it	✗ no	discuss
A pharmacy could have handled a third of today	→	A trolley in a different corridor stops the clock	✗ no	discuss
The people who know the fix are never asked	→	A trolley in a different corridor stops the clock	✗ no	discuss
The same patients come back within a week	→	A pharmacy could have handled a third of today	✗ no	discuss
The same patients come back within a week	→	The people who know the fix are never asked	✗ no	discuss
The target changes what we do more than the illness does	→	Staff leave faster than we can hire them	✗ no	discuss
Imaging closes at six and reopens at eight	→	A pharmacy could have handled a third of today	✗ no	discuss
The people who know the fix are never asked	→	The same patients come back within a week	✗ no	discuss
The same patients come back within a week	→	Staff leave faster than we can hire them	✗ no	discuss
Staff leave faster than we can hire them	→	A pharmacy could have handled a third of today	✗ no	discuss
An incident report goes into a system nobody reads back	→	Managers are judged on the target too, so nobody questions it	✗ no	discuss
Imaging closes at six and reopens at eight	→	A trolley in a different corridor stops the clock	✗ no	discuss
The target changes what we do more than the illness does	→	Imaging closes at six and reopens at eight	✗ no	discuss
Imaging closes at six and reopens at eight	→	The same patients come back within a week	✗ no	discuss
Staff leave faster than we can hire them	→	An incident report goes into a system nobody reads back	✗ no	discuss
Staff leave faster than we can hire them	→	The target changes what we do more than the illness does	✗ no	discuss
A patient waits for one test that takes ten minutes to run	→	A pharmacy could have handled a third of today	✗ no	discuss
Managers are judged on the target too, so nobody questions it	→	A pharmacy could have handled a third of today	✗ no	discuss
Staff leave faster than we can hire them	→	Managers are judged on the target too, so nobody questions it	✗ no	discuss
An incident report goes into a system nobody reads back	→	A trolley in a different corridor stops the clock	✗ no	discuss
A pharmacy could have handled a third of today	→	Imaging closes at six and reopens at eight	✗ no	discuss
Managers are judged on the target too, so nobody questions it	→	The same patients come back within a week	✗ no	discuss
A trolley in a different corridor stops the clock	→	Imaging closes at six and reopens at eight	✗ no	discuss
Staff leave faster than we can hire them	→	The same patients come back within a week	✗ no	discuss
The target changes what we do more than the illness does	→	Managers are judged on the target too, so nobody questions it	✗ no	discuss
Imaging closes at six and reopens at eight	→	Staff leave faster than we can hire them	✗ no	discuss
Staff leave faster than we can hire them	→	Imaging closes at six and reopens at eight	✗ no	discuss
The people who know the fix are never asked	→	A patient waits for one test that takes ten minutes to run	✗ no	discuss
A trolley in a different corridor stops the clock	→	A pharmacy could have handled a third of today	✗ no	discuss
The target changes what we do more than the illness does	→	A trolley in a different corridor stops the clock	✗ no	discuss
A trolley in a different corridor stops the clock	→	A patient waits for one test that takes ten minutes to run	✗ no	discuss
An incident report goes into a system nobody reads back	→	The target changes what we do more than the illness does	✗ no	discuss
Managers are judged on the target too, so nobody questions it	→	Imaging closes at six and reopens at eight	✗ no	discuss
A trolley in a different corridor stops the clock	→	The people who know the fix are never asked	✗ no	discuss
Staff leave faster than we can hire them	→	A trolley in a different corridor stops the clock	✗ no	discuss
The same patients come back within a week	→	An incident report goes into a system nobody reads back	✗ no	discuss
A pharmacy could have handled a third of today	→	The same patients come back within a week	✗ no	discuss
A trolley in a different corridor stops the clock	→	An incident report goes into a system nobody reads back	✗ no	discuss
Staff leave faster than we can hire them	→	A patient waits for one test that takes ten minutes to run	✗ no	discuss
Managers are judged on the target too, so nobody questions it	→	Staff leave faster than we can hire them	✗ no	discuss
The people who know the fix are never asked	→	The target changes what we do more than the illness does	✗ no	discuss
A trolley in a different corridor stops the clock	→	The target changes what we do more than the illness does	✗ no	discuss
The same patients come back within a week	→	Managers are judged on the target too, so nobody questions it	✗ no	discuss
Managers are judged on the target too, so nobody questions it	→	A trolley in a different corridor stops the clock	✗ no	discuss
The people who know the fix are never asked	→	An incident report goes into a system nobody reads back	✗ no	discuss
A pharmacy could have handled a third of today	→	Managers are judged on the target too, so nobody questions it	✗ no	discuss
Managers are judged on the target too, so nobody questions it	→	A patient waits for one test that takes ten minutes to run	✗ no	discuss
The target changes what we do more than the illness does	→	The people who know the fix are never asked	✗ no	discuss
A patient waits for one test that takes ten minutes to run	→	An incident report goes into a system nobody reads back	✗ no	discuss
A patient waits for one test that takes ten minutes to run	→	Imaging closes at six and reopens at eight	✗ no	discuss
Beds are full because nobody can be discharged	→	We have had four reorganisations and no more beds	✗ no	in focus ↑ · close ✕
A decision to admit waits for a consultant round in the morning	→	People wait hours in a corridor before anyone sees them	✗ no	discuss
Nobody measures whether the patient got better	→	Beds are full because nobody can be discharged	✗ no	discuss
Patients come here because they cannot get an appointment	→	Social care and the hospital are funded from different budgets	✗ no	discuss
Two systems hold the same patient under different numbers	→	A decision to admit waits for a consultant round in the morning	✗ no	discuss
Experienced staff leave and take the workarounds with them	→	A decision to admit waits for a consultant round in the morning	✗ no	discuss
Experienced staff leave and take the workarounds with them	→	Social care and the hospital are funded from different budgets	✗ no	discuss
Experienced staff leave and take the workarounds with them	→	We have had four reorganisations and no more beds	✗ no	discuss
Nobody measures whether the patient got better	→	Two systems hold the same patient under different numbers	✗ no	discuss
Social care and the hospital are funded from different budgets	→	A decision to admit waits for a consultant round in the morning	✗ no	discuss
Social care and the hospital are funded from different budgets	→	Beds are full because nobody can be discharged	✗ no	discuss
Beds are full because nobody can be discharged	→	Nobody may discharge at night, so a bed is lost for twelve hours	✗ no	discuss
Beds are full because nobody can be discharged	→	Patients come here because they cannot get an appointment	✗ no	discuss
Beds are full because nobody can be discharged	→	A decision to admit waits for a consultant round in the morning	✗ no	discuss
A decision to admit waits for a consultant round in the morning	→	Nobody measures whether the patient got better	✗ no	discuss
People wait hours in a corridor before anyone sees them	→	Nobody measures whether the patient got better	✗ no	discuss
Nobody measures whether the patient got better	→	People wait hours in a corridor before anyone sees them	✗ no	discuss
People wait hours in a corridor before anyone sees them	→	We have had four reorganisations and no more beds	✗ no	discuss
A decision to admit waits for a consultant round in the morning	→	Patients come here because they cannot get an appointment	✗ no	discuss
Nobody may discharge at night, so a bed is lost for twelve hours	→	Nobody measures whether the patient got better	✗ no	discuss
Two systems hold the same patient under different numbers	→	Social care and the hospital are funded from different budgets	✗ no	discuss
Beds are full because nobody can be discharged	→	Nobody measures whether the patient got better	✗ no	discuss
Patients come here because they cannot get an appointment	→	A decision to admit waits for a consultant round in the morning	✗ no	discuss
People wait hours in a corridor before anyone sees them	→	Nobody may discharge at night, so a bed is lost for twelve hours	✗ no	discuss
Social care and the hospital are funded from different budgets	→	Experienced staff leave and take the workarounds with them	✗ no	discuss
Social care and the hospital are funded from different budgets	→	We have had four reorganisations and no more beds	✗ no	discuss
Social care and the hospital are funded from different budgets	→	Patients come here because they cannot get an appointment	✗ no	discuss
People wait hours in a corridor before anyone sees them	→	Two systems hold the same patient under different numbers	✗ no	discuss
Two systems hold the same patient under different numbers	→	Patients come here because they cannot get an appointment	✗ no	discuss
Social care and the hospital are funded from different budgets	→	Nobody measures whether the patient got better	✗ no	discuss
Nobody measures whether the patient got better	→	We have had four reorganisations and no more beds	✗ no	discuss
Nobody measures whether the patient got better	→	Patients come here because they cannot get an appointment	✗ no	discuss
A decision to admit waits for a consultant round in the morning	→	Nobody may discharge at night, so a bed is lost for twelve hours	✗ no	discuss
Experienced staff leave and take the workarounds with them	→	Beds are full because nobody can be discharged	✗ no	discuss
We have had four reorganisations and no more beds	→	Two systems hold the same patient under different numbers	✗ no	discuss
Nobody may discharge at night, so a bed is lost for twelve hours	→	Experienced staff leave and take the workarounds with them	✗ no	discuss
Nobody measures whether the patient got better	→	A decision to admit waits for a consultant round in the morning	✗ no	discuss
Experienced staff leave and take the workarounds with them	→	Nobody may discharge at night, so a bed is lost for twelve hours	✗ no	discuss
We have had four reorganisations and no more beds	→	A decision to admit waits for a consultant round in the morning	✗ no	discuss
Patients come here because they cannot get an appointment	→	We have had four reorganisations and no more beds	✗ no	discuss
Patients come here because they cannot get an appointment	→	Two systems hold the same patient under different numbers	✗ no	discuss
People wait hours in a corridor before anyone sees them	→	A decision to admit waits for a consultant round in the morning	✗ no	discuss
Two systems hold the same patient under different numbers	→	We have had four reorganisations and no more beds	✗ no	discuss
Beds are full because nobody can be discharged	→	Experienced staff leave and take the workarounds with them	✗ no	discuss
We have had four reorganisations and no more beds	→	Nobody may discharge at night, so a bed is lost for twelve hours	✗ no	discuss
A decision to admit waits for a consultant round in the morning	→	Social care and the hospital are funded from different budgets	✗ no	discuss
Two systems hold the same patient under different numbers	→	Beds are full because nobody can be discharged	✗ no	discuss
Nobody may discharge at night, so a bed is lost for twelve hours	→	People wait hours in a corridor before anyone sees them	✗ no	discuss
Experienced staff leave and take the workarounds with them	→	Nobody measures whether the patient got better	✗ no	discuss
Patients come here because they cannot get an appointment	→	Nobody may discharge at night, so a bed is lost for twelve hours	✗ no	discuss
A decision to admit waits for a consultant round in the morning	→	Two systems hold the same patient under different numbers	✗ no	discuss
We have had four reorganisations and no more beds	→	Patients come here because they cannot get an appointment	✗ no	discuss
Patients come here because they cannot get an appointment	→	Nobody measures whether the patient got better	✗ no	discuss
People wait hours in a corridor before anyone sees them	→	Social care and the hospital are funded from different budgets	✗ no	discuss
Two systems hold the same patient under different numbers	→	Nobody measures whether the patient got better	✗ no	discuss
Two systems hold the same patient under different numbers	→	People wait hours in a corridor before anyone sees them	✗ no	discuss
Patients come here because they cannot get an appointment	→	Beds are full because nobody can be discharged	✗ no	discuss
We have had four reorganisations and no more beds	→	People wait hours in a corridor before anyone sees them	✗ no	discuss
Two systems hold the same patient under different numbers	→	Experienced staff leave and take the workarounds with them	✗ no	discuss
Nobody may discharge at night, so a bed is lost for twelve hours	→	We have had four reorganisations and no more beds	✗ no	discuss
We have had four reorganisations and no more beds	→	Social care and the hospital are funded from different budgets	✗ no	discuss
We have had four reorganisations and no more beds	→	Experienced staff leave and take the workarounds with them	✗ no	discuss
Social care and the hospital are funded from different budgets	→	People wait hours in a corridor before anyone sees them	✗ no	discuss
A decision to admit waits for a consultant round in the morning	→	We have had four reorganisations and no more beds	✗ no	discuss
Nobody may discharge at night, so a bed is lost for twelve hours	→	Two systems hold the same patient under different numbers	✗ no	discuss
Experienced staff leave and take the workarounds with them	→	Patients come here because they cannot get an appointment	✗ no	discuss
We have had four reorganisations and no more beds	→	Nobody measures whether the patient got better	✗ no	discuss
Two systems hold the same patient under different numbers	→	Nobody may discharge at night, so a bed is lost for twelve hours	✗ no	discuss
Social care and the hospital are funded from different budgets	→	Nobody may discharge at night, so a bed is lost for twelve hours	✗ no	discuss
A decision to admit waits for a consultant round in the morning	→	Experienced staff leave and take the workarounds with them	✗ no	discuss
Nobody measures whether the patient got better	→	Experienced staff leave and take the workarounds with them	✗ no	discuss
Beds are full because nobody can be discharged	→	Two systems hold the same patient under different numbers	✗ no	discuss
People wait hours in a corridor before anyone sees them	→	Beds are full because nobody can be discharged	✗ no	discuss
Nobody measures whether the patient got better	→	Social care and the hospital are funded from different budgets	✗ no	discuss