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Exploring reasons for the weekend effect in a hospital emergency department: an information processing perspective

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  • Iben Duvald

    (Aarhus University
    DESIGN EM – Research Network for Organizational Design and Emergency Medicine
    Aarhus University)

Abstract

This study examines fits and misfits between information processing requirements and capacities in a hospital emergency department in order to identify possible explanations for the “weekend effect.” Previous research has shown that acute patients admitted to hospital emergency departments on a weekend experience, on average, worse outcomes than those admitted on a weekday. Why the weekend effect exists remains unclear. Based on an ethnographic field study conducted in an emergency department and by applying an information processing perspective, my findings indicate multiple changes in the organizational design that leads to substantial misfits which appears to be an explanation to why the quality of care provided by the emergency department differs on weekdays and weekends. The findings provide a new and more nuanced perspective on the causes of the weekend effect by investigating the setting in which patient care is delivered, and how it varies between weekdays and weekends.

Suggested Citation

  • Iben Duvald, 2019. "Exploring reasons for the weekend effect in a hospital emergency department: an information processing perspective," Journal of Organization Design, Springer;Organizational Design Community, vol. 8(1), pages 1-27, December.
    • Handle: RePEc:spr:jorgde:v:8:y:2019:i:1:d:10.1186_s41469-019-0042-0
    DOI: 10.1186/s41469-019-0042-0
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    References listed on IDEAS

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    1. Richard L. Daft & Robert H. Lengel, 1986. "Organizational Information Requirements, Media Richness and Structural Design," Management Science, INFORMS, vol. 32(5), pages 554-571, May.
    2. Lex Donaldson, 1987. "Strategy And Structural Adjustment To Regain Fit And Performance: In Defence Of Contingency Theory," Journal of Management Studies, Wiley Blackwell, vol. 24(1), pages 1-24, January.
    3. Jay R. Galbraith, 1974. "Organization Design: An Information Processing View," Interfaces, INFORMS, vol. 4(3), pages 28-36, May.
    4. Gregory Moorhead, 1981. "Organizational Analysis: An Integration Of The Macro And Micro Approaches," Journal of Management Studies, Wiley Blackwell, vol. 18(2), pages 191-218, April.
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    Cited by:

    1. Richard M. Burton, 2020. "Fit, misfit, and design: JOD studies that touch reality," Journal of Organization Design, Springer;Organizational Design Community, vol. 9(1), pages 1-7, December.
    2. Kanchanabha, Bhawini & Badir, Yuosre F., 2021. "Top management Team's cognitive diversity and the Firm's ambidextrous innovation capability: The mediating role of ambivalent interpretation," Technology in Society, Elsevier, vol. 64(C).

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