Faculty mentor/PI email address

jim010@aol.cm

Is your research Teaching and Learning based?

1

Keywords

Emergency Department Operations; Patient Flow; Turbulence; Complex Adaptive Systems; Reynolds Number; Systems Dynamics

Date of Presentation

5-6-2026 12:00 AM

Poster Abstract

Background: Emergency departments are frequently described using the language of patient flow, implying  smooth and predictable movement of patients through a system versus known obstructions to flow.  Clinicians, however, often observe abrupt shifts in operational stability.

Objective: To explore whether concepts from fluid dynamics and complexity science offer a useful framework for understanding these transitions.

Methods: Conceptual synthesis drawing on emergency medicine operations research, human factors, systems science, and fluid mechanics.

Results (Conceptual): Emergency departments exhibit behaviors analogous to systems approaching turbulence, including sensitivity to perturbation, amplification of delays, and nonlinear responses.

Conclusion: Viewing ED operations through the lens of turbulence may help explain sudden operational breakdowns and support future study of system resilience.

Disciplines

Emergency Medicine | Health and Medical Administration | Medicine and Health Sciences

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May 6th, 12:00 AM

Conceptualizing the Transition from Stable Operations to Turbulent States : Reframing Emergency Department Operations. Learning from Fluid Dynamics and Complexity Science

Background: Emergency departments are frequently described using the language of patient flow, implying  smooth and predictable movement of patients through a system versus known obstructions to flow.  Clinicians, however, often observe abrupt shifts in operational stability.

Objective: To explore whether concepts from fluid dynamics and complexity science offer a useful framework for understanding these transitions.

Methods: Conceptual synthesis drawing on emergency medicine operations research, human factors, systems science, and fluid mechanics.

Results (Conceptual): Emergency departments exhibit behaviors analogous to systems approaching turbulence, including sensitivity to perturbation, amplification of delays, and nonlinear responses.

Conclusion: Viewing ED operations through the lens of turbulence may help explain sudden operational breakdowns and support future study of system resilience.

 

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