One at a Time? The Personal Productivity Bias in Emergency Department Patient Assignment (opens in new tab)

Emergency departments (EDs) often use a shared-queue setup in which physicians self-assign cases from a pool of triaged patients. We conduct a multi-method study to examine this self-assignment behavior and its effects on system performance. Using data from five EDs spanning 1.4 million patient visits, we show that batching, i.e., self-assigning multiple patients at once, is common and associated with longer stays for batched patients, even afte...