The impact of a fast track area on quality and effectiveness outcomes: A Middle Eastern emergency department perspective

BMC Emergency Medicine

Volumn 9, Issue , 2009, Pages

  Devkaran, Subashnie ^a   Parsons, Howard ^b   Van Dyke, Murray ^b   Drennan, Jonathan ^c   Rajah, Jaishen ^b  

^a ROYAL COLLEGE OF SURGEONS IN IRELAND   (Ireland)

^b SHEIKH KHALIFA MEDICAL CITY   (United Arab Emirates)

^c UNIVERSITY COLLEGE DUBLIN   (Ireland)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CANADIAN TRIAGE ACUITY SCALE; CLINICAL ASSESSMENT TOOL; CONTROLLED STUDY; EMERGENCY WARD; FAST TRACK AREA; FEMALE; HEALTH CARE DELIVERY; HEALTH CARE QUALITY; HOSPITAL ADMISSION; HUMAN; INTERVENTION STUDY; LENGTH OF STAY; MALE; MORBIDITY; MORTALITY; OUTCOME ASSESSMENT; PATIENT SATISFACTION; TERTIARY HEALTH CARE; UNITED ARAB EMIRATES; URBAN AREA; EMERGENCY HEALTH SERVICE; HOSPITAL; ORGANIZATION AND MANAGEMENT; RETROSPECTIVE STUDY; STANDARD; STATISTICS; TASK PERFORMANCE;

EFFICIENCY, ORGANIZATIONAL; EMERGENCY SERVICE, HOSPITAL; FEMALE; HOSPITAL MORTALITY; HOSPITALS, URBAN; HUMANS; LENGTH OF STAY; MALE; OUTCOME ASSESSMENT (HEALTH CARE); PATIENT SATISFACTION; QUALITY OF HEALTH CARE; RETROSPECTIVE STUDIES; TIME AND MOTION STUDIES; UNITED ARAB EMIRATES;

EID: 67650096970     PISSN: None     EISSN: 1471227X     Source Type: Journal    
DOI: 10.1186/1471-227X-9-11     Document Type: Article

References (32)

1. Derlet R Richards J Overcrowding in the nation's emergency departments: complex causes and disturbing effects Ann Emerg Med 2000, 35:83-85 10.1016/S0196-0644(00)70105-3 10613946
2. Lambe S Washington DL Fink A Waiting times in California's emergency departments Ann Emerg Med 2003, 41:35-44 10.1067/mem.2003.2 12514681
3. Shull MJ Slaughter PM Redelmeier DA Urban emergency department overcrowding: Defining the problem and eliminating misconceptions Can J Emerg Med 2002, 4:76-83
4. Drummond AJ No room at the inn: Overcrowding in Ontario's emergency departments Can J Emerg Med 2002, 4:91-97
5. Shih FY Huel-Ming M Chen S Wang H Fang C Shyu R Huang G Wang C ED overcrowding in Taiwan: Facts and strategies Am J Emerg Med 1999, 17:198-202 10.1016/S0735-6757(99)90061-X 10102327
6. Fry M Thompson J Chan A Patients regularly leave emergency departments before medical assessment: A study of did not wait patients, medical profile and outcome characteristics Aust Emerg Nurs J 2005, 6:21-26 10.1016/S1328-2743(04)80111-1
7. Cooke MW Wilson S Pearson S The effect of a separate stream for minor injuries and illnesses on accident and emergency waiting times EMJ 2002, 19:28-30 1725754 11777867 10.1136/emj.19.1.28
8. Trzeciak S Rivers EP Emergency department overcrowding in the United States: An emerging threat to patient safety and public health EMJ 2006, 20:402-405 10.1136/emj.20.5.402
9. Browne GJ McCaskill ME Giles H Lam LT Fasher BJ Exley B Pediatric walk-out patients: Characteristics and outcomes J Pediatr Child Health 2001, 37:253-239 10.1046/j.1440-1754.2001.00648.x
10. Boudreaux ED Ary RD Mandry CV Determinants of patient satisfaction in a large municipal ED: The role of demographic variables, visit characteristics, and patient perceptions Am J Emerg Med 2000, 18:394-400 10.1053/ajem.2000.7316 10919526
11. Arendt A Sadosty A Weaver CB Boie E The left-without-being-seen patient: what would keep them from leaving? Ann Emerg Med 2003, 42:317-323 10.1016/S0196-0644(03)00404-9 12944882
12. Cross E Goodacre S O'Cathain A Arnold J Rationing in the emergency department: The good, the bad, and the unacceptable EMJ 2005, 22:171-176 1726698 15735262 10.1136/emj.2004.020180
13. Fernandes CM Price A Christenson JM Does reduced length of stay decreased the number of patients who leave without seeing a physician? J Emerg Med 1997, 15:397-399 10.1016/S0736-4679(97)00030-9 9258798
14. Spaite DW Bartholomeaux F Guisto J Lindberg E Hull B Eyherabide A Lanyon S Criss EA Valenzuela TD Conroy C Rapid process redesign in a university-based emergency department: Decreasing waiting time intervals and improving patient satisfaction Ann Emerg Med 2002, 39:168-77 10.1067/ mem.2002.121215 11823772
15. Taylor D Bennett D Cameron P A paradigm shift in the nature of care provision in emergency departments EMJ 2004, 21:681-684 1726497 15496693 10.1136/emj.2004.017640
16. Simon HK McLario D Wright J Societal savings by "fast tracking" lower acuity patents in an urban pediatric emergency department Am J Emerg Med 1997, 15:551=554 10.1016/S0735-6757(97)90154-6 9337358
17. Darrab A Fan J Fernandes CMB Zimmerman R Smith R Worster A Smith T O'Connor K How does a fast track affect quality of care in the emergency department? Eur J Emerg Med 2006, 13:32-35 10.1097/ 00063110-200602000-00008 16374246
18. Sanchez M Smally AJ Grant RJ Jacobs MI Effects of a fast track area on emergency department performance J Emerg Med 2005, 31:117-120 10.1016/ j.jemermed.2005.08.019
19. Rodi SW Grau MV Orsini CM Evaluation of a fast track unit: Alignment of resources and demand results in improved satisfaction and decreased length of stay for emergency department patients Qual Man Health Care 2006, 15:163-170
20. Combs S Chapman R Bushby A Evaluation of fast track Accid Emerg Nurs 2007, 15:40-47 10.1016/j.aaen.2006.07.006 17142043
21. Nash K Zachariah B Nitschmann J Psencik B Evaluation of the fast track unit of a university emergency department J Emerg Nurs 2007, 33:14-20 10.1016/j.jen.2006.08.003 17258047
22. Beveridge RC The Canadian triage and acuity scale: A new and critical element in health care reform J Emerg Med 1998, 16:507-511 10.1016/ S0736-4679(98)00031-6 9610988
23. Rathlev NK Chessare J Olshaker J Obendorfer D Mehta SD Rothenhaus T Crespo S Magauran B Davidson K Shemin R Lewis K Becker JM Fisher L Guy L Cooper A Litvak E Time Series Analysis of Variables Associated With Daily Mean Emergency Department Length of Stay Ann Emerg Med 2007, 49:265-271 10.1016/j.annemergmed.2006.11.007 17224203
24. Forster AJ Stiell I Wells G Lee AJ van Walraven C The Effect of Hospital Occupancy on Emergency Department Length of Stay and Patient Disposition Acad Emerg Med 2003, 10:127-133 10.1111/j.1553-2712.2003.tb00029.x 12574009
25. Motulsky H Intuitive statistics New York: Oxford University Press 1995
26. Data Protection Act 1998 http://www.hmso.gov.uk/acts/acts1998/ 19980029.htm
27. Chan TC Killeen JP Kelly D Guss DA Impact of Rapid Entry and Accelerated Care at Triage on Reducing Emergency Department Patient Wait Times, Lengths of Stay, and Rate of Left Without Being Seen Ann Emerg Med 2005, 46:491-497 10.1016/j.annemergmed.2005.06.013 16308060
28. Institute for Healthcare Improvement. Operational and clinical improvement in the emergency department http://www.ihi.org/IHI/Programs/ InnovationCommunities/IMPACTICImprovingED2006.htm
29. Harris AD Bradham DD Baumgarten M Zuckerman IH Fink JC Perencevich EN The use and interpretation of quasi-experimental studies in infectious diseases Clin Infect Dis 2004, 38:1586-1591 10.1086/420936 15156447
30. Field A Hole G How to design and report experiments London. Sage publications 2003
31. Eccles M Grimshaw J Campbell M Ramsay C Research designs for studies evaluating the effectiveness of change and improvement strategies Qual Saf Health Care 2003, 12:47-52 1743658 12571345 10.1136/qhc.12.1.47
32. Cable G Enhancing causal interpretations of quality improvement projects Qual Saf Health Care 2001, 10:179-186 10.1136/qhc.0100179.