Selection and validation of quality indicators for the Shorter Stays in Emergency Departments National Research Project

EMA - Emergency Medicine Australasia

Volumn 24, Issue 3, 2012, Pages 303-312

  Jones, Peter ^a   Harper, Alana ^a   Wells, Susan ^a   Curtis, Elana ^b   Carswell, Peter ^c   Reid, Papaarangi ^b   Ameratunga, Shanthi ^a  

^a AUCKLAND CITY HOSPITAL   (New Zealand)

^b Te Kupenga Hauora Maori ^*  (New Zealand)

^c UNIVERSITY OF AUCKLAND   (New Zealand)

Author keywords

Benchmarking; Emergency medicine; Health care; Length of stay; Quality indicator

Indexed keywords

ANTIBIOTIC AGENT;

ANALGESIA; ANTIBIOTIC THERAPY; APPENDICITIS; ARTICLE; ASTHMA; CLINICAL ARTICLE; COMPUTER ASSISTED TOMOGRAPHY; EMERGENCY CARE; EMERGENCY HEALTH SERVICE; EMERGENCY WARD; FEMUR NECK FRACTURE; HEAD INJURY; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HOSPITAL DISCHARGE; HUMAN; LENGTH OF STAY; MORTALITY; NEW ZEALAND; PATIENT SATISFACTION; PRACTICE GUIDELINE; PRIORITY JOURNAL; REPERFUSION; TIME;

EMERGENCY SERVICE, HOSPITAL; HEALTH SERVICES RESEARCH; HUMANS; LENGTH OF STAY; NEW ZEALAND; QUALITY INDICATORS, HEALTH CARE; QUALITY OF HEALTH CARE;

EID: 84861884862     PISSN: 17426731     EISSN: 17426723     Source Type: Journal    
DOI: 10.1111/j.1742-6723.2012.01546.x     Document Type: Article

References (35)

1. Recommendations to Improve Quality and the Measurement of Quality in New Zealand Emergency Departments. [Working Party Recommendations]: Ministry of Health, New Zealand; 2009 [updated 24 Aug 2009]. [Cited 1 March 2009.] Available from URL:.
2. Sprivulis PC, Da Silva J-A, Jacobs IG, Frazer ARL, Jelinek GA. The association between hospital overcrowding and mortality among patients admitted via Western Australian emergency departments. Med. J. Aust. 2006; 184: 208-12.
3. Richardson DB. Increase in patient mortality at 10days associated with emergency department overcrowding. Med. J. Aust. 2006; 184: 213-16.
4. Bernstein SL, Aronsky D, Duseja R etal. The Effect of Emergency Department Crowding on Clinically Oriented Outcomes. Acad. Emerg. Med. 2009; 16: 1-10.
5. Jones P, Schimanski K. The four hour target to reduce emergency department 'waiting time': a systematic review of clinical outcomes. Emerg. Med. Australas. 2010; 22: 391-8.
6. Danchin N. Systems of care for ST-segment elevation myocardial infarction: impact of different models on clinical outcomes [Review][48 refs]. JACC Cardiovasc. Interv. 2009; 2: 901-8.
7. Forero R, Hillman K. Access Block and Overcrowding; A Literature Review. Melbourne: Australasian College for Emergency Medicine, 2008.
8. Richardson SK, Ardagh M, Gee P. Emergency department overcrowding: the Emergency Department Cardiac Analogy Model (EDCAM). Accid. Emerg. Nurs. 2005; 13: 18-23.
9. Malcolm L. Trends in hospital bed utilisation in New Zealand 1989 to 2006: more or less beds in the future? N. Z. Med. J. 2007; 120 (1264): 16-27.
10. Barton P. A Kind of Ritual Pakeha Tikanga - Maori Experiences of Hospitalisation. Albany: Massey University, 2008.
11. Davis P, Lay-Yee R, Dyall L etal. Quality of hospital care for Maori patients in New Zealand: retrospective cross-sectional assessment. Lancet 2006; 367 (9526): 1920-25.
12. Statistics New Zealand. Major Causes of Death. 2011 [12 Aug 2011]. [Cited 1 March 2009.] Available from URL:.
13. Schull MJ, Vermeulen M, Slaughter G etal. Emergency department crowding and thrombolysis delays in acute myocardial infarction [Research Support, Non-U.S. Gov't]. (Erratum appears in Ann. Emerg. Med. 2005; 45: 84]. Ann. Emerg. Med. 2004; 44: 577-85.
14. Mills AM, Shofer FS, Chen EH etal. The association between emergency department crowding and analgesia administration in acute abdominal pain patients. Acad. Emerg. Med. 2009; 16: 603-8.
15. Mitchell R, Kelly AM, Kerr D, Mitchell R, Kelly A-M, Kerr D. Does emergency department workload adversely influence timely analgesia? [Comparative Study]. Emerg. Med. Australas. 2009; 21: 52-8.
16. Motov S, Nga Kahn A. Problems and barriers of pain management in the emergency department: are we ever going to get better? J. Pain Res. 2009; 2: 5-11.
17. DH/NHS Institute for Innovation and Improvement Productive Time Team/Productivity Team. Delivering Quality and Value. Focus on: Fractured Neck of Femur. London: NHS, 2005.
18. American College of Surgeons. American College of Surgeons Quality Improvement Program. Chicago: American College of Surgeons, 2005; [May 2011]. [Cited 1 March 2009.] Available from URL:.
19. Ditillo MF, Dziura JD, Rabinovici R. Is it safe to delay appendectomy in adults with acute appendicitis? Ann. Surg. 2006; 244: 656-60.
20. Omundsen M, Dennett E. Delay to appendicectomy and associated morbidity: a retrospective review. ANZ J. Surg. 2006; 76: 153-5.
21. Guttmann A, Razzaq A, Lindsay P, Zagorski B, Anderson GM. Development of measures of the quality of emergency department care for children using a structured panel process [Research Support, Non-U.S. Gov't]. Pediatrics 2006; 118: 114-23.
22. Rowe BHSC, Ducharme FM, Bretzlaff JA, Bota GW. Early emergency department treatment of acute asthma with systemic corticosteroids (Cochrane Review). Cochrane Database Syst. Rev. 2008; (4): CD002178.
23. Ellison-Loschmann L, King R, Pearce N, Ellison-Loschmann L, King R, Pearce N. Regional variations in asthma hospitalisations among Maori and non-Maori [Research Support, Non-U.S. Gov't]. N. Z. Med. J. 2004; 117 (1188): U745.
24. Dellinger RP, Levy MM, Carlet JM etal. Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock: 2008 [Consensus Development Conference Research Support, Non-U.S. Gov't]. Crit. Care Med. 2008; 36: 296-327.
25. Pines JM, Hollander JE, Localio AR, Metlay JP. The association between emergency department crowding and hospital performance on antibiotic timing for pneumonia and percutaneous intervention for myocardial infarction. Acad. Emerg. Med. 2006; 13: 873-8.
26. Policy on the Australasian Triage Scale. [College Policy]: Australasian College for Emergency Medicine; 1993 [updated 24 Aug 2009]. [Cited 1 March 2009.] Available from URL:.
27. Mohsin M, Forero R, Ieraci S, Bauman AE, Young L, Santiano N. A population follow-up study of patients who left an emergency department without being seen by a medical officer. Emerg. Med. J. 2007; 24: 175-9.
28. Thomas DP, Anderson IPS. Use of emergency departments by Aboriginal and Torres Strait Islander people. Emerg. Med. Australas. 2006; 18: 68-76.
29. Australasian College of Emergency Medicine Trainee Committee. ACEM Trainee Submission into the Review of the Implementation of the Four Hour National Access Emergency Department Target (Australia). Melbourne: Australasian College of Emergency Medicine, 2011.
30. Accident Compensation Corporation. Evidence Based Best Practice Guideline Summary: Traumatic Brain Injury - Diagnosis, Acute Management and Rehabilitation. 2006. [Cited 1 March 2011.] Available from URL:.
31. Schull MJ, Hatcher CM, Guttmann A etal. Development of A Consensus on Evidence-Based Quality of Care Indicators for Canadian Emergency Departments. Toronto: Institute for Clinical Evaluative Sciences, 2010; Contract No.: ISBN: 978-0-9738553-8-8.
32. Cooke MW. A & E Clinical Quality Indicators: Implementation Guidance. DH (UK); 2010 [updated 17 Dec 2010]. [Cited 1 December 2010.] Available from URL:.
33. Pines JM. Time to first antibiotic dose measurement in community-acquired pneumonia: time for a change. Ann. Emerg. Med. 2009; 54: 312-13.
34. Jones PJ. Presentation to the NZ Emergency Departments Information Technology Workshop: 2/11/2011. Wellington, 2011.
35. Taylor C, Benger JR. Patient satisfaction in emergency medicine. Emerg. Med. J. 2004; 21: 528-32.