Reductions in hospital admissions and mortality rates observed after integrating emergency care: A natural experiment

BMJ Open

Volumn 2, Issue 4, 2012, Pages

  Boyle, Adrian A ^a   Ahmed, Vazeer ^a   Palmer, Christopher R ^b   Bennett, Tom J H ^b   Robinson, Susan M ^a  

^a CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST   (United Kingdom)

^b UNIVERSITY OF CAMBRIDGE   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CLINICAL ASSESSMENT; CLINICAL DECISION MAKING; CONTROLLED STUDY; EMERGENCY CARE; HEALTH CARE QUALITY; HOSPITAL; HOSPITAL ADMISSION; HUMAN; MORTALITY; QUASI EXPERIMENTAL STUDY; STANDARDIZED ADMISSION RATIO; STANDARDIZED MORTALITY RATIO; UNITED KINGDOM;

EID: 84865117334     PISSN: None     EISSN: 20446055     Source Type: Journal    
DOI: 10.1136/bmjopen-2012-000930     Document Type: Article

References (24)

1. Purdy S. Avoiding Hospital Admissions. What Does the Research Evidence Say? London, UK: Kings Fund, 2010.
2. Blunt I, Bardsley M, Dixon J. Trends in Emergency Admissions in England 2004-2009: Is Greater Efficiency Breeding Inefficiency? London, UK: Nuffield Trust, 2010.
3. Stephen G. Rising hospital admissions. BMJ 2010;340:636.
4. Holweg M. The genealogy of lean production. J Oper Manag 2007;25:420-37.
5. Boyle A, Fuld J, Ahmed V, et al. Does integrated emergency care reduce mortality and non-elective admissions? A retrospective analysis. Emerg Med J 2012;29:208-12.
6. Boyle AA, Robinson SM, Whitwell D, et al. Integrated hospital emergency care improves efficiency. Emerg Med J 2008;25:78-82.
7. Boyle A, Fuld J, Ahmed V, et al. Does integrated emergency care reduce mortality and non-elective admissions? A retrospective analysis. Emerg Med J 2012;29:208-12.
8. Palmer CR. Probability of recurrence of extreme data: an aid to decision-making. Lancet 1993;342:845-7.
9. Mohammed AM, Jonathan JD, Alan G, et al. Evidence of methodological bias in hospital standardised mortality ratios: retrospective database study of English hospitals. BMJ 2009;338:b780.
10. Alex B, Brian J, Paul A. Strengths and weaknesses of hospital standardised mortality ratios. BMJ 2011;342:c7116.
11. Snooks H, Cheung WY, Close J, et al. Support and Assessment for Fall Emergency Referrals (SAFER 1) trial protocol. Computerised onscene decision support for emergency ambulance staff to assess and plan care for older people who have fallen: evaluation of costs and benefits using a pragmatic cluster randomised trial. BMC Emerg Med 2010;10:2.
12. Lynch RM, Greaves I. Regular attenders to the accident and emergency department. J Accid Emerg Med 2000;17:351-4.
13. Dale J, Lang H, Roberts JA, et al. Cost effectiveness of treating primary care patients in accident and emergency: a comparison between general practitioners, senior house officers, and registrars. BMJ 1996;312:1340-4.
14. Salisbury C, Hollinghurst S, Montgomery A, et al. The impact of colocated NHS walk-in centres on emergency departments. Emerg Med J 2007;24:265-9.
15. Jimenez S, de la RG, Miro O, et al. [Effect of the incorporation of a general practitioner on emergency department effectiveness] (In Spanish). Med Clin (Barc) 2005;125:132-7.
16. Gonnah R, Hegazi MO, Hmdy I, et al . Can a change in policy reduce emergency hospital admissions? Effect of admission avoidance team, guideline implementation and maximising the observation unit. Emerg Med J 2008;25:575-8.
17. Thornton V, Hazell W. Junior doctor strike model of care: reduced access block and predominant Fellow of the Australasian College for Emergency Medicine staffing improve emergency department performance. Emerg Med Australas 2008;20: 425-30.
18. Sen A, Hill D, Menon D, et al. The impact of consultant delivered service in emergency medicine: the Wrexham Model. Emerg Med J 2012;29:366-71.
19. Dickson EW, Singh S, Cheung DS, et al. Application of lean manufacturing techniques in the Emergency Department. J Emerg Med 2009;37:177-82.
20. Holden RJ. Lean thinking in emergency departments: a critical review. Ann Emerg Med 2011;57:265-78.
21. Moskop JC, Sklar DP, Geiderman JM, et al . Emergency department crowding, part 2 - barriers to reform and strategies to overcome them. Ann Emerg Med 2009;53:612-17.
22. Cooke MW, Wilson S, Pearson S. The effect of a separate stream for minor injuries on accident and emergency department waiting times. Emerg Med J 2002;19:28-30.
23. Castille K, Cooke M. One size does not fit all. View 2. Emerg Med J 2003;20:120-2.
24. Cooke MW, Higgins J, Kidd P. Use of emergency observation and assessment wards: a systematic literature review. Emerg Med J 2003;20:138-42.