The Library

A framework for measuring quality in the emergency department

Tools

Cameron, Peter, Schull, Michael and Cooke, Matthew. (2011) A framework for measuring quality in the emergency department. Emergency Medicine Journal, Vol.28 (No.9). pp. 735-740. ISSN 1472-0205

Preview

PDF
WRAP_Cooke_101210__A_Framework_for_Measuring_Quality_in_the_ED-1.pdf - Accepted Version - Requires a PDF viewer such as GSview, Xpdf or Adobe Acrobat Reader
Download (523Kb)

Official URL: http://dx.doi.org/10.1136/emj.2011.112250

Abstract

There is increasing concern that medical care is of variable quality, with variable outcomes, safety, costs and experience for patients. Despite substantial efforts to improve patient safety, some studies suggest little evidence of reductions in adverse events. Furthermore, there is limited agreement about what outcomes are expected and whether increased expenditure results in a real improvement in outcome or experience. In emergency medicine, many countries have developed specific indicators to help drive improvements in patient care. Most of these are time based and there is a lack of consensus regarding which indicators are high priority and what an appropriate framework for measuring quality should look like.

Item Type:

Journal Article

Subjects:

R Medicine > RC Internal medicine

Divisions:

Faculty of Medicine > Warwick Medical School

Library of Congress Subject Headings (LCSH):

Emergency medicine, Hospitals -- Emergency services -- Quality control

Journal or Publication Title:

Emergency Medicine Journal

Publisher:

BMJ Group

ISSN:

1472-0205

Official Date:

September 2011

Dates:

Date	Event
September 2011	Published

Volume:

Vol.28

Number:

No.9

Page Range:

pp. 735-740

Identification Number:

10.1136/emj.2011.112250

Status:

Peer Reviewed

Publication Status:

Published

Access rights to Published version:

Restricted or Subscription Access

References:

1. The NHS Atlas of Variation in Healthcare
Reducing unwarranted variation to
increase value and improve quality. 2010. http://www.rightcare.nhs.uk/atlas/
2. CP. Landrigan, GJ. Parry, CB. Bones, AD. Hackbarth, DA. Goldmann, PJ. Sharek, Temporal Trends in Rates of Patient Harm Resulting from Medical Care. N Engl J Med 2010; 363:2124-2134
3. Australasian College for Emergency medicine. Policy Document Quality Management in Emergency Medicine. http://www.acem.org.au/media/policies_and_guidelines/quality.pdf
4. Canadian Association of Emergency Physicians - Development of a Consensus on Evidence-Based Quality of Care Indicators for Canadian Emergency Departments. http://www.caep.ca/template.asp?id=4DCA2D0014A4408FACB06DC5CC0E81D3#qualityindicator
5. The NHS Plan. Department of Health.
http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/@ps/documents/digitalasset/dh_118522.pdf
6. E Beattie, K Mackway-Jones A Delphi study to identify performance indicators for emergency medicine. Emerg Med J 2004;21:47-50 http://emj.bmj.com/content/21/1/47.full
7. Emergency Department Performance Measures and Benchmarking Summit: The Consensus Statement. http://www.qualityindicators.ahrq.gov/news/EDPerformanceMeasures-ConsensusStatement.pdf
8. Evans SM, Scott, IA, Johnson NP Cameron PA McNeil JJ. Development of clinical quality registries in Australia - the way forward. MJA. 2010 (in press)
9. Aspirin in AMIISIS-2 (Second International Study of Infarct Survival)
Collaborative Group. Randomised trial of intravenous streptokinase,
oral aspirin, both, or neither among 1787 cases of suspected acute
myocardial infarction: ISIS-2. Lancet 1988;ii:349-60.
10. Institute of Medicine (IOM). Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, D.C: National Academy Press; 2001
11. Victorian Quality Council. A guide to using data for healthcare quality improvement . 2008 http://www.health.vic.gov.au/qualitycouncil/downloads/vqc_guide_to_using_data.pdf
12. V F Nieva, J Sorra. Safety culture assessment: a tool for improving patient safety in healthcare organizations. Qual Saf Health Care 2003;12(Suppl II):ii17–ii23 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1765782/pdf/v012p0ii17.pdf
13. JB Semmens, R J Aitken, F M Sanfilippo, S AMukhtar, NS Haynes and J A Mountain. The Western Australian Audit of Surgical Mortality: advancing surgical accountability. MJA 2005; 183 (10): 504-508
14. Baker DW, Stevens CD, Brook RH. Patients who leave
a public hospital emergency department without being seen. JAMA. 1991; 266:1085–90.
15. Institute for Healthcare Improvement. IHI Global Trigger Tools for Measuring Adverse Events.2009. http://www.ihi.org/NR/rdonlyres/B277159C-60D4-4EFD-BF2A-B9FB62CAAA4A/0/IHIGlobalTriggerToolWhitePaper2009.pdf%20
16. West midlands Quality review Service.2010. NHS. UK. http://www.wmqi.westmidlands.nhs.uk/wmqrs/review-programmes/view/urgent-care
17. College of Emergency medicine (UK). Current Clinical Audits. 2010. http://www.collemergencymed.ac.uk/Shop-Floor/Clinical%20Audit/Current%20Audits/
18. The association between hospital overcrowding and mortality among patients admitted via Western Australian emergency departments. Peter C Sprivulis, Julie-Ann Da Silva, Ian G Jacobs, Amanda R L Frazer and George A Jelinek. MJA 2006; 184 (5): 208-212
19. Schull MJ, Guttmann A, Leaver CA, Vermeulen MJ, Hatcher CM, Rowe BH, Zwarenstein M, Anderson GM. Prioritizing Performance Measurement for Emergency Department Care: Consensus on Evidence-Based Quality of Care Indicators. Can J Emerg Med. 2010. (in press)
20. C Taylor, J Bengar. Patient Satisfaction in Emergency medicine Emerg Med J 2004;21:528–532.http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1726409/pdf/v021p00528.pdf
21. Access block can be managed. P A Cameron, A P Joseph and S M McCarthy. MJA 2009; 190 (7): 364-36