The Library
A framework for measuring quality in the emergency department
Tools
Cameron, Peter, 1958-, Schull, Michael and Cooke, Matthew, MB ChB. (2011) A framework for measuring quality in the emergency department. Emergency Medicine Journal, Vol.28 (No.9). pp. 735-740. ISSN 1472-0205
|
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 |
| Date: | September 2011 |
| 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 |
| URI: | http://wrap.warwick.ac.uk/id/eprint/38517 |
Data sourced from Thomson Reuters' Web of Knowledge
Actions (login required)
![]() |
View Item |
Tools
Tools

