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https://repository.monashhealth.org/monashhealthjspui/handle/1/26917| Title: | Review article: Have emergency department time-based targets influenced patient care? A systematic review of qualitative literature. | Authors: | Jones P.;Forero R.;Mitchell R.;Martini E.;Tesch G.;Bissett I.;Walker K. ;Honan B.;Haustead D.;Mountain D.;Gangathimmaiah V. | Monash Health Department(s): | Nephrology | Institution: | (Walker) Emergency Department, Cabrini Institute, Melbourne, VIC, Australia (Walker) School of Clinical Sciences, Monash University, Melbourne, VIC, Australia (Honan) Central Australian Retrieval Service, Alice Springs Hospital, Alice Springs, NT, Australia (Haustead) Emergency Department, Royal Adelaide Hospital, Adelaide, SA, Australia (Mountain) Emergency Department, Sir Charles Gardner Hospital, Perth, WA, Australia (Gangathimmaiah) Emergency Department, The Townsville Hospital, Townsville, QLD, Australia (Forero) South Western Sydney Clinical School, The University of New South Wales, Sydney, NSW, Australia (Mitchell) Emergency Department, Alfred Hospital, Melbourne, VIC, Australia (Martini) MelbourneVICAustralia (Tesch) Nephrology Department, Clinical Sciences at Monash Health, Monash University, Melbourne, VIC, Australia (Bissett) Department of Surgery, The University of Auckland, Auckland, New Zealand (Jones) School of Medicine, The University of Auckland, Auckland, New Zealand | Issue Date: | 1-Mar-2021 | Copyright year: | 2021 | Publisher: | Blackwell Publishing | Place of publication: | Australia | Publication information: | EMA - Emergency Medicine Australasia. 33 (2) (pp 202-213), 2021. Date of Publication: April 2021. | Journal: | EMA - Emergency Medicine Australasia | Abstract: | Time-based targets for ED length of stay were introduced in England in 2000, followed by the rest of the UK, Canada, Ireland, New Zealand, and Australia after ED crowding was associated with poor quality of care and increased mortality. This systematic review evaluates qualitative literature to see if ED time-based targets have influenced patient care quality. We included 13 studies from four countries, incorporating 617 interviews. We conclude that time-based targets have impacted on the quality of emergency patient care, both positively and negatively. Successful implementation depends on whole hospital resourcing and engagement with targets.Copyright © 2021 Australasian College for Emergency Medicine | DOI: | http://monash.idm.oclc.org/login?url= http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1111/1742-6723.13747 |
PubMed URL: | 33622021 [http://www.ncbi.nlm.nih.gov/pubmed/?term=33622021] | ISSN: | 1742-6731 | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/26917 | Type: | Review | Type of Clinical Study or Trial: | Systematic review and/or meta-analysis |
| Appears in Collections: | Articles |
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