Advertisement

Effectiveness of interventions to improve the efficiency of emergency department operations: An evidence map

Published:April 09, 2018DOI:https://doi.org/10.1016/j.ajem.2018.04.012
      Numerous published studies have reported interventions attempting to improve Emergency Department (ED) efficiency, but this body of literature is limited in its real-world applicability. Studies commonly report narrowly-focused interventions, are variable in how results are measured, and rarely report cost data. However, decision-makers need to answer at least two simple questions that are not often answered well by the current literature: How well did this intervention work, and what did it take (e.g. resources, time) to implement it?

      Keywords

      To read this article in full you will need to make a payment
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The American Journal of Emergency Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Miake-Lye I.M.
        • Hempel S.
        • Shanman R.
        • Shekelle P.G.
        What is an evidence map? A systematic review of published evidence maps and their definitions, methods, and products.
        Syst Rev. Feb 10 2016; 5: 28
        • Miake-Lye I.M.
        • O'Neill S.
        • Childers C.
        • Gibbons M.
        • Mak S.
        • Shanman R.
        • et al.
        Effectiveness of interventions to improve emergency department efficiency: an evidence map.
        Department of Veterans Affairs (US), Washington DCSep 2017
        • Fry M.
        • Jones K.
        The clinical initiative nurse: extending the role of the emergency nurse, who benefits?.
        Australas Emerg Nurs J. 2005; 8: 9-12
        • Ieraci S.
        • Digiusto E.
        • Sonntag P.
        • Dann L.
        • Fox D.
        Streaming by case complexity: evaluation of a model for emergency department fast track.
        Emerg Med Australas. Jun 2008; 20: 241-249
        • Inokuchi R.
        • Sato H.
        • Iwagami M.
        • Komaru Y.
        • Iwai S.
        • Gunshin M.
        • et al.
        Impact of a new medical record system for emergency departments designed to accelerate clinical documentation: a crossover study.
        Medicine. Jul 2015; 94e856
        • Doupe M.
        • Chateau D.
        • Derksen S.
        • Sarkar J.
        • de Faria R.L.
        • Strome T.
        • et al.
        Factors affecting emergency department waiting room times in Winnipeg.
        Manitoba Centre for Health Policy, 2017