Review article: Have emergency department time-based targets influenced patient care? A systematic review of qualitative literature.
delivery of healthcare
healthcare quality, access and evaluation
healthcare systems
medicine, emergency
qualitative research
review, systematic
Journal
Emergency medicine Australasia : EMA
ISSN: 1742-6723
Titre abrégé: Emerg Med Australas
Pays: Australia
ID NLM: 101199824
Informations de publication
Date de publication:
04 2021
04 2021
Historique:
received:
19
01
2021
accepted:
20
01
2021
pubmed:
24
2
2021
medline:
2
10
2021
entrez:
23
2
2021
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 33622021
doi: 10.1111/1742-6723.13747
doi:
Types de publication
Journal Article
Review
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
202-213Informations de copyright
© 2021 Australasian College for Emergency Medicine.
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