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Updated framework o...
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Hansen, KimEmergency Department, Prince Charles Hospital, Chermside, Queensland, Australia; Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia
(author)
Updated framework on quality and safety in emergency medicine
- Article/chapterEnglish2020
Publisher, publication year, extent ...
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2020-05-13
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BMJ Publishing Group Ltd,2020
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printrdacarrier
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LIBRIS-ID:oai:DiVA.org:oru-81931
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https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-81931URI
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https://doi.org/10.1136/emermed-2019-209290DOI
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
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OBJECTIVES: Quality and safety of emergency care is critical. Patients rely on emergency medicine (EM) for accessible, timely and high-quality care in addition to providing a 'safety-net' function. Demand is increasing, creating resource challenges in all settings. Where EM is well established, this is recognised through the implementation of quality standards and staff training for patient safety. In settings where EM is developing, immense system and patient pressures exist, thereby necessitating the availability of tiered standards appropriate to the local context.METHODS: The original quality framework arose from expert consensus at the International Federation of Emergency Medicine (IFEM) Symposium for Quality and Safety in Emergency Care (UK, 2011). The IFEM Quality and Safety Special Interest Group members have subsequently refined it to achieve a consensus in 2018.RESULTS: Patients should expect EDs to provide effective acute care. To do this, trained emergency personnel should make patient-centred, timely and expert decisions to provide care, supported by systems, processes, diagnostics, appropriate equipment and facilities. Enablers to high-quality care include appropriate staff, access to care (including financial), coordinated emergency care through the whole patient journey and monitoring of outcomes. Crowding directly impacts on patient quality of care, morbidity and mortality. Quality indicators should be pragmatic, measurable and prioritised as components of an improvement strategy which should be developed, tailored and implemented in each setting.CONCLUSION: EDs globally have a remit to deliver the best care possible. IFEM has defined and updated an international consensus framework for quality and safety.
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Boyle, AdrianEmergency Department, Addenbrooke's Hospital, Cambridge, Cambridgeshire, UK
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Holroyd, BrianDepartment of Emergency Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada; Emergency Strategic Clinical Network, Alberta Health Services, Edmonton, Alberta, Canada
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Phillips, GeorginaEmergency Department, St Vincent's Hospital Melbourne, Fitzroy, Victoria, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Clayton, Victoria, Australia
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Benger, JonathanAcademic Department of Emergency Care, University Hospitals Bristol NHS Foundation Trust, Bristol, UK
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Chartier, Lucas B.Department of Medicine, University of Toronto, Toronto, Ontario, Canada; Emergency Department, University Health Network, Toronto, Ontario, Canada
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Lecky, FionaHealth Services Research, University of Sheffield, Sheffield, UK; Emergency Department /TARN, Salford Royal Hospitals NHS Foundation Trust, Salford, UK
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Vaillancourt, SamuelEmergency Department, St Michael's Hospital, Toronto, Ontario, Canada
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Cameron, PeterDepartment of Epidemiology and Preventive Medicine, Monash University, Clayton, Victoria, Australia; Emergency Department, Alfred Hospital, Melbourne, Victoria, Australia
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Waligora, GrzegorzEmergency Department, Wroclaw Medical University, Wroclaw, Dolnoslaskie, Poland
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Kurland, Lisa,1960-Örebro universitet,Institutionen för medicinska vetenskaper(Swepub:oru)lkd
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Truesdale, MelindaEmergency Department, Royal Melbourne Hospital, Melbourne, Victoria, Australia; Emergency Department, Royal Women's Hospital, Parkville, Victoria, Australia
(author)
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Emergency Department, Prince Charles Hospital, Chermside, Queensland, Australia; Faculty of Medicine, University of Queensland, Brisbane, Queensland, AustraliaEmergency Department, Addenbrooke's Hospital, Cambridge, Cambridgeshire, UK
(creator_code:org_t)
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In:Emergency Medicine Journal: BMJ Publishing Group Ltd37:7, s. 437-4421472-02051472-0213
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