id:"swepub:oai:DiVA.org:oru-59261"
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- Madsen, MichaelKarolinska Institutet (author)
The level of evidence for emergency department performance indicators : systematic review
- Article/chapterEnglish2015
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- Lippincott Williams & Wilkins,2015
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- LIBRIS-ID:oai:DiVA.org:oru-59261
- https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-59261URI
- https://doi.org/10.1097/MEJ.0000000000000279DOI
- http://kipublications.ki.se/Default.aspx?queryparsed=id:131917815URI
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- Language:English
- Summary in:English
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- The aim of this study was to perform a comprehensive systematic review of emergency department performance indicators in relation to evidence. A systematic search was performed through PUBMED, EMBASE, CINAHL and COCHRANE databases with (and including synonyms of) the search words: [emergency medicine OR emergency department] AND [quality indicator(s) OR performance indicator(s) OR performance measure(s)]. Articles were included according to the inclusion/exclusion criteria using the PRISMA protocol. The level of evidence was rated according to the evidence levels by the Oxford Centre for Evidence-Based Medicine. Performance indicators were extracted and organized into five categories; outcome, process, satisfaction, equity and structural/organizational measures. Six thousand four hundred and forty articles were initially identified; 127 provided evidence for/against a minimum of one performance indicator: these were included for further study. Of the 127 articles included, 113 (92%) were primary research studies and only nine (8%) were systematic reviews. Within the 127 articles, we found evidence for 202 individual indicators. Approximately half (n=104) of all this evidence (n=202) studied process-type indicators. Only seven articles (6%) qualified for high quality (level 1b). Sixty-six articles (51%) were good retrospective quality (level 2b or better), whereas the remaining articles were either intermediate quality (25% level 3a or 3b) or poor quality (17% level 4 or 5). We found limited evidence for most emergency department performance indicators, with the majority presenting a low level of evidence. Thus, a core group of evidence-based performance indicators cannot currently be recommended on the basis of this broad review of the literature.
Subject headings and genre
- MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Anestesi och intensivvård hsv//swe
- MEDICAL AND HEALTH SCIENCES Clinical Medicine Anesthesiology and Intensive Care hsv//eng
- emergency department; emergency medicine; performance indicators; performance measures; quality indicators; quality measures; systematic review
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- Kiuru, SampsaAshburton Hospital, Canterbury DHB, New Zealand; University of Turku, Turku, Finland (author)
- Castrèn, MaaretDepartment of Emergency Medicine and Services, Helsinki University Hospital, Helsinki, Finland; Department of Emergency Medicine and Services, Helsinki University, Helsinki, Finland (author)
- Kurland, Lisa,1960-Karolinska Institutet(Swepub:oru)lkd (author)
- Karolinska InstitutetAshburton Hospital, Canterbury DHB, New Zealand; University of Turku, Turku, Finland (creator_code:org_t)
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- In:European journal of emergency medicine: Lippincott Williams & Wilkins22:5, s. 298-3050969-95461473-5695
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