Shiraz E-Medical Journal

Published by: Kowsar

The Impact of Senior Early Assessment Model of Care on The Emergency Department’s Improvement Index in a General Teaching Hospital in Southern Iran

Afsane Dehbozorgi 1 , Mehrdad Sharifi 1 , Najmeh Zarei Jelyani 1 , Farhad Lotfi 2 and Razieh Sadat Mousavi-Roknabadi 1 , *
Authors Information
1 Department of Emergency Medicine, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
2 Health Human Resources Research Center, School of Management & Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
Article information
  • Shiraz E-Medical Journal: 20 (5); e81618
  • Published Online: January 19, 2019
  • Article Type: Research Article
  • Received: July 2, 2018
  • Revised: September 8, 2018
  • Accepted: October 8, 2018
  • DOI: 10.5812/semj.81618

To Cite: Dehbozorgi A, Sharifi M, Zarei Jelyani N, Lotfi F, Mousavi-Roknabadi R S. The Impact of Senior Early Assessment Model of Care on The Emergency Department’s Improvement Index in a General Teaching Hospital in Southern Iran, Shiraz E-Med J. Online ahead of Print ; 20(5):e81618. doi: 10.5812/semj.81618.

Abstract
Copyright © 2019, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Methods
4. Results
5. Discussion
Acknowledgements
Footnotes
References
  • 1. NSW Ministry of Health. Emergency Department Models of Care 2012. 2012, [cited June 2]. Available from: http://www.health.nsw.gov.au/performance/publications/ed-model-of-care-2012.pdf.
  • 2. Higginson I. Emergency department crowding. Emerg Med J. 2012;29(6):437-43. doi: 10.1136/emermed-2011-200532. [PubMed: 22223713].
  • 3. Liu S, Hobgood C, Brice JH. Impact of critical bed status on emergency department patient flow and overcrowding. Acad Emerg Med. 2003;10(4):382-5. doi: 10.1197/aemj.10.4.382. [PubMed: 12670854].
  • 4. Richardson DB. Increase in patient mortality at 10 days associated with emergency department overcrowding. Med J Aust. 2006;184(5):213-6. [PubMed: 16515430].
  • 5. Thompson DA, Yarnold PR, Williams DR, Adams SL. Effects of actual waiting time, perceived waiting time, information delivery, and expressive quality on patient satisfaction in the emergency department. Ann Emerg Med. 1996;28(6):657-65. doi: 10.1016/S0196-0644(96)70090-2. [PubMed: 8953956].
  • 6. Carr BG, Kaye AJ, Wiebe DJ, Gracias VH, Schwab CW, Reilly PM. Emergency department length of stay: A major risk factor for pneumonia in intubated blunt trauma patients. J Trauma. 2007;63(1):9-12. doi: 10.1097/TA.0b013e31805d8f6b. [PubMed: 17622862].
  • 7. Fee C, Weber EJ, Maak CA, Bacchetti P. Effect of emergency department crowding on time to antibiotics in patients admitted with community-acquired pneumonia. Ann Emerg Med. 2007;50(5):501-9. 509 e1. doi: 10.1016/j.annemergmed.2007.08.003. [PubMed: 17913300].
  • 8. Barrett TW, Schriger DL. Annals of Emergency Medicine Journal Club. Emergency department crowding is associated with poor care for patients with severe pain. Ann Emerg Med. 2008;51(1):6-7. doi: 10.1016/j.annemergmed.2007.11.022. [PubMed: 18166434].
  • 9. Hoot NR, Aronsky D. Systematic review of emergency department crowding: causes, effects, and solutions. Ann Emerg Med. 2008;52(2):126-36. doi: 10.1016/j.annemergmed.2008.03.014. [PubMed: 18433933].
  • 10. Weiss SJ, Ernst AA, Derlet R, King R, Bair A, Nick TG. Relationship between the national ED overcrowding scale and the number of patients who leave without being seen in an academic ED. Am J Emerg Med. 2005;23(3):288-94. doi: 10.1016/j.ajem.2005.02.034. [PubMed: 15915399].
  • 11. Rondeau KV, Francescutti LH. Emergency department overcrowding: The impact of resource scarcity on physician job satisfaction. J Healthc Manag. 2005;50(5):327-40. discussion 341-2. doi: 10.1097/00115514-200509000-00009. [PubMed: 16268411].
  • 12. Vermeulen MJ, Stukel TA, Guttmann A, Rowe BH, Zwarenstein M, Golden B, et al. Evaluation of an emergency department lean process improvement program to reduce length of stay. Ann Emerg Med. 2014;64(5):427-38. doi: 10.1016/j.annemergmed.2014.06.007. [PubMed: 24999281].
  • 13. Bernstein SL, Asplin BR. Emergency department crowding: Old problem, new solutions. Emerg Med Clin North Am. 2006;24(4):821-37. doi: 10.1016/j.emc.2006.06.013. [PubMed: 16982341].
  • 14. Rowe BH, Guo X, Villa-Roel C, Schull M, Holroyd B, Bullard M, et al. The role of triage liaison physicians on mitigating overcrowding in emergency departments: A systematic review. Acad Emerg Med. 2011;18(2):111-20. doi: 10.1111/j.1553-2712.2010.00984.x. [PubMed: 21314769].
  • 15. Terris J, Leman P, O'Connor N, Wood R. Making an IMPACT on emergency department flow: Improving patient processing assisted by consultant at triage. Emerg Med J. 2004;21(5):537-41. doi: 10.1136/emj.2002.003913. [PubMed: 15333523]. [PubMed Central: PMC1726434].
  • 16. Shetty A, Gunja N, Byth K, Vukasovic M. Senior streaming assessment further evaluation after triage zone: A novel model of care encompassing various emergency department throughput measures. Emerg Med Australas. 2012;24(4):374-82. doi: 10.1111/j.1742-6723.2012.01550.x. [PubMed: 22862754].
  • 17. Queensland Health's Clinical Excellence Division. Senior early assessment. [cited 09 July 2018]. Available from: https://clinicalexcellence.qld.gov.au/improvement-exchange/senior-early-assessment.
  • 18. Davis RA, Dinh MM, Bein KJ, Veillard AS, Green TC. Senior work-up assessment and treatment team in an emergency department: A randomised control trial. Emerg Med Australas. 2014;26(4):343-9. doi: 10.1111/1742-6723.12256. [PubMed: 24935075].
  • 19. Hashemi B, Baratloo A, Rahmati F, Forouzanfar MM, Motamedi M, Safari S. Emergency department performance indexes before and after establishment of emergency medicine. Emerg (Tehran). 2013;1(1):20-3. [PubMed: 26495331]. [PubMed Central: PMC4614554].
  • 20. Iranian Ministry of Health. National emergency department performance index. [cited June 2]. Available from: http://vct.iums.ac.ir/files/vct/files/shakhes_orzhance_v2.pdf.
  • 21. Gilboy N, Tanabe P, Travers D, Rosenau AM. Emergency severity index (ESI): A triage tool for emergency department care, version 4. Implementation handbook. 2012.
  • 22. Asha SE, Ajami A. Improvement in emergency department length of stay using an early senior medical assessment and streaming model of care: A cohort study. Emerg Med Australas. 2013;25(5):445-51. doi: 10.1111/1742-6723.12128. [PubMed: 24099374].
  • 23. Yousefzadeh Chabok S, Mohtasham Amiri Z, Haghdoost Z. [Patients discharged before and after presence of medical emergency specialists]. J Holist Nurs Midwifery. 2014;24(1):64-70. Persian.
  • 24. Bullard MJ, Villa-Roel C, Guo X, Holroyd BR, Innes G, Schull MJ, et al. The role of a rapid assessment zone/pod on reducing overcrowding in emergency departments: A systematic review. Emerg Med J. 2012;29(5):372-8. doi: 10.1136/emj.2010.103598. [PubMed: 21515880].
  • 25. Spaite DW, Bartholomeaux F, Guisto J, Lindberg E, Hull B, Eyherabide A, et al. Rapid process redesign in a university-based emergency department: Decreasing waiting time intervals and improving patient satisfaction. Ann Emerg Med. 2002;39(2):168-77. doi: 10.1067/mem.2002.121215. [PubMed: 11823772].
  • 26. Bowker L, Stewart K. Predicting unsuccessful cardiopulmonary resuscitation (CPR): a comparison of three morbidity scores. Resuscitation. 1999;40(2):89-95. doi: 10.1016/S0300-9572(99)00008-8. [PubMed: 10225281].
  • 27. Peberdy MA, Kaye W, Ornato JP, Larkin GL, Nadkarni V, Mancini ME, et al. Cardiopulmonary resuscitation of adults in the hospital: A report of 14720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation. Resuscitation. 2003;58(3):297-308. doi: 10.1016/S0300-9572(03)00215-6. [PubMed: 12969608].
  • 28. Miranzadeh S, Adib-Hajbaghery M, Hosseinpour N. A prospective study of survival after in-hospital cardiopulmonary resuscitation and its related factors. Trauma Mon. 2016;21(1). e31796. doi: 10.5812/traumamon.31796. [PubMed: 27218061]. [PubMed Central: PMC4869436].
  • 29. Ghavidel M, Javadzadeh H, Saberi Esfeedvajani M, Emami Meybodi M. Assessment of performance index of emergency department in a hospital in Tehran, Iran. Hosp Pract Res. 2017;2(2):36-40. doi: 10.15171/hpr.2017.10.
  • 30. Hooker RS, Klocko DJ, Larkin GL. Physician assistants in emergency medicine: The impact of their role. Acad Emerg Med. 2011;18(1):72-7. doi: 10.1111/j.1553-2712.2010.00953.x. [PubMed: 21166731].
  • 31. Huang IA, Tuan PL, Jaing TH, Wu CT, Chao M, Wang HH, et al. Comparisons between full-time and part-time pediatric emergency physicians in pediatric emergency department. Pediatr Neonatol. 2016;57(5):371-7. doi: 10.1016/j.pedneo.2015.10.005. [PubMed: 27178642].
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:

Author(s):

Article(s):

Create Citiation Alert
via Google Reader

Readers' Comments