dc.contributor.author |
Harper, A |
en |
dc.contributor.author |
Jones, Peter |
en |
dc.contributor.author |
Wimsett, J |
en |
dc.contributor.author |
Stewart, Joanna |
en |
dc.contributor.author |
Le Fevre, James |
en |
dc.contributor.author |
Wells, Linda |
en |
dc.contributor.author |
Curtis, Elana |
en |
dc.contributor.author |
Reid, Mary-Jane |
en |
dc.contributor.author |
Ameratunga, Shanthi |
en |
dc.date.accessioned |
2017-02-21T20:53:31Z |
en |
dc.date.issued |
2016-12 |
en |
dc.identifier.citation |
Emergency Medicine Journal 33(12):860-864 Dec 2016 |
en |
dc.identifier.issn |
1472-0205 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/31919 |
en |
dc.description.abstract |
Time targets for ED stays are used as a policy instrument to reduce ED crowding. There is debate whether such policies are helpful or harmful, as focus on a process target may divert attention from clinical care. The objective of this study is to investigate whether the Shorter Stays in Emergency Departments target in New Zealand was associated with a change in the quality of ED discharge information provided to primary care providers.The quality of discharge summaries was assessed retrospectively over time using chart review. Logistic regression was used to account for secular trends with adequate or not as the dependent variable. Explanatory variables were: age, ethnicity, deprivation, triage category, year, the step at target introduction (2009) and the change in slope before and after the target.Of 500 randomly selected discharge summaries, 491 (98.2%) were included in the analysis. There was evidence of a decrease over time in the proportion of adequate discharge summaries before the introduction of the target (slope estimate (SE) -0.43 (0.20), p=0.02). A step at the target introduction could not be shown (p=0.47). There was evidence of an improvement over time from pre-target to post-target: slope afterwards 0.33, estimate of change in slope (SE) 0.76 (0.27), p=0.006.There was no reduction in the quality of discharge summaries following the introduction of the shorter stays in ED target and trends in quality improved. These findings deserve replication in other hospitals which may experience different challenges. |
en |
dc.format.medium |
Print-Electronic |
en |
dc.language |
eng |
en |
dc.publisher |
BMJ Publishing Group |
en |
dc.relation.ispartofseries |
Emergency Medicine Journal |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.title |
The effect of the Shorter Stays in Emergency Departments health target on the quality of ED discharge summaries |
en |
dc.type |
Journal Article |
en |
dc.identifier.doi |
10.1136/emermed-2015-205601 |
en |
pubs.issue |
12 |
en |
pubs.begin-page |
860 |
en |
pubs.volume |
33 |
en |
dc.identifier.pmid |
27169430 |
en |
pubs.end-page |
864 |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
en |
pubs.subtype |
Article |
en |
pubs.elements-id |
528972 |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
Population Health |
en |
pubs.org-id |
Epidemiology & Biostatistics |
en |
pubs.org-id |
School of Medicine |
en |
pubs.org-id |
Surgery Department |
en |
pubs.org-id |
Te Kupenga Hauora Maori |
en |
pubs.org-id |
TKHM Teaching |
en |
dc.identifier.eissn |
1472-0213 |
en |
pubs.record-created-at-source-date |
2017-02-21 |
en |
pubs.online-publication-date |
2016-05-11 |
en |
pubs.dimensions-id |
27169430 |
en |