ED Organisation and Overcrowding
OUR RESEARCH AND PAPERS
Primary Care Foundation report on urgent care centres and emergency departments, including literature synthesis by WMS (in progress)
Primary Care Foundation report on primary care in emergency departments, including literature synthesis by WMS (released Friday 5/3/10)
Urgent Care - evidence to support the development of a new urgent care system. Overview and full report available.
Systematic Review - Reducing waits and Attendances at A&E 2004
Briefing and Overview 2006 - How to reduce ED waits and sustain them
Cooke MW DH and research agree on time definitionseEMJ 2006
MW Cooke, S Black, A Fletcher, M Jennings Flows through beds not occupancy Emerg Med Journ 2005
M W Cooke, S Wilson, J Halsall, and A Roalfe Total time in English accident and emergency departments is related to bed occupancy Emerg Med J 2004 21: 575-576
Chris Salisbury, Sandra Hollinghurst, Alan Montgomery, Matthew Cooke, James Munro, Deborah Sharp, and Melanie Chalder The impact of co-located NHS walk-in centres on emergency departmentsEmerg Med J 2007; 24: 265-269
Downing A, Wilson RC, Cooke MW. Which patients spend more than 4 hours in the Accident and Emergency department? J Public Health (Oxf). 2004 Jun;26(2):172-6.
MW Cooke Reforming the UK Emergency Care System Emerg Med J 2003;20:112-117
K Castille & MW Cooke See and Treat - one size does not fit all Emerg Med J 2003;20:118-121
MW Cooke, P Arora, and SM Mason Discharge from triage - Modelling the potential in different types of Emergency Department Emerg Med J 2003;20:130-132
MW Cooke, J Higgins, P Kidd The use of emergency observation and assessment wards: a systematic literature review. Emerg Med J 2003;20:137-142
Cooke M, Castille K. Emergency pyramid is inverting already. BMJ. 2003 Jan 4;326(7379):49.
Cooke M. Emergency medicine. Whole system is responsible for solving overcrowding of departments. BMJ. 2002 Aug 17;325(7360):389;
Cooke MW, Wilson S, Pearson S. The effect of a separate stream for minor injuries on accident and emergency department waiting times. Emerg Med J. 2002 Jan;19(1):28-30.
see also Matthew Cooke's presentations
Organisation and service delivery in emergency departments undertaken by WECR
English ED total time data Present total time data. Past data.
The result of the CQIs are available here with unverifed weekly data is also available here
with the original guidance available here
With best practice here
More recent data on quality indicators is available on individual NHS Trust websites.
OTHER SOURCES
College of Emergency Medicine- resources on ED overcrowding (needs log in)
Systematic review on waits in ED. Annals Emerg Med 2008
Reducing unplanned hospital admissions a systematic review 2006
Harvard review on the UK four hour target 2007
BMA report on ED waits 2007
CANADA status and causes 2005 HTA canada report - issues and solutions 2006
USA - US Governvernment Accountability Office Report April 2009: how long do you spend in the ED June2006
Overcrowding increases mortality 3 MJA articles March2006
Presentation Reforming Emergency Care- the UK experience. Nice, September 2005 (!!1.2 megabyte file)
Examples- KPI for emergency care and Toolkit to assess clinician staffing levels
Samples of CDU care pathways from Leeds and Birmingham (LARGE zip file, 1.5Mb)
Redusing Waits conference Edinburgh 2009
The Warwick Emergency Care Conferences have also discussed issues of waits in 2003 and 2002
Acute Hospital Portfolio report on A&E 2005
Key UK Government Policy documents BMA report on 4 hour target
Emergency care briefings Emergency care checklists Modernisation Agency Emergency Services Archive
Facts, Figures and data about A&E International perspectives
Data Definitions
Canadian Data Definitions ACEP (USA) Overcrowding information Australasian CEM definitions