ED Organisation and Overcrowding
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OUR RESEARCH AND PAPERS Primary Care Foundation report on urgent care centres and emergency departments Primary Care Foundation report on primary care in emergency departments Urgent Care - evidence to support the development of a new urgent care system. Overview 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 quality indicators(information
OTHER SOURCES College of Emergency Medicine- resources on ED overcrowding Systematic review on waits in ED. Annals Emerg Med 2008 Reducing unplanned hospital admissions a systematic review 2006 Harvard review
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 The Warwick Emergency Care Conferences have also discussed issues of waits in 2003 and 2002 Other useful documents
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 |



