ArticleDeutsches Arzteblatt international2010
Numerical parameters and quality indicators in a medical emergency department.
Article in Deutsches Arzteblatt international, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- [Potential for the survey of quality indicators based on a national emergency department registry : A systematic literature search].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2018Pooled it
- Frequency and predictors of unspecific medical diagnoses in the emergency department: a prospective observational study.BMC emergency medicine · 2022Observational
- Influence of Weekday and Seasonal Trends on Urgency and In-hospital Mortality of Emergency Department Patients.Frontiers in public health · 2022Article
- Assessing healthcare service quality using routinely collected data: Linking information systems in emergency care.Journal of medical systems · 2020Article
- Diagnostic Agreement between Prehospital Emergency and In-Hospital Physicians.Emergency medicine international · 2019Article
- Medication Appropriateness in Prehospital Care.Emergency medicine international · 2019Article
- Emergency medicine for 25 Years in Iceland - history of the specialty in a nutshell.Scandinavian journal of trauma, resuscitation and emergency medicine · 2018Article
- Patients Presenting to the Emergency Unit with Gynaecological Lower Abdominal Pain, with and without Pathological Clinical Findings - Service Utilisation, Pain History, Implications.Geburtshilfe und Frauenheilkunde · 2016Article
- Factors Affecting Quality of Emergency Service in Iran's Military Hospitals: A Qualitative Study.Electronic physician · 2016Article
- [Quality management in emergency departments: Lack of uniform standards for fact-based controlling].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2015Article
- [Position paper for a reform of medical emergency care in German emergency departments].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2015Article
- Article
- [Interdisciplinary emergency room - key to success?].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2014Review
- [Value of emergency echocardiography using the example of acute aortic dissection].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2014Article
- [National data set "emergency department": development, structure and approval by the Deutsche Interdisziplinäre Vereinigung für Intensivmedizin und Notfallmedizin].Der Anaesthesist · 2014Article
- [Validity of admission diagnoses as process-driving criteria : influence on length of stay and consultation rate in emergency departments].Der Anaesthesist · 2013Observational
- Physician-led team triage based on lean principles may be superior for efficiency and quality? A comparison of three emergency departments with different triage models.Scandinavian journal of trauma, resuscitation and emergency medicine · 2012Article
- Atrial fibrillation: its prevalence and risk factor profile in the German general population.Deutsches Arzteblatt international · 2012Article
- Effect of supervised students' involvement on diagnostic accuracy in hospitalized medical patients--a prospective controlled study.PloS one · 2012Article
- The investigation of syncope: strengths and weaknesses of emergency medicine.Deutsches Arzteblatt international · 2012Article
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No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite calls for improved quality and efficiency in medical emergency departments, there exist hardly any quality indicators, and no methods of calculating efficiency have been published to date. The present study illustrates a means of presenting numerical parameters of a medical emergency department and of identifying potential quality indicators.
methodOver a period of 12 months, all patient contacts of the medical emergency department in the University hospital of Erlangen were analyzed with respect to patient flow, diagnoses, and treatment units. The diagnostic agreement (DA) parameter was calculated from a systematic comparison of admitting and discharge diagnoses, and diagnostic efficiency (DE) was defined and calculated as the quotient of DA x100 divided by the length of stay in the emergency department.
resultsAmong the 6683 patients treated, 64.6% underwent further in-hospital care. The diagnostic spectrum of the outpatients differed markedly from that of the inpatients. Patients with diseases of the heart, gastrointestinal tract, and lungs were usually admitted to the hospital for further treatment. Patient contacts had a characteristic circadian and weekly rhythmic pattern. For the overall patient collective, the DA was 71%. The mean length of stay in the emergency department was 116 minutes, and the DE was therefore 0.61/min. The DA was highest (92%) among patients with atrial flutter or fibrillation, while the DE was highest (0.85/min) among patients with acute myocardial infarction. 14% of the patients required further treatment in intensive care.
conclusionNumerical parameters and quality indicators for a hospital emergency department can be presented in transparent fashion. DA and DE can be used as parameters for diagnosis-related and intradepartmental quality assessment.
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