SynthesisScandinavian journal of trauma, resuscitation and emergency medicine2013
Evaluation of emergency department performance - a systematic review on recommended performance and quality-in-care measures.
Synthesis in Scandinavian journal of trauma, resuscitation and emergency medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
59 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Outcome metrics in recommended performance measurement tools for emergency department performance evaluation: a systematic review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Pooled 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
- Article
- Factors Influencing Non-urgent Emergency Department Visits: A Review of the Causes and Impact.Cureus · 2026Review
- Reassessing the emergency department burden of influenza: A comprehensive real-world analysis using administrative data.PloS one · 2026Article
- Streamlining emergency nursing care post-pandemic: A lean approach for reducing wait times and improving patient and staff satisfaction in the hospital.BMC nursing · 2025Article
- The Use Of Fundus Photography In The Emergency Room-A Review.Current neurology and neuroscience reports · 2025Review
- Harder, Better, Faster, Stronger? Residents Seeing More Patients Per Hour See Lower Complexity.The western journal of emergency medicine · 2025Article
- Reduced left-without-being-seen rates and impact on disparities after guest services ambassadors implementation.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025Observational
- Awareness of Emergency Department Workforce about the Operational Metrics: A Cross-sectional Study.Archives of academic emergency medicine · 2025Article
- Evaluation of unplanned reattendances to the pediatric emergency department - a five-year study.BMC pediatrics · 2024Article
- Extending emergency care beyond discharge: Piloting a virtual after care clinic.Journal of the American College of Emergency Physicians open · 2024Article
- Admission Rate of Patients Visiting Emergency Department in a Tertiary Care Center in Kathmandu: A Descriptive Cross-sectional Study.JNMA; journal of the Nepal Medical Association · 2024Article
- Article
- When Patients Go to "Dr. Google" Before They Go to the Emergency Department.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2024Observational
- Review
- Development of an emergency department end of life care audit tool: A scoping review.International journal of nursing studies advances · 2023Article
- [Indicators to measure the performance of emergency trauma care].Revista medica del Instituto Mexicano del Seguro Social · 2023Review
- Systemic emergency department performance in a low resource tertiary health facility in central Kenya: Micro level emergency care system evaluation.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023Article
- Factors associated with longer wait times, admission and reattendances in older patients attending emergency departments: an analysis of linked healthcare data.Emergency medicine journal : EMJ · 2023Observational
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEvaluation of emergency department (ED) performance remains a difficult task due to the lack of consensus on performance measures that reflects high quality, efficiency, and sustainability.
aimTo describe, map, and critically evaluate which performance measures that the published literature regard as being most relevant in assessing overall ED performance.
methodsFollowing the PRISMA guidelines, a systematic literature review of review articles reporting accentuated ED performance measures was conducted in the databases of PubMed, Cochrane Library, and Web of Science. Study eligibility criteria includes: 1) the main purpose was to discuss, analyse, or promote performance measures best reflecting ED performance, 2) the article was a review article, and 3) the article reported macro-level performance measures, thus reflecting an overall departmental performance level.
resultsA number of articles addresses this study's objective (n = 14 of 46 unique hits). Time intervals and patient-related measures were dominant in the identified performance measures in review articles from US, UK, Sweden and Canada. Length of stay (LOS), time between patient arrival to initial clinical assessment, and time between patient arrivals to admission were highlighted by the majority of articles. Concurrently, "patients left without being seen" (LWBS), unplanned re-attendance within a maximum of 72 hours, mortality/morbidity, and number of unintended incidents were the most highlighted performance measures that related directly to the patient. Performance measures related to employees were only stated in two of the 14 included articles.
conclusionsA total of 55 ED performance measures were identified. ED time intervals were the most recommended performance measures followed by patient centeredness and safety performance measures. ED employee related performance measures were rarely mentioned in the investigated literature. The study's results allow for advancement towards improved performance measurement and standardised assessment across EDs.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.