ArticleInternational journal of emergency medicine2015
Emergency department quality and safety indicators in resource-limited settings: an environmental survey.
Article in International journal of emergency medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 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
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Who cites it
22 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
- Emergency Medicine Training Programs in Low- and Middle-Income Countries: A Systematic Review.Annals of global health · 2020Pooled it
- Trauma care in Morocco: observations and opportunities from an American Association for the Surgery of Trauma (AAST) delegation visit.Trauma surgery & acute care open · 2026Article
- Implementation of a Package of Emergency Care Interventions and Clinical Outcomes.JAMA network open · 2025Article
- Urban environments' impacts on aging in post-industrial cities: reviewing the pathways to healthy aging.Frontiers in medicine · 2025Review
- Validating quality standards in Palestinian emergency departments: An e-Delphi survey approach.PloS one · 2025Article
- Review
- Review
- Impact of Fatigue on Emergency Physicians' Decision-making for Computed Tomographic Scan Requests and Inpatient Referrals: An Observational Study from a Tertiary Care Medical Center of the Sultanate of Oman.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023Article
- Evaluation of emergency care education and triage implementation: an observational study at a hospital in rural Liberia.BMJ open · 2023Observational
- Clinical emergency care quality indicators in Africa: a scoping review and data summary.BMJ open · 2023Article
- Defining measures of emergency care access in low-income and middle-income countries: a scoping review.BMJ open · 2023Article
- Emergency department performance assessment using administrative data: A managerial framework.PloS one · 2023Review
- Clinical Outcomes Following the Implementation of a Novel One-Year Training Program in Emergency Medicine in Karachi, Pakistan.Annals of global health · 2023Article
- Article
- Frequencies of emergency department use and hospitalization comparing patients with different types of substance or polysubstance-related disorders.Substance abuse treatment, prevention, and policy · 2021Article
- Assessment of documented adherence to critical actions in paediatric emergency care at a district-level public hospital in South Africa.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021Article
- Impact of Co-occurring Mental Disorders and Chronic Physical Illnesses on Frequency of Emergency Department Use and Hospitalization for Mental Health Reasons.Frontiers in psychiatry · 2021Article
- Harnessing inter-disciplinary collaboration to improve emergency care in low- and middle-income countries (LMICs): results of research prioritisation setting exercise.BMC emergency medicine · 2020Article
- Considerations for service delivery for emergency care in low resource settings.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2020Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAs global emergency care grows, practical and effective performance measures are needed to ensure high quality care. Our objective was to systematically catalog and classify metrics that have been used to measure the quality of emergency care in resource-limited settings.
methodsWe searched MEDLINE, Embase, CINAHL, and the gray literature using standardized terms. The references of included articles were also reviewed. Two researchers screened titles and abstracts for relevance; full text was then reviewed by three researchers. A structured data extraction tool was used to identify and classify metrics into one of six Institute of Medicine (IOM) quality domains (safe, timely, efficient, effective, equitable, patient-centered) and one of three of Donabedian's structure/process/outcome categories. A fourth expert reviewer blinded to the initial classifications re-classified all indicators, with a weighted kappa of 0.89.
resultsA total of 1705 articles were screened, 95 received full text review, and 34 met inclusion criteria. One hundred eighty unique metrics were identified, predominantly process (57 %) and structure measures (27 %); 16 % of metrics were related to outcomes. Most metrics evaluated the effectiveness (52 %) and timeliness (28 %) of care, with few addressing the patient centeredness (11 %), safety (4 %), resource-efficiency (3 %), or equitability (1 %) of care.
conclusionsThe published quality metrics in emergency care in resource-limited settings primarily focus on the effectiveness and timeliness of care. As global emergency care is built and strengthened, outcome-based measures and those focused on the safety, efficiency, and equitability of care need to be developed and studied to improve quality of care and resource utilization.
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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.