Evidence map›Paper›PMID 34493488›Full record

SynthesisBMJ open quality2021

Efficiency measures of emergency departments: an Italian systematic literature review.

Danilo Di Laura, Lucia D'Angiolella, Lorenzo Mantovani, Ginevra Squassabia, Francesco Clemente, Ida Santalucia, Giovanni Improta, Maria Triassi

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMJ open quality, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
16.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Danilo Di LauraDepartment of Public Health, Università degli Studi di Milano-Bicocca, Monza, Lombardia, Italy.
Lucia D'AngiolellaDepartment of Public Health, Università degli Studi di Milano-Bicocca, Monza, Lombardia, Italy.
Lorenzo MantovaniDepartment of Public Health, Università degli Studi di Milano-Bicocca, Monza, Lombardia, Italy.
Ginevra SquassabiaDepartment of Public Health, Università degli Studi di Milano-Bicocca, Monza, Lombardia, Italy.
Francesco ClementeDepartment of Public Health, Università degli Studi di Milano-Bicocca, Monza, Lombardia, Italy.
Ida SantaluciaDepartment of Public Health, Universita degli Studi di Napoli Federico II, Napoli, Italy.
Giovanni Improta *Department of Public Health, Universita degli Studi di Napoli Federico II, Napoli, Italy ing.improta@gmail.com.ORCID 0000-0002-9485-1687
Maria Triassi *Department of Public Health, Universita degli Studi di Napoli Federico II, Napoli, Italy.
University of Milano-Bicocca · ITUniversity of Naples Federico II · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Life expectancy globally increased in the last decades: the number of people aged 65 or older is consequently projected to grow, and healthcare demand will increase as well. In the recent years, the number of patients visiting the hospital emergency departments (EDs) rocked in almost all countries of the world. These departments are crucial in all healthcare systems and play a critical role in providing an efficient assistance to all patients. A systematic literature review covering PubMed, Scopus and the Cochrane Library was performed from 2009 to 2019. Of the 718 references found in the literature research, more than 25 studies were included in the current review. Different predictors were associated with the quality of EDs care, which may help to define and implement preventive strategies in the near future. There is no harmonisation in efficiency measurements reflecting the performance in the ED setting. The identification of consistent measures of efficiency is crucial to build an evidence base for future initiatives. The aim of this study is to review the literature on the problems encountered in the efficiency of EDs around the world in order to identify an organisational model or guidelines that can be implemented in EDs to fill inefficiencies and ensure access optimal treatment both in terms of resources and timing. This review will support policy makers to improve the quality of health facilities, and, consequently of the entire healthcare systems.

Indexed as

Delivery of Health CareEmergency Service, HospitalHumansItalyemergency departmenthealthcare quality improvementperformance measures

Identifiers

PMID34493488
PMCPMC8424857
OpenAlexW3196438239

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.