ArticleBMJ open quality2024
Improving the emergency services using quality improvement project and Donabedian model in a quaternary teaching hospital in South India.
Article in BMJ open quality, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 16 citations in OpenAlex.
- Quality improvement in emergency units in low resource settings: a qualitative assessment for understanding challenges and delivering solutions.BMJ open quality · 2026Article
- Quality of Drug Allergy Documentation in a Resource-Limited Paper-Based Hospital in Pakistan: Audit of Concordance and Completeness.Healthcare (Basel, Switzerland) · 2026Article
- Article
- Assessing the feasibility and acceptability of implementing emergency department quality standards in Palestine: a qualitative study.BMC health services research · 2026Article
- Left Without Being Seen: A Scoping Review of a Silent Crisis in Emergency Departments.Open access emergency medicine : OAEM · 2026Review
- Building Capacity in Perioperative Quality Improvement in Low- and Middle- Income Countries: Experiences From Mombasa, Lusaka and Hawassa.World journal of surgery · 2026Article
- Improving Emergency Referrals in a Philippine Tertiary Hospital: A Quality Improvement Initiative.Cureus · 2025Article
- Unveiling the shadows: obstacles, consequences, and challenges of information opacity in healthcare systems.Philosophy, ethics, and humanities in medicine : PEHM · 2025Review
- Enhancing Trauma Care in Tertiary Hospitals: Addressing Gaps and Pathways to Improvement.Emergency medicine international · 2025Article
- Enhanced Diagnostic Precision in Revisited Emergency Patients via Point-of-Care Ultrasound: A Tool for Emergency Department Quality Management.Journal of multidisciplinary healthcare · 2025Article
- Application of Donabedian Three-Dimensional Model in Outpatient Care Quality: A Scoping Review.Journal of nursing management · 2025Article
- Adoption of network and plan-do-check-action in the international classification of disease 10 coding.World journal of clinical cases · 2024Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe primary goal of quality improvement is to enhance patient outcomes, particularly in the emergency department (ED). Timely and effective care is crucial in these situations. By comprehending the challenges, evaluating current performance and implementing quality improvement projects, areas in need of enhancement can be pinpointed and addressed, resulting in better outcomes. METHODOLOGY: This interventional study explores the implementation of quality improvement in the ED of a quaternary care teaching hospital in South India. It follows the Plan-Do-Check-Act (PDCA) cycle guided by the Donabedian model. Descriptive statistics were employed to measure changes in outcomes before and after implementation. To improve processes, Donabedian principles were applied, and a performance audit was conducted based on patient feedback and stakeholder input. Various ED indicators were measured. To address identified issues, formal root cause analysis was performed, leading to the generation of PDCA rapid change cycles. These cycles were implemented over 6 months, with two cycles executed, followed by postimplementation evaluation.
resultsPost implementation, improvements were observed in several aspects of ED operations. These included reduced ED average length of stay, decreased time to analgesia, shorter cross-consultation time, faster transfer time from ED and improved investigation turnaround time (TAT). Additionally, there was a reduction in revisits to ED within 72 hours and a decrease in patients who left without being seen. These positive changes demonstrate the effectiveness of the quality improvement intervention using the PDCA cycle.
conclusionA comprehensive understanding of patient profile in the ED and factors influencing care is essential for the hospital to ensure sufficient resources and skilled emergency medicine physicians are available 24/7. By enhancing services in the ED, reducing patient waiting times and improving TAT, the overall efficiency of services can be improved. This leads to provision of timely quality care to patients and ultimately improves their outcomes.
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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.