Interventions to Improve the Timeliness of Emergency Care

Authors

  • Daniel Handel MD,

    1. From Oregon Health & Science University (DH), Portland, OR; Beth Israel Deaconess Hospital, Harvard University (SE), Boston, MA; Northwestern University (RK), Chicago, IL; the Emergency Nurses Association (DA), Des Plaines, IL; Emergency Medicine Physicians (KK), Canton, OH; The Schumacher Group (RP), Lafayette, LA; the University of Pennsylvania (OSo), Philadelphia, PA; and Columbia University (OSa), New York, NY.
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  • Stephen Epstein MD,

    1. From Oregon Health & Science University (DH), Portland, OR; Beth Israel Deaconess Hospital, Harvard University (SE), Boston, MA; Northwestern University (RK), Chicago, IL; the Emergency Nurses Association (DA), Des Plaines, IL; Emergency Medicine Physicians (KK), Canton, OH; The Schumacher Group (RP), Lafayette, LA; the University of Pennsylvania (OSo), Philadelphia, PA; and Columbia University (OSa), New York, NY.
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  • Rahul Khare MD,

    1. From Oregon Health & Science University (DH), Portland, OR; Beth Israel Deaconess Hospital, Harvard University (SE), Boston, MA; Northwestern University (RK), Chicago, IL; the Emergency Nurses Association (DA), Des Plaines, IL; Emergency Medicine Physicians (KK), Canton, OH; The Schumacher Group (RP), Lafayette, LA; the University of Pennsylvania (OSo), Philadelphia, PA; and Columbia University (OSa), New York, NY.
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  • Denise Abernethy,

    1. From Oregon Health & Science University (DH), Portland, OR; Beth Israel Deaconess Hospital, Harvard University (SE), Boston, MA; Northwestern University (RK), Chicago, IL; the Emergency Nurses Association (DA), Des Plaines, IL; Emergency Medicine Physicians (KK), Canton, OH; The Schumacher Group (RP), Lafayette, LA; the University of Pennsylvania (OSo), Philadelphia, PA; and Columbia University (OSa), New York, NY.
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  • Kevin Klauer DO,

    1. From Oregon Health & Science University (DH), Portland, OR; Beth Israel Deaconess Hospital, Harvard University (SE), Boston, MA; Northwestern University (RK), Chicago, IL; the Emergency Nurses Association (DA), Des Plaines, IL; Emergency Medicine Physicians (KK), Canton, OH; The Schumacher Group (RP), Lafayette, LA; the University of Pennsylvania (OSo), Philadelphia, PA; and Columbia University (OSa), New York, NY.
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  • Randy Pilgrim MD,

    1. From Oregon Health & Science University (DH), Portland, OR; Beth Israel Deaconess Hospital, Harvard University (SE), Boston, MA; Northwestern University (RK), Chicago, IL; the Emergency Nurses Association (DA), Des Plaines, IL; Emergency Medicine Physicians (KK), Canton, OH; The Schumacher Group (RP), Lafayette, LA; the University of Pennsylvania (OSo), Philadelphia, PA; and Columbia University (OSa), New York, NY.
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  • Olan Soremekun MD,

    1. From Oregon Health & Science University (DH), Portland, OR; Beth Israel Deaconess Hospital, Harvard University (SE), Boston, MA; Northwestern University (RK), Chicago, IL; the Emergency Nurses Association (DA), Des Plaines, IL; Emergency Medicine Physicians (KK), Canton, OH; The Schumacher Group (RP), Lafayette, LA; the University of Pennsylvania (OSo), Philadelphia, PA; and Columbia University (OSa), New York, NY.
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  • Osman Sayan MD

    1. From Oregon Health & Science University (DH), Portland, OR; Beth Israel Deaconess Hospital, Harvard University (SE), Boston, MA; Northwestern University (RK), Chicago, IL; the Emergency Nurses Association (DA), Des Plaines, IL; Emergency Medicine Physicians (KK), Canton, OH; The Schumacher Group (RP), Lafayette, LA; the University of Pennsylvania (OSo), Philadelphia, PA; and Columbia University (OSa), New York, NY.
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  • Breakout participants: Hany Atallah, Joseph Bushra, Sarang Deo, Ru Ding, Stephen Epstein, Gary Gaddis, Eric Goldlust, David Griffen, Daniel Handel, Thomas Riisgaard Hansen, Keith Kocher, Erik Kulstad, Howard Ovens, Randy Pilgrim, Charles Reese, Phillip Rice, Osman Sayan, Sandra Schneider, Steven Shane, Cynthia Singh, Inger Sondergaard, Olan Soremekun, Susan Stern, Arjun Venkatesh, Abel Wakai, Michael Ward, Lalena Yarris, and Andrew Zinkel.

  • Funding for this conference was made possible (in part) by 1R13HS020139-01 from the Agency for Healthcare Research and Quality (AHRQ). The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services, nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government. This issue of Academic Emergency Medicine is funded by the Robert Wood Johnson Foundation.

  • The authors have no relevant financial information or potential conflicts of interest to disclose.

  • Supervising Editor: James, Miner, MD.

Address for correspondence and reprints: Daniel Handel, MD; e-mail: handeld@ohsu.edu.

Abstract

ACADEMIC EMERGENCY MEDICINE 2011; 18:1295–1302 © 2011 by the Society for Academic Emergency Medicine

Abstract

With a persistent trend of increasing emergency department (ED) volumes every year, services are intensifying. Thus, improving the timeliness of delivering emergency care should be a primary focus, both from an operational and from a research perspective. Much has been published on factors associated with delays in emergency care, and the next phase in this area of research will focus on exploring interventions to improve the timeliness of care. On June 1, 2011, Academic Emergency Medicine held a consensus conference titled “Interventions to Assure Quality in the Emergency Department.” This article summarizes the findings of the breakout session that investigated interventions to improve the timeliness of emergency care. This article will explore the background on the concept of timeliness of emergency care, the current state of interventions that have been implemented to improve timeliness, and specific questions as a framework for a future research agenda.

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