Emily J Callander, BA, Research Officer; Deborah J Schofield, PhD Grad Dip (CompSc) BSpTh, Professor.
Emergency Department Workforce Models: What the literature can tell us
Article first published online: 1 FEB 2011
© 2011 The Authors. EMA © 2011 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine
Emergency Medicine Australasia
Volume 23, Issue 1, pages 84–94, February 2011
How to Cite
Callander, E. J. and Schofield, D. J. (2011), Emergency Department Workforce Models: What the literature can tell us. Emergency Medicine Australasia, 23: 84–94. doi: 10.1111/j.1742-6723.2010.01378.x
- Issue published online: 1 FEB 2011
- Article first published online: 1 FEB 2011
- Accepted 3 October 2010
- emergency department;
The present study looks at what the literature can tell us about examples of innovative ED staffing. Numerous medical databases, journals specific to emergency care, and key government agency sites were searched to obtain Australian and relevant international literature between 1995 and the present. Studies which discussed appropriate staffing arrangements in the EDs were assessed with preference given to those which gathered evidence about the staff mix. There is little literature available which looks at the entire staffing profile of an ED and assesses its effectiveness. The few papers that do exist conclude that senior staffing, matching peak staffing levels with peak patient demand, having appropriately skilled staff mixes and designing the staff profile based upon individual hospital needs produces the most effective outcomes. Although there are some lessons to be learnt from the success of the staffing of various teams, and the introduction of new roles in the EDs, there are still significant gaps within the literature. There is a need for assessment of the effectiveness of various ED-wide staffing profiles (rather than just individual teams within an ED).