• Alan E O'Connor, Amanda L Lockney, Peter D Sloan, Matthew R McGrail, and Peter M Sloan.
• Latrobe Regional Hospital, Traralgon, Victoria, Australia. Alan.OConnor@peelhc.com.au
• Emerg Med Australas. 2004 Feb 1; 16 (1): 55-8.

ObjectiveTo assess the effect that the presence of an emergency physician in the ED has on the access indicators of the Australian Council on Healthcare Standards.MethodsA retrospective study was carried out in a 265 bed regional referral hospital in Victoria. The performance of the ED over a 6 month period, during which time there was incomplete emergency physician coverage, was monitored using The Australian Council on Healthcare Standards (ACHS) access indicators as the benchmark. These indicators are waiting time by triage category, and access block.ResultsA total of 11 999 patient presentations were eligible for inclusion in the study. Emergency physicians were present for 76.5% of these presentations. All the indicators show a trend towards improvement when an emergency physician was present. However, the only indicator that shows a significant improvement is waiting time by triage category, and this is due mainly to an improvement within triage category 4.ConclusionsThere is some evidence that the presence of an emergency physician improves performance within this group of access based indicators within a rural ED, however, the effect seen here is small. More studies are needed on this topic and also on the development of quality indicators for rural ED.

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