• Fiona Lecky, Jonathan Benger, Suzanne Mason, Peter Cameron, Chris Walsh, and IFEM Quality Symposium Working Group.
• University of Sheffield/University of Manchester/Salford Royal Hospital NHS Foundation Trust, Emergency Medicine Research in Sheffield (EMRiS), School of Health and Related Research (ScHARR), Sheffield, UK.
• Emerg Med J. 2014 Nov 1;31(11):926-9.

AbstractAll emergency departments (EDs) have an obligation to deliver care that is demonstrably safe and of the highest possible quality. Emergency medicine is a unique and rapidly developing specialty, which forms the hub of the emergency care system and strives to provide a consistent and effective service 24 h a day, 7 days a week. The International Federation of Emergency Medicine, representing more than 70 countries, has prepared a document to define a framework for quality and safety in the ED. Following a consensus conference and with subsequent development, a series of quality indicators have been proposed. These are tabulated in the form of measures designed to answer nine quality questions presented according to the domains of structure, process and outcome. There is an urgent need to improve the evidence base to determine which quality indicators have the potential to successfully improve clinical outcomes, staff and patient experience in a cost-efficient manner--with lessons for implementation.Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

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