Brit J Hosp Med
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Comparative Study Observational Study
Does rapid assessment shorten the amount of time patients spend in the emergency department?
Overcrowding in the emergency department is a common phenomenon. This study assessed the impact of introducing a consultant-supported rapid assessment model, known as EDIT, and point of care testing upon the length of time patients spend in the emergency department. ⋯ This study demonstrates that a consultant-supported rapid assessment model using point of care testing significantly shortens the time patients spend in the emergency department.
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Few performance management measures create as much heat and debate as the 4-hour target for emergency departments. This article critically reviews the history, evidence and effectiveness of the 4-hour standard for patients attending emergency departments.
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Sustainable and satisfying working practices in emergency medicine are vital to produce career longevity and prevent premature 'burnout'. A range of strategies is required to ensure success for the individual and the system in which he/she works.
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Exit block and crowding create conditions in emergency departments that can harm patients and the staff who look after them. Key to solving exit block is recognizing that it exists and that the whole hospital is involved in preventing harmful consequences.
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Workforce crises in medicine can be devastating for a specialty, patients and professionals. Emergency medicine and general practice are currently affected but other acute specialties are showing early signs and symptoms of the condition. While symptomatic treatments are helpful, recognition and treatment of the causes is critical.