Articles: emergency-services.
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Significant delays often occur during the treatment of patients with acute stroke. Some of those delays occur in the hospital. We attempted to shorten inhospital treatment intervals by creating a rapid-response system, similar to that available for cardiac arrest, that would allow the stroke team to be available within a few minutes to care for stroke victims. ⋯ It is possible to shorten inhospital treatment delays by instituting rapid-response systems within individual institutions.
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The selection of appropriate non-inpatient casemix classification systems is pivotal to the overall success of casemix in Australia. Before implementation, an extensive review and evaluation of issues relating to non-inpatient casemix must be undertaken in conjunction with inpatient casemix to avoid adverse economic and clinical outcomes. Here, we review the background to and current status of non-inpatient casemix classification systems. The current Commonwealth/State research agenda is defined and possible options for both classification and funding of non-inpatient services are described.