Strategies to Measure and Improve Emergency Department Performance: A Review

Abstract

Emergency Departments (EDs) globally face escalating challenges such as overcrowding, resource limitations, and increased patient demand. This study aims to identify and analyze strategies to enhance the structural performance of EDs, with a focus on reducing overcrowding, optimizing resource allocation, and improving patient outcomes. Through a comprehensive review of the literature and observational studies, the research highlights the effectiveness of various approaches, including triage optimization, dynamic staffing, technological integration, and strategic resource management. Key findings indicate that tailored strategies, such as implementing advanced triage protocols and leveraging telemedicine, can significantly reduce wait times and enhance patient throughput. Furthermore, evidence suggests that dynamic staffing models and the integration of cutting-edge diagnostic tools contribute to operational efficiency and improved quality of care. These strategies, when combined, offer a multifaceted solution to the complex challenges faced by EDs, promising better patient care and satisfaction. The study underscores the need for a comprehensive approach, incorporating both organizational and technological innovations, to address the evolving needs of emergency healthcare.

Interprofessionelle Handlungsfelder der Pflegefachpersonen in der Klinischen Akut- und Notfallmedizin

“…Es existiert bereits eine Reihe von Vorschlägen für Qualitätsindikatoren in der klinischen Akut- und Notfallmedizin 6 7 8 9 10 . Allerdings handelt es sich dabei in erster Linie um Struktur- und Prozessmerkmale, die keine Aspekte einer interprofessionellen Zusammenarbeit beinhalten 11 .…”

Emergency triage nurses’ perceptions of caring behaviors and the safety of the patient during triage encounters: a grounded theory study

“…The triage process is a critical component of patient care, especially in challenging healthcare settings where resources are often limited, and patient volumes can be high [ 7 ]. In such environments, the ability to quickly and accurately assess patient acuity is critical to ensure that those with the most urgent needs receive timely care [ 8 ]. Triage nurses play a central role in this process [ 9 ].…”

Invited editorial: A guide to caring for patients who identify as transgender and gender diverse in the emergency department: The evolution of evidence‐based medicine

“…Examples of evolving practice improvements that directly benefitted patient care outcomes include utilization of ultrasonography for central lines, 4 opioid prescribing practices, 5 cardiac life support, 6 and overcrowding. 7 Emergency department care for other populations (those with HIV, 8 substance use disorder, 9 or mental health 10 ), which have historically been stigmatized and marginalized while in our care, has improved with education and research, and optimally these conversations can continue to progress.…”