Improvement of clinical quality indicators through reorganization of the acute care by establishing an emergency department-a register study based on data from national indicators

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Hanne B Jørsboe²  Nick Mattsson¹  Maria Søe Mattsson² 

[1] Department of Cardiology, Bispebjerg Hospital, Copenhagen, 2400, NV, Denmark;Emergency Department, Hospital of Nykøbing Falster, Nykøbing Falster, 4800, Denmark

关键词: Mortality;    Indicators;    Reorganization;    Emergency Department;   

Others  :  1151917
DOI  :  10.1186/s13049-014-0060-4

 received in 2014-05-02, accepted in 2014-10-08,  发布年份 2014

【 摘 要 】

Background

The Emergency Departments (EDs) reorganization process in Denmark began in 2007 and includes creating a single entrance for all emergency patients, establishing triage, having a specialist in the front and introducing the use of electronic overview boards and electronic patient files. The aim of this study was to investigate the quality of acute care in a re-organized ED based on national indicator project data in a pre and post reorganizational setting.

Methods

Quasi experimental design was used to examine the effect of the health care quality in relation to the reorganization of an ED. Patients admitted at Nykøbing Falster Hospital in 2008 or 2012 were included in the study and data reports from the national databases (RKKP) regarding stroke, COPD, heart failure, bleeding and perforated ulcer or hip fracture were analysed. Holbæk Hospital works as a control hospital.

Chi-square test was used for analysing significant differences from pre-and post intervention and Z-test to compare the experimental groups to the control group (HOL). P?

Results

We assessed 4584 patient cases from RKKP. A significant positive change was seen in all of the additional eight indicators related to stroke at NFS (P?

Conclusions

During the organisation of the new EDs, several of the indicators improved and the overall 30 days mortality decreased in the five diseases. The development of a common set of indicators for monitoring acute treatment at EDs in Denmark is recommended.

【 授权许可】

   
2014 Mattsson et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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