Title |
Implementing performance improvement in New Zealand emergency departments: the six hour time target policy national research project protocol
|
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Published in |
BMC Health Services Research, February 2012
|
DOI | 10.1186/1472-6963-12-45 |
Pubmed ID | |
Authors |
Peter Jones, Linda Chalmers, Susan Wells, Shanthi Ameratunga, Peter Carswell, Toni Ashton, Elana Curtis, Papaarangi Reid, Joanna Stewart, Alana Harper, Tim Tenbensel |
Abstract |
In May 2009, the New Zealand government announced a new policy aimed at improving the quality of Emergency Department care and whole hospital performance. Governments have increasingly looked to time targets as a mechanism for improving hospital performance and from a whole system perspective, using the Emergency Department waiting time as a performance measure has the potential to see improvements in the wider health system. However, the imposition of targets may have significant adverse consequences. There is little empirical work examining how the performance of the wider hospital system is affected by such a target. This project aims to answer the following questions: How has the introduction of the target affected broader hospital performance over time, and what accounts for these changes? Which initiatives and strategies have been successful in moving hospitals towards the target without compromising the quality of other care processes and patient outcomes? Is there a difference in outcomes between different ethnic and age groups? Which initiatives and strategies have the greatest potential to be transferred across organisational contexts? |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 2 | 40% |
Mexico | 1 | 20% |
Unknown | 2 | 40% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 3 | 60% |
Scientists | 1 | 20% |
Practitioners (doctors, other healthcare professionals) | 1 | 20% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
New Zealand | 1 | <1% |
Portugal | 1 | <1% |
Canada | 1 | <1% |
Australia | 1 | <1% |
Unknown | 117 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 17 | 14% |
Student > Master | 14 | 12% |
Other | 10 | 8% |
Student > Ph. D. Student | 10 | 8% |
Student > Doctoral Student | 7 | 6% |
Other | 27 | 22% |
Unknown | 36 | 30% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 28 | 23% |
Nursing and Health Professions | 15 | 12% |
Business, Management and Accounting | 7 | 6% |
Social Sciences | 7 | 6% |
Psychology | 6 | 5% |
Other | 19 | 16% |
Unknown | 39 | 32% |