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Table 2 Presentation of included literature (* Focus indicates whether the suggested indicators are more generally applicable or refers to clinical conditions (e.g. indicators related to specific ailments))

From: Evaluation of emergency department performance – a systematic review on recommended performance and quality-in-care measures

Corresponding author

Year

Objective

Focus*

Setting

Method

Gross indicatorportfolio

Recommended indicators

McClelland et al. [33]

2012

Examination of practical aspects in collecting time-based ED measures

Time-relatedmeasures only (7)

American, EDs

Structured interviews and few data comparisons

7

7

Beniuk, Boyle & Clarkson [29]

2012

To prioritise quantified crowding measures to assess current ED status

Overall (8)

International EDs (USA, UK, Canada, Australia, Netherlands and Hong Kong)

Standard three round Delphi study

27

8

Alessandrini et al. [15]

2011

Proposition of a measurement framework specific for PEC practitioners and administrators

Overall (13) and condition specific (1)

American, PEDs

Point of departure in IOM recommendations. Alteration into Donabedian’s structure, process, outcome categorisation

120

14

Ekelund et al. [34]

2011

1) To assess feasibility in gathering benchmark data in Swedish EDs and 2) to evaluate patient throughput times and inflow patterns

Overall (4)

Sweden, EDs

Comparison of variables reflecting quality measures

4

4

Heyworth [35]

2011

1) Benefits and drawbacks associated with a single time-related measure and 2) proposed quality indicators to assess timeliness, quality, and safety

Overall (8)

United Kingdom, EDs

Description of current state in the UK; reflection on the quality indicators proposed by the Department of Health

8

8

Schull et al. [21]

2011

Seeks consensus on a set of parsimonious quality-of-care indicators for an ED

Overall (11) and condition specific (2)

Canada, EDs

Modified Delphi panel technique, three rounds

170

13

Welch et al. [32]

2011

Consensus of a standard set of performance measures in EDs related to patient flow

Overall (44)

American, North American Benchmark Summit (367 EDs)

Survey and audit

44

44

Coleman & Nicholl [16]

2010

Identification of a indicators usable for PCT commissioners and NHS decision makers to monitor performance

Overall (16)

United Kingdom, EDs and Urgent Care Units

Standard three round Delphi study

70

16

Hung & Chalut [30]

2008

1) Presents which indicators are deemed most useful to assess PEC and 2) which measures are currently being recorded

Overall (15)

Canada, PEDs

2-part questionnaire including a novel ranking formula to prioritize indicators

67

15

Guttmann et al. [31]

2006

Development of measures relevant for paediatric emergency care (children < 19)

Overall (6) and condition specific (8)

American, PEDs

Structured panel process with underlying literature review

109

14

Sibbritt, Isbister & Walker [36]

2006

Provision of a recommended list of performance indicators from routinely collected data in EDs

Overall (9)

Australia, EDs

Data collection and following SPC analysis

9

9

Solberg et al. [3]

2003

Identification of measures in EDs relevant for managing crowding

Overall (38)

American, EDs

Expert consensus on 113 measures; 10 investigators refined the measures to a total of 38

113

38

Graff et al. [8]

2002

How to critically evaluate quality in an ED

Overall (9) and condition specific (29)

American, EDs

Summary. Point of departure in IOM recommendations. Afterwards alteration into Donabedian’s structure, process, outcome categorisation

38

38

Lindsay et al. [20]

2002

A systematic approach to identify valid and relevant measures in an ED

Overall (8) and condition specific (13)

Canada, EDs

Modified Delphi panel technique, two rounds

104

21

  1. ED Emergency Department, IOM Institute of Medicine, NHS National Health Services, PCT Primary Care Trust, PEC Paediatric Emergency Care, PED Paediatric Emergency Department, SPC Statistical Process Control.