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Table 2 Final indicators chosen by the steering group, drawing on the Delphi process results and other sources

From: Selection of quality indicators for hospital-based emergency care in Denmark, informed by a modified-Delphi process

Original indicator no

Indicators adapted from Round 2

Final indicator no

Final indicator after Steering Group selection

Indicator type

1

Short-term mortality after arrival

1

Definition: Short-term mortality (7-days) after un-planned (emergency) attendance to hospitala

Outcome

3

Re-admission after completed acute process

2

Definition 72-h return rate after un-planned (emergency) attendance for short hospital courses (<24 h)b

Outcome

21

Time from arrival to triage

8

Definitione

Process

23

Rapid assessment and treatment of gastrointestinal bleeding: Circulatory impact

7

Definition (unchanged from existing database): Part (%) of patients with gastrointestinal bleeding stabilized within 60 min from arrival

Process

27

Symptoms of perforated abdominal organ: Time for surgery

5

Definition (unchanged from existing database): Part (%) of patients with perforated abdominal organ going to the operating theatre within 3 h from arrival

Process

New indicators selected by steering group

 

Time to treatment in stroke

3

Definition: Patients with acute ischemic stroke recieving trombolysis within 1 h from arrivalc

Process

 

Time to treatment for STEMI

4

Definition: Time from arrival to KAG for patients with STEMI upon arrival (median minutes with interquartile range (IQR))

Process

 

Time to x-ray of forearm/wrist

6

Definition: Time from arrival to x-ray for patients with a request for x-ray of wrist/forearm (median minutes with interquartile range (IQR))

Process

 

Time to bedside consultation

9a-b

Definitione

Process

a)Timeliness of bedside consultation by a (any) doctord

b)Timeliness of bedside consultation by a specialist doctord

Modified and subsequently discarded indicator from the Delphi process

31

Hip fracture: Preoperative optimization: Patients seen by specialist surgeon 4 h from arrival for pre-operative assessment

Not included

Please see new indicator 9a) Time-to-doctor and 9b) Time-to-specialist

Process

  1. a all un-planned hospital contacts included (i.e., also emergency patients by-passing the ED), but through baseline data, able to adjust for admission place, time ect
  2. b all short (<24 h) hospital courses (un-planned/emergency contacts) are included, not only patients discharged from the emergency department
  3. c new indicator in the existing database – introduced in 2014(?)
  4. d Time-to-doctor and time-to-specialst can, based on baseline/background data, then be stratified to specific diagnosis, if requested
  5. e Still awaiting data availability before defining cut-off