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Emerg Med J 21:47-50 doi:10.1136/emj.2003.001123
  • Original Article

A Delphi study to identify performance indicators for emergency medicine

Table 2

Proposals reaching consensus as poor indicators of quality of patient care

Patient group Performance indicator
Surgery Open reduction rate for fractures
Medicine Proportion of deliberate self harm patients receiving timely gastric decontamination. Length of stay in the department for patients with DVT
Psychiatry Proportion of deliberate self harm patients already under the care of the psychiatrists. Attendance rates for frequent attenders
Primary care Proportion of patients sent by their GP. Proportion of patients for whom the GP would be more appropriate. Proportion of patients who saw their GP first. Assessment of level of inappropriate attenders
Minor injury Number of pretibial lacerations requiring grafting
Ophthalmology/ENT, etc DNA rate of referred patients to outpatient clinics. Referral rate per specialty
Analgesia/anaesthesia Proportion of patients offered patient controlled analgesia
Imaging/investigations Proportion of negative radiographs. Proportion of negative CT scans
Cardiac arrest Time from cardiac arrest to presentation at A&E. Survival rates for out of hospital cardiac arrests
Major incident Proportion of patients not receiving a debriefing after a major incident
Other Proportion of patients admitted to ITU from A&E. Availability of cross boundary agreements with neighbouring trusts. Rate of transfer of patients from the department

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