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Making an IMPACT on emergency department flow: improving patient processing assisted by consultant at triage
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  • Published on: 29 April 2016
    Alternative Approach to Evaluation

    Dear Editor,

    I would like to view this type of study as one about resource allocation and process changes: we allocate additional manpower resource to the system and make some changes.

    Why don't we model this using computer simulation -- discrete event simulation? We will not have Hawthorne effect or have sample size problem. A very objective way of evaluation and we can run with different scenarios....

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    Conflict of Interest:
    None declared.
  • Published on: 29 April 2016
    Fast food medicine for thought

    Dear Editor

    The paper by Terris [1] on reducing waiting times in the ED using consultant/Senior Nurse triage and subsequent papers by Subash on team triage and Mitchell on Senior House Officer time-motion study in this month's EMJ is giving me serious concerns we have missed the woods for the trees. Our core activity of giving high quality emergency care to those who truly need it is being diluted by the increasin...

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    Conflict of Interest:
    None declared.