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We would like to thank Dr Leung et al 1 and the editors for the opportunity to engage in further discussion on the issues presented in our commentary entitled ‘Tackling the demand for emergency department services: there are no silver bullets’.2 We believe that the intervention proposed by Leung et al 3 demonstrated improved timeliness to definitive patient care and was an important contribution to the medical literature around emergency department (ED) flow optimisation. Furthermore, we applaud the authors on a broader adoption of the programme to their local clinical environment and their ability to change culture in the clinical …
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