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Defining good quality ED care has vexed clinicians, academics, managers and regulators for many years. Our specialty deals with multiple presentations in varied ways and with wildly different scopes of practice. In the UK, ED care has been measured using time-based metrics, including the 4-hour access standard. While these are easy to measure, they only represent one facet of quality. The US Institute of Medicine defines quality as having six domains; safe, effective, timely, efficient, equitable and people centred.
In England, the Care Quality Commission (CQC) inspects the quality of care given by hospitals. This body is powerful, having the ability to remove hospital …
Contributors AAB is the sole author.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.
Patient consent for publication Not required.