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http://bura.brunel.ac.uk/handle/2438/14540
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DC Field | Value | Language |
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dc.contributor.author | Eatock, JA | - |
dc.contributor.author | Cooke, MW | - |
dc.contributor.author | Young, TP | - |
dc.date.accessioned | 2017-05-16T12:39:52Z | - |
dc.date.available | 2017-05-16T12:39:52Z | - |
dc.date.issued | 2017 | - |
dc.identifier.citation | Future Hospital Journal | en_US |
dc.identifier.issn | 2055-3331 | - |
dc.identifier.uri | http://bura.brunel.ac.uk/handle/2438/14540 | - |
dc.description.abstract | This paper analyses how providers have coped with the 4-hour target over the past 7 years. To do this, we use publically available data from NHS digital to track how long patients remain in A&E departments and their “attendance disposal method.” Using this tool, we compared two A&E departments with similar arrival patterns and age profiles and that perform equally well against the target in a specific year. However, these hospitals exhibit very different underlying behaviour. Over 7 years, both exhibit a general increase in length of stay, increasing number of patients being admitted in the 20 minutes preceding the 4-hour target, and rising numbers of patients that breach the target. Despite the two hospitals having similar input profiles there is a 12 percentage point difference in the number of patients who leave the A&E department in the last 20 minutes. This operational information is not visible simply by monitoring the single existing metric. We conclude that the 4-hour target in isolation is an inadequate measure and we reflect on the difference between selecting measures for policy-level review, and for operational management. A link to download the graphs for each A&E in England is available. | en_US |
dc.language.iso | en | en_US |
dc.title | Performing or not performing: what’s in a target? | en_US |
dc.type | Article | en_US |
dc.relation.isPartOf | Future Hospital Journal | - |
pubs.publication-status | Accepted | - |
Appears in Collections: | Dept of Health Sciences Embargoed Research Papers |
Files in This Item:
File | Description | Size | Format | |
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FullText.pdf | 451.57 kB | Adobe PDF | View/Open |
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