Quality metrics for Same Day Emergency Care – Consensus of a multi-professional panel of experts using a modified Delphi process

Christian Peter Subbe; Adnan Gebril; Catherine Atkin; Latif Raiyan Rahman; Vicky Ann Komrower

doi:10.1016/j.clinme.2024.100212

Quality metrics for Same Day Emergency Care – Consensus of a multi-professional panel of experts using a modified Delphi process

Christian Peter Subbe^*, Adnan Gebril, Catherine Atkin, Latif Raiyan Rahman, Vicky Ann Komrower

^*Corresponding author for this work

Inflammation and Ageing

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Abstract

Same Day Emergency Care (SDEC) services are at the heart of recovery plans for Emergency Care in the National Health Service. There are no validated metrics for the quality of care in SDEC.

The Society for Acute Medicine's Quality Improvement Committee invited to a three-stage modified Delphi process to gather metrics used by clinicians. Proposed metrics were ranked and further explored by 33 participating experts from a broad range of backgrounds including clinicians, data scientists and operational managers.

Experts ranked five system-based metrics highest. These focus on optimization of the proportion of patients receiving same day care in and out of SDEC units. Patient and staff experience metrics were ranked low, possibly due to present lack of viable examples.

The paper adds a glossary with the rationale for ranking of metrics and their use for the improvement of quality and safety of clinical care.

Original language	English
Article number	100212
Journal	Clinical Medicine
Early online date	21 Apr 2024
DOIs	https://doi.org/10.1016/j.clinme.2024.100212
Publication status	E-pub ahead of print - 21 Apr 2024

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abstract = "Same Day Emergency Care (SDEC) services are at the heart of recovery plans for Emergency Care in the National Health Service. There are no validated metrics for the quality of care in SDEC. The Society for Acute Medicine's Quality Improvement Committee invited to a three-stage modified Delphi process to gather metrics used by clinicians. Proposed metrics were ranked and further explored by 33 participating experts from a broad range of backgrounds including clinicians, data scientists and operational managers. Experts ranked five system-based metrics highest. These focus on optimization of the proportion of patients receiving same day care in and out of SDEC units. Patient and staff experience metrics were ranked low, possibly due to present lack of viable examples. The paper adds a glossary with the rationale for ranking of metrics and their use for the improvement of quality and safety of clinical care.",

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AU - Komrower, Vicky Ann

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Quality metrics for Same Day Emergency Care – Consensus of a multi-professional panel of experts using a modified Delphi process

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