a Flinders University, Flinders Medical Centre, South Australia, Australia b Holy Spirit Northside Hospital, Queensland, Australia c Green Lane Cardiovascular Service, Auckland City Hospital, Auckland, New Zealand d Country Health SA, Flinders Medical Centre, South Australia, Australia e Joseph Epstein Centre for Emergency Medicine Research at Western Health, Sunshine Hospital, Victoria, Austra...

A hospital Emergency Department’s (ED’s) wait times can be driven by high occupancy in its downstream InPatient hospital (IP). ED patients not admitted to the IP due to high IP occupancy or transfer delays are termed to be 'boarding' in the ED. ED boarding causes a decrease in ED service capacity, longer ED wait times, increased fractions of patients that leave without treatment, and increased ...

Background There is increasing pressure on emergency services within the NHS requiring efficient, rapid assessment and management of patients. A subsequent reduction in hospital admissions reduces overall costs with an aim to improve quality of care. At the Royal Shrewsbury Hospital we run a one stop emergency surgical clinic. With strict criteria for admission to this clinic we have establishe...

Only a small proportion of the treatment of mental illness occurs in an institution or hospital. By far the most significant treatment happens in the community and in the patient's own social and family environment. However, de-institutionalisation of mental health services has brought increasing numbers of patients to the emergency department in need of psychiatric assistance. The traditional ...

INTRODUCTION The project Mission Woman was set up to describe how the service offered by the Emergency Department of the Hospital San Camillo-Forlanini in Rome was perceived by women victims ( or supposed to be) of violence. The objective of this investigation is to frame clients' perception about the service offered by staff in terms of sensitivity, recognition and management of the issue. The...

Background: The General Dental Services (GDS) contract of 1990 formalised the provision of emergency, out-of-hours treatment for NHS patients. If contacted outside normal surgery hours by a registered patient the GDP is required to offer advice and reassurance by telephone or to reopen the surgery. If seen out of hours, the GDP is paid a recalled dental attendance fee for re-opening the surgery...

The emergency department (ED) serves as a primary patient entry point into hospitals, and bottlenecks in the ED cause patient flow problems and increase costs throughout the entire hospital. EDs increasingly employ discrete event simulation as an analytical decision making tool to alleviate these problems. Simulation models quantify complicated emergency care delivery systems and help improve e...