Competing values of emergency department performance: balancing multiple stakeholder perspectives

Health Services Research
Deborah TregunnoMichael Murray

Abstract

To describe the performance interests of multiple stakeholders associated with the management and delivery of emergency department (ED) care, and to develop a performance framework and set of indicators that reflect these interests. Stakeholders (1,100 physicians, nurses, managers, home care providers, and prehospital care personnel) with responsibility for ED patients in hospitals in the Canadian province of Ontario. Sixty-two percent of stakeholders responded to a mail survey regarding the importance of 104 potential ED performance indicators. Descriptive and inferential statistics are used to explore the interests of each stakeholder group and to compare interests across the five groups. Emergency department stakeholders are primarily interested in indicators that focus on their role and capacity to provide care. Key differences exist between hospital and nonhospital stakeholders. Physicians mean ratings of the importance on ED performance measures were lower than mean ratings in the other stakeholder groups. Emergency department performance interests are not homogeneous across stakeholder groups, and evaluating performance from the perspective of any one stakeholder group will result in unbalanced assessments. Community-bas...Continue Reading

References

Mar 1, 1993·American Journal of Public Health·K GrumbachA Bindman
Aug 1, 1996·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·R S TurpinP Smith
May 1, 1997·The Joint Commission Journal on Quality Improvement·M S Donaldson, K Nolan
Oct 15, 1998·The Joint Commission Journal on Quality Improvement·E A McGlynn
Oct 31, 1998·Annals of Emergency Medicine·R H Lucas, S M Sanford
Nov 14, 1998·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·D Drake
Dec 9, 1994·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·R N AlseverN P Lima
Dec 9, 1994·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·K L BraunV J Brown
Aug 6, 1995·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·G DayC Herba
Aug 6, 1995·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·M N Werblun
Dec 4, 1995·Healthcare Management Forum·G R Baker, G H Pink
Jan 7, 1998·Health Services Management Research : an Official Journal of the Association of University Programs in Health Administration·C SicotteG R Baker
Apr 19, 2000·JAMA : the Journal of the American Medical Association·M N MarshallR H Brook
Jan 5, 2002·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·H Delooz
Jun 14, 2002·Hospital Quarterly·B Chan
Mar 26, 2003·Health Services Research·Liane Soberman Ginsburg

❮ Previous
Next ❯

Citations

Jan 1, 2010·International Journal of Emergency Medicine·David MaritzLee Wallis
Dec 3, 2009·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Anne KlassenMaureen O'Donnell
Aug 16, 2014·Applied Ergonomics·Anping XieMichelle M Kelly
Dec 21, 2012·Journal of Health Organization and Management·Jenna M Evans, G Ross Baker
Jun 27, 2008·International Journal of Health Care Quality Assurance·Anna GagliardiVivek Goel
May 4, 2010·Brain Injury : [BI]·Marie-Eve LamontagneAnne-Claire Marcotte
Dec 9, 2015·The International Journal of Health Planning and Management·Simone FanelliAntonello Zangrandi
Nov 24, 2007·Health Policy·Etienne MinvielleChristian Richard
Jun 23, 2015·Emergency Medicine Australasia : EMA·Gerry FitzGeraldPaul Scuffham
Dec 19, 2006·The Journal of Nursing Administration·Tracey King, Jacqueline Fowler Byers
Jun 27, 2008·International Journal of Health Care Quality Assurance·André PaccioniFrançois Champagne
Dec 6, 2018·BMC Health Services Research·Melissa De ReggeKristof Eeckloo
Jul 19, 2018·Israel Journal of Health Policy Research·Beth A Lown, Gary S Setnik
Mar 2, 2021·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Ariel R BelasenAlan T Belasen

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Stephen LiuJane H Brice
Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Steven L BernsteinSociety for Academic Emergency Medicine, Emergency Department Crowding Task Force
Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association
Zhen ZengDeborah Bryant
© 2022 Meta ULC. All rights reserved