Article Figures & Tables
Figures
- Figure 1
Flow chart of centres participating in project on rural emergency departments (EDs) in Quebec and use of provincial emergency department management guide.4,15,16
Tables
Quality-of-care indicator No. (%) of emergency departments (n = 15) Duration of stay QCI 1 Mean duration of stay in the ED (patients on stretcher and ambulatory) (all categories combined) 10 (67) QCI 2-1 Triage level P1 9 (60) QCI 2-2 Triage level P2 9 (60) QCI 2-3 Triage level P3 10 (67) QCI 2-4 Triage level P4 10 (67) QCI 2-5 Triage level P5 10 (67) Patient safety QCI 3-1 Number of pediatric patients released from the ED who returned unexpectedly and were admitted within 48-72 h of initial release 10 (67) QCI 3-2 Number of pediatric patients released from the ED who returned unexpectedly within 48-72 h of initial release 9 (60) QCI 4-1 Number of adult patients released from the ED who returned unexpectedly and were admitted within 48-72 h of initial release 8 (53) QCI 4-2 Number of adult patients released from the ED who returned unexpectedly within 48-72 h of initial release 7 (47) QCI 5 Percentage of headache patients released from the ED and admitted to the hospital for subarachnoid hemorrhage in the subsequent 14 d 11 (73) Pain management QCI 6 Delay before receiving first dose of analgesic for all pain conditions requiring analgesic 4 (27) Pediatrics QCI 7 Percentage of pediatric patients (0-28 d) with fever who received a complete sepsis investigation 6 (40) QCI 8 Percentage of pediatric patients (0-28 d) who received broad-spectrum antibiotics intravenously 5 (33) QCI 9 Percentage of pediatric patients (3 mo to 3 yr) with croup who were treated with steroids 5 (33) Cardiology QCI 10 Percentage of eligible patients with acute myocardial infarction who received thrombolytic therapy or interventional angioplasty 9 (60) Respiratory care QCI 11-1 Number of patients with asthma (by age group) who received corticosteroids at the ED and at release (if released) 0 (0) QCI 11-2 Number of patients with asthma (0-3 yr) who received corticosteroids at the ED and at release (if released) 6 (40) QCI 11-3 Number of patients with asthma (4-10 yr) who received corticosteroids at the ED and at release (if released) 6 (40) QCI 11-4 Number of patients with asthma (11-17 yr) who received corticosteroids at the ED and at release (if released) 6 (40) QCI 11-5 Number of patients with asthma (18-39 yr) who received corticosteroids at the ED and at release (if released) 6 (40) QCI 11-6 Number of patients with asthma (40-59 yr) who received corticosteroids at the ED and at release (if released) 6 (40) QCI 11-7 Number of patients with asthma (60-79 yr) who received corticosteroids at the ED and at release (if released) 6 (40) QCI 11-8 Number of patients with asthma (≥ 80 yr) who received corticosteroids at the ED and at release (if released) 6 (40) Stroke QCI 12 Percentage of eligible patients with acute stroke who received thrombolytic therapy 6 (40) Sepsis/infection QCI 13 Delay of antibiotic administration for patients with bacterial meningitis 8 (53) QCI 14 Percentage of patients with severe sepsis or septic shock who received broad-spectrum antibiotics within 4 h of arrival at the ED 7 (47) Note: ED = emergency department.
Emergency department no. Database use, no. (%) of quality-of-care indicators (n = 27) 1 12 (44) 2 23 (85) 3 1 (4) 4 15 (56) 5 21 (78) 6 24 (89) 7 12 (44) 8 5 (18) 9 2 (7) 10 13 (48) 11 0 (0) 12 0 (0) 13 25 (92) 14 12 (44) 15 3 (11) Quality-of-care indicator Median time (and interquartile range), min Duration of stay QCI 1 (n = 9) 4 (3-5) QCI 2-1 (n = 7) 3 (1-6) QCI 2-2 (n = 4) 4 (2.5-6) QCI 2-3 (n = 1) 15 (15-15) QCI 2-4 (n = 1) 1 (1-1) QCI 2-5 (n = 1) 1 (1-1) Patient safety QCI 3-1 (n = 7) 9 (3-24) QCI 3-2 (n = 5) 4 (3-13) QCI 4-1 (n = 5) 6 (4-11) QCI 4-2 (n = 4) 3.5 (2-69.5) QCI 5 (n = 8) 13.5 (12-35) Pain management QCI 6 (n = 2) 78 (72-84) Pediatrics QCI 7 (n = 4) 12 (4.5-21) QCI 8 (n = 2) 4.5 (3-6) QCI 9 (n = 2) 115.5 (6-225) Cardiology QCI 10 (n = 7) 15 (12-25) Respiratory care QCI 11-1 (n = 3) 18 (6-54) QCI 11-2 (n = 3) 18 (6-54) QCI 11-3 (n = 2) 15 (6-24) QCI 11-4 (n = 2) 12 (6-18) QCI 11-5 (n = 2) 30 (6-54) QCI 11-6 (n = 2) 30 (6-54) QCI 11-7 (n = 2) 12 (6-18) QCI 11-8 (n = 2) 6 (6-6) Stroke QCI 12 (n = 4) 10 (4.5-23.5) Sepsis/infection QCI 13 (n = 7) 5 (1-12) QCI 14 (n = 4) 13.5 (6.5-16.5)
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