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Related Concept Videos

Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Patient-centered Care01:13

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Related Experiment Video

Updated: Jun 11, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Improving emergency care pathways: an action research approach.

Ruth Endacott1, Simon Cooper, Rod Sheaff

  • 1Faculty of Health, University of Plymouth, 8 Portland Villas, Drake Circus, Plymouth PL4 8AA, UK. ruth.endacott@plymouth.ac.uk

Emergency Medicine Journal : EMJ
|June 29, 2010
PubMed
Summary

This action research study reduced inappropriate Emergency Department (ED) attendances by implementing triage, improving patient flow and reducing staff pressure. Findings highlight the need for better management information systems and consistent working practices in EDs.

Related Experiment Videos

Last Updated: Jun 11, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Area of Science:

  • Healthcare Management
  • Emergency Medicine
  • Action Research

Background:

  • Clinicians and managers face pressure to optimize treatment and referral pathways for evidence-based practice and improved patient flow.
  • This study addresses the need to reduce inappropriate attendances and unplanned pressures on Emergency Department (ED) staff.
  • Focuses on an English hospital between 2006-2008.

Purpose of the Study:

  • To outline the processes and outcomes of an action research study.
  • To reduce inappropriate attendances at the Emergency Department.
  • To alleviate unplanned pressures on Emergency Department staff.

Main Methods:

  • Employed action research with three action/reflection cycles.
  • Utilized retrospective patient record review (n=35,200), staff interviews (n=28), and patient pathway observations (n=38).
  • Included team climate measurement (n=31) and literature reviews to inform data collection cycles.

Main Results:

  • Adult majors subgroup showed significantly higher Monday attendance (p<0.001), with 36% self-referrals.
  • Reinstatement of triage replaced informal reception staff assessments, improving patient direction.
  • Emergency Department attendance decreased, while hospital admissions slightly increased as the project progressed.

Conclusions:

  • Inappropriate attendances appeared to decrease following the intervention.
  • The study identified significant gaps in management information systems and inconsistencies in ED working practices.
  • Action research demonstrated practical value in improving ED operations and contributing to knowledge.