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Updated: Jul 9, 2025

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Emergency department crowding is not being caused by increased inappropriate presentations
1Adult Emergency Department, Te Toka Tumai, Auckland City Hospital; Faculty of Medical and Health Sciences, Waipapa Taumata Rau, The University of Auckland; Hospital and Specialist Services Te Whatu Ora - Health New Zealand.
Abstract:
Contrary to the prevailing wisdom, there may be little or no room to move with respect to reducing emergency department (ED) utilisation, as ED utilisation in Aotearoa New Zealand is low by world standards and is not driven by patients presenting inappropriately with minor conditions. We should continue the excellent work done in the primary care sector to maintain our low ED presentation rate and support primary and urgent care providers to provide alternatives to the ED for people with minor conditions. However, to reduce the system pressure and harms caused by ED crowding due to access block for admitted patients, we also need to adequately resource our hospital-based inpatient teams and EDs so that the (appropriate) acute care workload can be managed safely.
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