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Updated: Apr 17, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Evaluation of a Novel Clinical Assistant Model of Care on Patient Flow and Emergency Department Length of Stay
Jeremy Chou1, Namankit Gupta2, Alvin Lim2
1Melbourne Medical School, University of Melbourne, Parkville, Victoria, Australia.
Objective:
To measure the contribution of clinical assistants (CAs) to departmental flow and length of stay.
Methods:
An observational study comparing key performance indicators (KPIs) between shifts with and without assistants.
Results:
A total of 122 shifts were included from 1 November to 31 December 2021. There was no difference in the proportion of patients who were seen by a doctor within 1 h, ambulance offload times, or 4-h departure metrics (regardless of non-admitted, admitted, or short stay status).
Conclusion:
CAs do not have a demonstrable impact on ambulance offload times, cubicle availability, or 4-h KPIs.
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