The 4 hour emergency access target – a patient journey

The 4 hour emergency access target – a patient journey

During the late nineties it was not uncommon for patients to wait over 12 hours for admission to hospital and there were isolated reports of patients waiting between 24 and 48 hours on trolleys in accident and emergency and sometimes in corridors. My interest in this problem and the long delays experienced by patients in Emergency Departments in the UK developed during early work with the Modernisation Agency.
[download-attachments container="div" style="list" display_icon="1" display_count="1" display__size="0"]

References

  1. NHS Modernisation Agency. Ideal Design of Emergency Access Programme. Department of Health. 2002.
  2. Ipsos MORI. What we want from our public services, 2000. http://www.ipsos-mori.com/researchpublications/researcharchive/poll. aspx?oItemId=1627.
  3. Health Care Commission. National NHS patient survey programme Emergency department survey 2008. http://www.cqc.org.uk/_db/_documents/Full_national_results_with_historical_comparisons.pdf
  4. Bell D Darling K Understanding waiting times in Accident and Emergency and potential impact on patients and beds. (letter) BMJ June 2005.
  5. Institute of Medicine (IOM). Hospital-Based Emergency Care: At the Breaking Point. Washington, DC: National Academy Press; 2006a.
  6. Fatovich DM, Nagree Y, Sprivulis P. Access block causes emergency department overcrowding and ambulance diversion in Perth, Western Australia. Emerg Med J 2005; 22: 351–354.

Request Permissions

To request copyright permission to republish or share portions of our works, please visit Copyright Clearance Center’s (CCC) Marketplace website by clicking the button below:

Get Permission

The 4 hour emergency access target – a patient journey

10th March 2016
PMID: 21597602
Authors Affiliations
Derek Bell Department of Acute Medicine Director NIHR CLAHRC for Northwest London Chelsea and Westminster Hospital Imperial College London Fulham Road London SW10 9NH Email: d.bell@imperial.ac .uk © 2010

The 4 hour emergency access target – a patient journey

Cite this article as:

Bell D. The 4 hour emergency access target - a patient journey. Acute Med. 2010;9(3):137. PMID: 21597602.

The 4 hour emergency access target – a patient journey

Share this article

Click the icon of the social media platform on which you would like to share this article.


Shopping Basket
Scroll to Top