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Emergency department operations and design

This section accepts articles on patient management in the Emergency Department, quality and efficiency metrics, computer applications including decision support, CPOE, EMR.

  1. In March 2020 we faced a huge spread of the epidemic of SARS-CoV2 in northern Italy; the Emergency Departments (ED) and the Emergency Medical Services (EMS) were overwhelmed by patients requiring care. The hos...

    Authors: A. Jachetti, G. Colombo, B. Brignolo-Ottolini, J. Franchi, M. Solbiati, M. Pecorino Meli, P. Bosco and G. Costantino

    Citation: BMC Emergency Medicine 2021 21:74

    Content type: Research article

    Published on:

  2. In-hospital mortality and short-term mortality are indicators that are commonly used to evaluate the outcome of emergency department (ED) treatment. Although several scoring systems and machine learning-based ...

    Authors: Jinwoo Jeong, Sung Woo Lee, Won Young Kim, Kap Su Han, Su Jin Kim and Hyungoo Kang

    Citation: BMC Emergency Medicine 2021 21:71

    Content type: Research article

    Published on:

  3. Patients discharged against medical advice (DAMA) act as a high-risk population for the Emergency Department (ED), regardless of their presentations, and can pose a serious burden for the hospital. This study ...

    Authors: Feras H. Abuzeyad, Moonis Farooq, Salah Farhat Alam, Mudhaffar Ismael Ibrahim, Luma Bashmi, Shaikha Sami Aljawder, Najeh Ellouze, Abdulla Almusalam, Stephanie Hsu and Priya Das

    Citation: BMC Emergency Medicine 2021 21:31

    Content type: Research article

    Published on:

  4. Kurdistan province of Iran is among disaster prone areas of the country. The Primary Health Care facilities in Iran deliver health services at all levels nationwide. Resiliency and flexibility of such faciliti...

    Authors: Arezoo Yari, Yadolah Zarezadeh, Farin Fatemi, Ali Ardalan, Siamak Vahedi, Homa Yousefi-Khoshsabeghe, Mohsen Soufi Boubakran, Farzam Bidarpoor and Mohamad Esmaeil Motlagh

    Citation: BMC Emergency Medicine 2021 21:23

    Content type: Research article

    Published on:

  5. Noise levels are monitored in call centres. A maximum of 52 to 55 dB(A) is recommended in order to prevent adverse events. We aimed at assessing the noise level and the impact of a visual noise indicator on th...

    Authors: Justin Outrey, Jean-Baptiste Pretalli, Sophie Pujol, Alice Brembilla, Thibaut Desmettre, Christophe Lambert, Jean-Marc Labourey, Frédéric Mauny and Abdo Khoury

    Citation: BMC Emergency Medicine 2021 21:22

    Content type: Research article

    Published on:

  6. Emergency Department crowding is associated with increased morbidity and mortality but no measure of crowding has been validated in Sweden. We have previously derived and internally validated the Skåne Emergen...

    Authors: Jens Wretborn, Håkan Starkenberg, Thoralph Ruge, Daniel B. Wilhelms and Ulf Ekelund

    Citation: BMC Emergency Medicine 2021 21:21

    Content type: Research article

    Published on:

    The Correction to this article has been published in BMC Emergency Medicine 2021 21:49

  7. Early warning systems (EWSs) are used to assist clinical judgment in the detection of acute deterioration to avoid or reduce adverse events including unanticipated cardiopulmonary arrest, admission to the inte...

    Authors: S. M. O’Neill, B. Clyne, M. Bell, A. Casey, B. Leen, S. M. Smith, M. Ryan and M. O’Neill

    Citation: BMC Emergency Medicine 2021 21:15

    Content type: Research article

    Published on:

  8. One goal of Emergency Department (ED) operations is achieving an overall length of stay (LOS) that is less than four hours. The goal of the current study was to assess for association between increasing number...

    Authors: Dominic Jenkins, Sarah A. Thomas, Sameer A. Pathan and Stephen H. Thomas

    Citation: BMC Emergency Medicine 2021 21:5

    Content type: Research article

    Published on:

  9. Defined as a ‘guided reflective learning conversation’, ‘debriefing’ is most often undertaken in small groups following healthcare simulation training. Clinical debriefing (CD) following experiences in the wor...

    Authors: Andrew Coggins, Aaron De Los Santos, Ramez Zaklama and Margaret Murphy

    Citation: BMC Emergency Medicine 2020 20:79

    Content type: Research article

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  10. Emergency Department (ED) crowding occurs when demand for care exceeds the available resources. Crowding has been associated with decreased quality of care and increased mortality, but the prevalence on a nati...

    Authors: Jens Wretborn, Joakim Henricson, Ulf Ekelund and Daniel B. Wilhelms

    Citation: BMC Emergency Medicine 2020 20:50

    Content type: Research article

    Published on:

  11. The Kingdom of Eswatini, a lower-middle income nation of 1.45 million in southern Africa, has recently identified emergency care as a key strategy to respond to the national disease burden. We aimed to evaluat...

    Authors: J. L. Pigoga, A. P. Joiner, P. Chowa, J. Luong, M. Mhlanga, T. A. Reynolds and L. A. Wallis

    Citation: BMC Emergency Medicine 2020 20:33

    Content type: Research article

    Published on:

  12. The health effects of war and armed conflict on casualties and mental health of those directly exposed has been well described, but few studies have explored the indirect health effects of violent events. This...

    Authors: Carla Makhlouf-Obermeyer, Eman Sharara, Ghada El-Eid and Eveline A. Hitti

    Citation: BMC Emergency Medicine 2020 20:10

    Content type: Research article

    Published on:

  13. The Sydney Triage to Admission Risk Tool (START) is a validated clinical analytics tool designed to estimate the probability of in-patient admission based on Emergency Department triage characteristics.

    Authors: Anja Ebker-White, Kendall J. Bein, Saartje Berendsen Russell and Michael M. Dinh

    Citation: BMC Emergency Medicine 2019 19:79

    Content type: Research article

    Published on:

  14. The rapid identification of deterioration in the pediatric population is complex, particularly in the emergency department (ED). A comprehensive multi-faceted Pediatric Early Warning System (PEWS) might maximi...

    Authors: Theresa McElroy, Erik N. Swartz, Kasra Hassani, Sina Waibel, Yasmin Tuff, Catherine Marshall, Richard Chan, David Wensley and Maureen O’Donnell

    Citation: BMC Emergency Medicine 2019 19:74

    Content type: Research article

    Published on:

  15. Academic and non-academic emergency departments (EDs) are regularly compared in clinical operations benchmarking despite suggestion that the two groups may differ in their clinical operations characteristics. ...

    Authors: Martin A. Reznek, Sean S. Michael, Cathi A. Harbertson, James J. Scheulen and James J. Augustine

    Citation: BMC Emergency Medicine 2019 19:72

    Content type: Research article

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  16. Overcrowding in emergency departments (ED) is a major concern worldwide. To answer increasing health care demands, new models of care including advanced practice physiotherapists (APP) have been implemented in...

    Authors: E. Matifat, K. Perreault, J.-S. Roy, A. Aiken, E. Gagnon, M. Mequignon, V. Lowry, S. Décary, B. Hamelin, M. Ambrosio, N. Farley, D. Pelletier, L. Carlesso and F. Desmeules

    Citation: BMC Emergency Medicine 2019 19:67

    Content type: Research article

    Published on:

  17. The emergency department (ED) sensitive hospital standardized mortality ratio (ED-HSMR) measures risk-adjusted mortality for patients admitted to hospital with conditions for which ED care may improve health o...

    Authors: Simon Berthelot, Eddy S. Lang, Hude Quan and Henry T. Stelfox

    Citation: BMC Emergency Medicine 2019 19:57

    Content type: Research article

    Published on:

  18. Crowding in emergency departments (EDs) is a challenge globally. To counteract crowding in day-to-day operations, better tools to improve monitoring of the patient flow in the ED is needed. The objective of th...

    Authors: Andreas Asheim, Lars P. Bache-Wiig Bjørnsen, Lars E. Næss-Pleym, Oddvar Uleberg, Jostein Dale and Sara M. Nilsen

    Citation: BMC Emergency Medicine 2019 19:42

    Content type: Research article

    Published on:

  19. In low- and middle-income countries emergency surgery represents a higher proportion of the total number of surgeries and is associated with greater morbidity/mortality. Study aims were to determine if emergen...

    Authors: Félix R. Montes, Skarlet Marcell Vásquez, Claudia Marcela Camargo-Rojas, Myriam V. Rueda, Lina Góez-Mogollón, Paula A. Alvarado, Danny J. Novoa and Juan Carlos Villar

    Citation: BMC Emergency Medicine 2019 19:27

    Content type: Research article

    Published on:

  20. Emergency departments (EDs) are highly dynamic and stressful care environments that affect provider and patient outcomes. Yet, effective interventions are missing. This study evaluated prospective effects of a...

    Authors: Anna Schneider, Markus Wehler and Matthias Weigl

    Citation: BMC Emergency Medicine 2019 19:1

    Content type: Research article

    Published on:

  21. In this study, we hypothesized that point of care testing (POCT) would reduce length of stay (LOS) in emergency department (ED) when compared to central laboratory testing and be a factor in patient discharge ...

    Authors: Meri Kankaanpää, Marika Holma-Eriksson, Sami Kapanen, Merja Heitto, Sari Bergström, Leila Muukkonen and Veli-Pekka Harjola

    Citation: BMC Emergency Medicine 2018 18:43

    Content type: Research article

    Published on:

  22. Physician chart documentation can facilitate patient care decisions, reduce treatment errors, and inform health system planning and resource allocation activities. Although accurate and complete patient chart ...

    Authors: Diane L. Lorenzetti, Hude Quan, Kelsey Lucyk, Ceara Cunningham, Deirdre Hennessy, Jason Jiang and Cynthia A. Beck

    Citation: BMC Emergency Medicine 2018 18:36

    Content type: Research article

    Published on:

  23. Primary care patients are often cited as a cause of Emergency Department overcrowding (ED). The aim of this study was to evaluate a physician led redirection procedure of selected patients towards an out of ho...

    Authors: Charles Morin, Jacques Choukroun and Jean-Christophe Callahan

    Citation: BMC Emergency Medicine 2018 18:26

    Content type: Research article

    Published on:

  24. The use of big data and machine learning within clinical decision support systems (CDSSs) has the potential to transform medicine through better prognosis, diagnosis and automation of tasks. Real-time applicat...

    Authors: Warren M. Perry, Rubayet Hossain and Richard A. Taylor

    Citation: BMC Emergency Medicine 2018 18:19

    Content type: Research article

    Published on:

  25. Changes to physiological parameters precede deterioration of ill patients. Early warning and track and trigger systems (TTS) use routine physiological measurements with pre-specified thresholds to identify det...

    Authors: Francesca Wuytack, Pauline Meskell, Aislinn Conway, Fiona McDaid, Nancy Santesso, Fergal G. Hickey, Paddy Gillespie, Adam J. N. Raymakers, Valerie Smith and Declan Devane

    Citation: BMC Emergency Medicine 2017 17:38

    Content type: Research article

    Published on:

  26. The four-hour target is a key hospital emergency department performance indicator in England and one that drives the physical and organisational design of the ED. Some studies have identified time of presentat...

    Authors: Niklas Bobrovitz, Daniel S. Lasserson and Adam D. M. Briggs

    Citation: BMC Emergency Medicine 2017 17:32

    Content type: Research article

    Published on:

  27. Emergency department (ED) overcrowding is frequently described in terms of input- throughput and output. In order to reduce ED input, a concept called primary triage has been introduced in several Swedish EDs....

    Authors: Mathias C Blom, Karin Erwander, Lars Gustafsson, Mona Landin-Olsson, Fredrik Jonsson and Kjell Ivarsson

    Citation: BMC Emergency Medicine 2016 16:39

    Content type: Research article

    Published on:

  28. Crowding in the emergency department (ED) has been studied intensively using complicated non-generic methods that may prove difficult to implement in a clinical setting. This study sought to develop a generic ...

    Authors: Andreas Halgreen Eiset, Mogens Erlandsen, Anders Brøns Møllekær, Julie Mackenhauer and Hans Kirkegaard

    Citation: BMC Emergency Medicine 2016 16:21

    Content type: Research article

    Published on:

  29. Accurately predicting future frequent emergency department (ED) utilization can support a case management approach and ultimately reduce health care costs. This study assesses the feasibility of using routinel...

    Authors: Jianmin Wu, Shaun J. Grannis, Huiping Xu and John T. Finnell

    Citation: BMC Emergency Medicine 2016 16:12

    Content type: Research article

    Published on:

  30. Estimating patient risk of future emergency department (ED) revisits can guide the allocation of resources, e.g. local primary care and/or specialty, to better manage ED high utilization patient populations an...

    Authors: Bo Jin, Yifan Zhao, Shiying Hao, Andrew Young Shin, Yue Wang, Chunqing Zhu, Zhongkai Hu, Changlin Fu, Jun Ji, Yong Wang, Yingzhen Zhao, Yunliang Jiang, Dorothy Dai, Devore S. Culver, Shaun T. Alfreds, Todd Rogow…

    Citation: BMC Emergency Medicine 2016 16:10

    Content type: Research article

    Published on:

Annual Journal Metrics

  • Speed
    53 days to first decision for reviewed manuscripts only
    43 days to first decision for all manuscripts
    132 days from submission to acceptance
    15 days from acceptance to publication

    Citation Impact
    2.119 - 2-year Impact Factor
    2.540 - 5-year Impact Factor
    1.094 - SNIP (Source-Normalized Impact per Paper)
    0.765 - SJR (SCImago Journal Rank)

    Usage 
    403,325 Downloads
    562 Altmetric Mentions