Lessons from the 4-hour standard in England for Australia

Forero, Roberto, McDonnell, Geoff D., McCarthy, Sally M., Nugus, Peter, Braithwaite, Jeffrey, Hillman, Kenneth M., Fatovich, Daniel M., Mountain, David, Daly, Frank F., FitzGerald, Gerard J., & Richardson, Drew B. (2011) Lessons from the 4-hour standard in England for Australia. Medical Journal of Australia, 194(5), p. 268.

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Australia is in the process of making the most important change to its health care system since the implementation of Medicare.1 We agree with Cameron and Cooke that there are important lessons for Australia from the implementation of the 4-hour rule in the United Kingdom. As in Robert Zemeckis’s 1985 movie classic, Back to the future, the old question of “If I had the opportunity to do something again, what would I have done differently?” applies.

We challenge the assumption that Australia is embarking on something that the UK has recently abandoned. The UK has not actually abandoned the 4-hour rule but expanded it into a suite of eight indicators that include three time-based measures, including total time in the emergency department (ED).

Impact and interest:

6 citations in Scopus
4 citations in Web of Science®
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ID Code: 65388
Item Type: Journal Article
Refereed: Yes
Keywords: 4-hour rule, National Emergency Access Target (NEAT)
ISSN: 0025-729X
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Health Care Administration (111709)
Divisions: Past > Research Centres > Centre for Emergency & Disaster Management
Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Deposited On: 05 Feb 2014 00:07
Last Modified: 20 Jul 2017 04:01

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