Effectiveness of Interventions to Improve Emergency Department Efficiency: An Evidence Map

Effectiveness of Interventions to Improve Emergency Department Efficiency: An Evidence Map

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Effectiveness of Interventions to Improve Emergency Department Efficiency: An Evidence Map

Principal Investigator: Paul Shekelle, MD, PhD
Co-Investigators: Melinda Maggard Gibbons, MD, MSHS; Isomi M. Miake-Lye, PhD; Chris P. Childers, MD; Sean M. O'Neill, MD, PhD
Research Associates: Selene Mak, MPH, PhDc; Roberta Shanman, MLS; Jessica M. Beroes, BS

Evidence-based Synthesis Program (ESP) Center, West Los Angeles VA Medical Center, Los Angeles, CA; Washington (DC): Department of Veterans Affairs; September 2017.

Download PDF: Complete Report, Abstract, Report, Appendices

Objective

Emergency departments are seeking ways to improve efficiency, but to be useful to decision-makers, studies of such interventions should report information on utilization, cost, and quality of care. Previous systematic reviews have been limited to specific intervention types, and have not assessed implementation costs. We used evidence mapping to assess knowledge gaps and highlight research priorities.

The scope of this report includes the following:

An evidence map that provides a visual overview of the distribution of evidence (both what is known and where there is little or no evidence base) for interventions to improve emergency department (ED) efficiency.
An accompanying narrative that helps stakeholders interpret the state of the evidence to inform policy and clinical decision-making.

VA Health Systems Research