• myGriffith
    • Staff portal
    • Contact Us⌄
      • Future student enquiries 1800 677 728
      • Current student enquiries 1800 154 055
      • International enquiries +61 7 3735 6425
      • General enquiries 07 3735 7111
      • Online enquiries
      • Staff phonebook
    View Item 
    •   Home
    • Griffith Research Online
    • Journal articles
    • View Item
    • Home
    • Griffith Research Online
    • Journal articles
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

  • All of Griffith Research Online
    • Communities & Collections
    • Authors
    • By Issue Date
    • Titles
  • This Collection
    • Authors
    • By Issue Date
    • Titles
  • Statistics

  • Most Popular Items
  • Statistics by Country
  • Most Popular Authors
  • Support

  • Contact us
  • FAQs
  • Admin login

  • Login
  • The national emergency access target (NEAT) and the 4-hour rule: Time to review the target

    Thumbnail
    View/Open
    Griffin460284-Accepted.pdf (356.3Kb)
    Author(s)
    Sullivan, C
    Staib, A
    Khanna, S
    Good, NM
    Boyle, J
    Cattell, R
    Heiniger, L
    Griffin, BR
    Bell, A
    Lind, J
    Scott, IA
    Griffith University Author(s)
    Griffin, Bronwyn R.
    Year published
    2016
    Metadata
    Show full item record
    Abstract
    Objective: We explored the relationship between the National Emergency Access Target (NEAT) compliance rate, defined as the proportion of patients admitted or discharged from emergency departments (EDs) within 4 hours of presentation, and the risk-adjusted in-hospital mortality of patients admitted to hospital acutely from EDs. Design, setting and participants: Retrospective observational study of all de-identified episodes of care involving patients who presented acutely to the EDs of 59. Australian hospitals between 1. July 2010 and 30. June 2014. Main outcome measure: The relationship between the risk-adjusted mortality ...
    View more >
    Objective: We explored the relationship between the National Emergency Access Target (NEAT) compliance rate, defined as the proportion of patients admitted or discharged from emergency departments (EDs) within 4 hours of presentation, and the risk-adjusted in-hospital mortality of patients admitted to hospital acutely from EDs. Design, setting and participants: Retrospective observational study of all de-identified episodes of care involving patients who presented acutely to the EDs of 59. Australian hospitals between 1. July 2010 and 30. June 2014. Main outcome measure: The relationship between the risk-adjusted mortality of inpatients admitted acutely from EDs (the emergency hospital standardised mortality ratio [eHSMR]: the ratio of the numbers of observed to expected deaths) and NEAT compliance rates for all presenting patients (total NEAT) and admitted patients (admitted NEAT). Results: ED and inpatient data were aggregated for 12.5 million ED episodes of care and 11.6 million inpatient episodes of care. A highly significant (P<0.001) linear, inverse relationship between eHSMR and each of total and admitted NEAT compliance rates was found; eHSMR declined to a nadir of 73 as total and admitted NEAT compliance rates rose to about 83% and 65% respectively. Sensitivity analyses found no confounding by the inclusion of palliative care and/or short-stay patients. Conclusion: As NEAT compliance rates increased, in-hospital mortality of emergency admissions declined, although this direct inverse relationship is lost once total and admitted NEAT compliance rates exceed certain levels. This inverse association between NEAT compliance rates and in-hospital mortality should be considered when formulating targets for access to emergency care.
    View less >
    Journal Title
    Medical Journal of Australia
    Volume
    204
    Issue
    9
    DOI
    https://doi.org/10.5694/mja15.01177
    Copyright Statement
    © 2016 AMPCo Pty Ltd. This is the peer reviewed version of the following article: The national emergency access target (NEAT) and the 4-hour rule: Time to review the target, Medical Journal of Australia, 2016, 204 (9), pp. 354.e1-354.e5, which has been published in final form at https://doi.org/10.5694/mja15.01177. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)
    Subject
    Medical and Health Sciences
    Psychology and Cognitive Sciences
    Publication URI
    http://hdl.handle.net/10072/401760
    Collection
    • Journal articles

    Footer

    Disclaimer

    • Privacy policy
    • Copyright matters
    • CRICOS Provider - 00233E

    Tagline

    • Gold Coast
    • Logan
    • Brisbane - Queensland, Australia
    First Peoples of Australia
    • Aboriginal
    • Torres Strait Islander