Same Day Emergency Care - Delphi Round 2

Acute Physicians care for most of the patients seen in Same Day Emergency Care (SDEC). While resources and pathways might vary patient outcomes require standardisation for learning, improvement and benchmarking.

This questionnaire aims to gain a preliminary consensus to inform the work of the Society for Acute Medicine's Quality Improvement Group.

The exploratory survey below uses the Institute for Healthcare Improvement's Quadruple Aim framework around patient outcomes, staff and patient experience and cost of care.

This questionnaire is being sent to a group of UK practitioners and experts in three rounds to gather feedback on the metric. This is round number two based on results from the first round. The participation is voluntary but your experience and contribution might help to strengthen robust evidence based metric in this emergent field of work.

Question Title

1. Are you already collecting data on Same Day Emergency Care

Collecting data

Reporting data

Neither collecting nor reporting data

Other (please specify)

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2. Please rank the metrics below - rank the most important metric on top and the least important one at the bottom.

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3. Can you explain your choice of metrics at the top and bottom? W

Top ranked because ....

Bottom ranked because ....

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4. It is sometimes difficult to differentiate a planned review and a 'see on symptoms' review in SDEC. Looking for an operational definition for safety outcomes following review in SDEC: How likely are the following to be seen as acceptable parts of safe care or likely consequence of a mis-judgement during the first assessment in SDEC.

	Always acceptable part of safe care	Sometimes acceptable part of safe care	Unsure	Sometimes an adverse event	Always an adverse event
Review in SDEC within 7 days	Review in SDEC within 7 days Always acceptable part of safe care	Review in SDEC within 7 days Sometimes acceptable part of safe care	Review in SDEC within 7 days Unsure	Review in SDEC within 7 days Sometimes an adverse event	Review in SDEC within 7 days Always an adverse event
Review in SDEC after more than 7 days	Review in SDEC after more than 7 days Always acceptable part of safe care	Review in SDEC after more than 7 days Sometimes acceptable part of safe care	Review in SDEC after more than 7 days Unsure	Review in SDEC after more than 7 days Sometimes an adverse event	Review in SDEC after more than 7 days Always an adverse event
Admission to hospital within 7 days of review in SDEC for a single night	Admission to hospital within 7 days of review in SDEC for a single night Always acceptable part of safe care	Admission to hospital within 7 days of review in SDEC for a single night Sometimes acceptable part of safe care	Admission to hospital within 7 days of review in SDEC for a single night Unsure	Admission to hospital within 7 days of review in SDEC for a single night Sometimes an adverse event	Admission to hospital within 7 days of review in SDEC for a single night Always an adverse event
Admission to hospital after more than 7 days of review in SDEC for a single night	Admission to hospital after more than 7 days of review in SDEC for a single night Always acceptable part of safe care	Admission to hospital after more than 7 days of review in SDEC for a single night Sometimes acceptable part of safe care	Admission to hospital after more than 7 days of review in SDEC for a single night Unsure	Admission to hospital after more than 7 days of review in SDEC for a single night Sometimes an adverse event	Admission to hospital after more than 7 days of review in SDEC for a single night Always an adverse event
Admission to hospital within 7 days of review in SDEC for several nights	Admission to hospital within 7 days of review in SDEC for several nights Always acceptable part of safe care	Admission to hospital within 7 days of review in SDEC for several nights Sometimes acceptable part of safe care	Admission to hospital within 7 days of review in SDEC for several nights Unsure	Admission to hospital within 7 days of review in SDEC for several nights Sometimes an adverse event	Admission to hospital within 7 days of review in SDEC for several nights Always an adverse event
Admission to hospital after more than 7 days of review in SDEC for several nights	Admission to hospital after more than 7 days of review in SDEC for several nights Always acceptable part of safe care	Admission to hospital after more than 7 days of review in SDEC for several nights Sometimes acceptable part of safe care	Admission to hospital after more than 7 days of review in SDEC for several nights Unsure	Admission to hospital after more than 7 days of review in SDEC for several nights Sometimes an adverse event	Admission to hospital after more than 7 days of review in SDEC for several nights Always an adverse event

Other (please specify)

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5. Which other metrics do you believe describes the quality of care in SDEC?

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6. Which of the metric in the list above do you believe should not be used to describe the quality of care in SDEC?

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7. Which other comments would you like to make in relation to measuring quality of care in SDEC? Which other issues would you like to raise?

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8. Please share your details so that we can send you the second version of the questionnaire.

Name

Hospital

Role

City/Town

Email Address

Same Day Emergency Care - Delphi Round 2

Question Title

* 1. Are you already collecting data on Same Day Emergency Care

Question Title

* 2. Please rank the metrics below - rank the most important metric on top and the least important one at the bottom.

Question Title

* 3. Can you explain your choice of metrics at the top and bottom? W

Question Title

Question Title

* 5. Which other metrics do you believe describes the quality of care in SDEC?

Question Title

* 6. Which of the metric in the list above do you believe should not be used to describe the quality of care in SDEC?

Question Title

* 7. Which other comments would you like to make in relation to measuring quality of care in SDEC? Which other issues would you like to raise?

Question Title

* 8. Please share your details so that we can send you the second version of the questionnaire.

1. Are you already collecting data on Same Day Emergency Care

2. Please rank the metrics below - rank the most important metric on top and the least important one at the bottom.

3. Can you explain your choice of metrics at the top and bottom? W

5. Which other metrics do you believe describes the quality of care in SDEC?

6. Which of the metric in the list above do you believe should not be used to describe the quality of care in SDEC?

7. Which other comments would you like to make in relation to measuring quality of care in SDEC? Which other issues would you like to raise?

8. Please share your details so that we can send you the second version of the questionnaire.