{"id":"https://openalex.org/W2134282846","doi":"https://doi.org/10.5694/j.1326-5377.2008.tb01669.x","title":"Clinical process redesign for unplanned arrivals in hospitals","display_name":"Clinical process redesign for unplanned arrivals in hospitals","publication_year":2008,"publication_date":"2008-03-01","ids":{"openalex":"https://openalex.org/W2134282846","doi":"https://doi.org/10.5694/j.1326-5377.2008.tb01669.x","mag":"2134282846","pmid":"https://pubmed.ncbi.nlm.nih.gov/18341471"},"language":"en","primary_location":{"id":"doi:10.5694/j.1326-5377.2008.tb01669.x","doi":"https://doi.org/10.5694/j.1326-5377.2008.tb01669.x","is_oa":false,"landing_page_url":"https://doi.org/10.5694/j.1326-5377.2008.tb01669.x","pdf_url":null,"source":{"id":"https://openalex.org/S13978405","display_name":"The Medical Journal of Australia","issn_l":"0025-729X","issn":["0025-729X","1326-5377"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Journal of Australia","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5023872574","display_name":"Tony J O\u2019Connell","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Tony J O\u2019Connell","raw_affiliation_strings":["NSW Health, Sydney, NSW"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"NSW Health, Sydney, NSW","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5006007889","display_name":"Jane E Bassham","orcid":"https://orcid.org/0000-0003-0105-5719","observed_orcids":["https://orcid.org/0000-0003-0105-5719"]},"institutions":[{"id":"https://openalex.org/I2802931750","display_name":"Flinders Medical Centre","ror":"https://ror.org/020aczd56","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2802931750"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Jane E Bassham","raw_affiliation_strings":["Flinders Medical Centre, Adelaide, SA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Flinders Medical Centre, Adelaide, SA","institution_ids":["https://openalex.org/I2802931750"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5084218270","display_name":"Rod Bishop","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801688508","display_name":"Nepean Hospital","ror":"https://ror.org/03vb6df93","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2801688508"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Rod O Bishop","raw_affiliation_strings":["Department of Emergency Medicine, Nepean Hospital, Sydney, NSW"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Nepean Hospital, Sydney, NSW","institution_ids":["https://openalex.org/I2801688508"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020047047","display_name":"Christopher W Clarke","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I129604602","display_name":"The University of Sydney","ror":"https://ror.org/0384j8v12","country_code":"AU","type":"education","lineage":["https://openalex.org/I129604602"]},{"id":"https://openalex.org/I2800249840","display_name":"Concord Repatriation General Hospital","ror":"https://ror.org/04b0n4406","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2800249840"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Christopher W Clarke","raw_affiliation_strings":["Emergency Medicine, Concord Hospital, Sydney, NSW","Faculty of Medicine, University of Sydney, Sydney, NSW"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Emergency Medicine, Concord Hospital, Sydney, NSW","institution_ids":["https://openalex.org/I2800249840"]},{"raw_affiliation_string":"Faculty of Medicine, University of Sydney, Sydney, NSW","institution_ids":["https://openalex.org/I129604602"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047593283","display_name":"Carolyn Hullick","orcid":"https://orcid.org/0000-0002-6157-8880","observed_orcids":["https://orcid.org/0000-0002-6157-8880"]},"institutions":[{"id":"https://openalex.org/I2800479947","display_name":"John Hunter Hospital","ror":"https://ror.org/0187t0j49","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2800479947","https://openalex.org/I4210154888"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Carolyn J Hullick","raw_affiliation_strings":["John Hunter Hospital, Newcastle, NSW"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"John Hunter Hospital, Newcastle, NSW","institution_ids":["https://openalex.org/I2800479947"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041501855","display_name":"Diane King","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802931750","display_name":"Flinders Medical Centre","ror":"https://ror.org/020aczd56","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2802931750"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Diane L King","raw_affiliation_strings":["Flinders Medical Centre, Adelaide, SA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Flinders Medical Centre, Adelaide, SA","institution_ids":["https://openalex.org/I2802931750"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031601873","display_name":"Carmel Peek","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800479947","display_name":"John Hunter Hospital","ror":"https://ror.org/0187t0j49","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2800479947","https://openalex.org/I4210154888"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Carmel L Peek","raw_affiliation_strings":["John Hunter Hospital, Newcastle, NSW"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"John Hunter Hospital, Newcastle, NSW","institution_ids":["https://openalex.org/I2800479947"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108532033","display_name":"Raj Verma","orcid":"https://orcid.org/0009-0000-5441-3925","observed_orcids":["https://orcid.org/0009-0000-5441-3925"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Raj Verma","raw_affiliation_strings":["NSW Health, Sydney, NSW"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"NSW Health, Sydney, NSW","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5003604122","display_name":"David I. Ben-Tovim","orcid":"https://orcid.org/0000-0003-0551-8362","observed_orcids":["https://orcid.org/0000-0003-0551-8362"]},"institutions":[{"id":"https://openalex.org/I169541294","display_name":"Flinders University","ror":"https://ror.org/01kpzv902","country_code":"AU","type":"education","lineage":["https://openalex.org/I169541294"]},{"id":"https://openalex.org/I2802931750","display_name":"Flinders Medical Centre","ror":"https://ror.org/020aczd56","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2802931750"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"David I Ben\u2010Tovim","raw_affiliation_strings":["Flinders Medical Centre, Adelaide, SA","Flinders University, Adelaide, SA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Flinders Medical Centre, Adelaide, SA","institution_ids":["https://openalex.org/I2802931750"]},{"raw_affiliation_string":"Flinders University, Adelaide, SA","institution_ids":["https://openalex.org/I169541294"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5111930922","display_name":"Katherine M McGrath","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Katherine M McGrath","raw_affiliation_strings":["NSW Health, Sydney, NSW"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"NSW Health, Sydney, NSW","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":3400,"currency":"USD","value_usd":3400},"apc_paid":null,"fwci":5.2888,"has_fulltext":false,"cited_by_count":27,"citation_normalized_percentile":{"value":0.95487021,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":87,"max":97},"biblio":{"volume":"188","issue":"S6","first_page":"S18","last_page":"22"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.9531000256538391,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.9531000256538391,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11773","display_name":"Healthcare Operations and Scheduling Optimization","score":0.03359999880194664,"subfield":{"id":"https://openalex.org/subfields/1803","display_name":"Management Science and Operations Research"},"field":{"id":"https://openalex.org/fields/18","display_name":"Decision Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.011300000362098217,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/emergency-department-performance","display_name":"emergency department performance","score":0.9610000252723694},{"id":"https://openalex.org/keywords/patient-flow","display_name":"patient flow","score":0.7979999780654907},{"id":"https://openalex.org/keywords/continuum-of-care","display_name":"continuum of care","score":0.9240000247955322},{"id":"https://openalex.org/keywords/hospital-bed-capacity","display_name":"hospital bed capacity","score":0.7319999933242798},{"id":"https://openalex.org/keywords/hospital-performance-management","display_name":"hospital performance management","score":0.9539999961853027},{"id":"https://openalex.org/keywords/emergency-access","display_name":"emergency access","score":0.7129999995231628},{"id":"https://openalex.org/keywords/patient-journey","display_name":"patient journey","score":0.5569999814033508},{"id":"https://openalex.org/keywords/new-south-wales-hospitals","display_name":"New South Wales hospitals","score":0.531000018119812}],"concepts":[{"id":"https://openalex.org/C187736073","wikidata":"https://www.wikidata.org/wiki/Q2920921","display_name":"Management","level":1,"score":0.5918927788734436},{"id":"https://openalex.org/C2776831358","wikidata":"https://www.wikidata.org/wiki/Q1150166","display_name":"Facilitator","level":2,"score":0.48970916867256165},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.42035815119743347},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3843176066875458},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.19607648253440857},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.15745729207992554},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D003266","descriptor_name":"Continuity of Patient Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006301","descriptor_name":"Health Services Needs and Demand","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006779","descriptor_name":"Hospitals, Public","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009313","descriptor_name":"National Health Programs","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D009517","descriptor_name":"New South Wales","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009936","descriptor_name":"Organizational Innovation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010043","descriptor_name":"Outcome and Process Assessment, Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010346","descriptor_name":"Patient Care Management","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D010346","descriptor_name":"Patient Care Management","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D010359","descriptor_name":"Patient Readmission","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.5694/j.1326-5377.2008.tb01669.x","doi":"https://doi.org/10.5694/j.1326-5377.2008.tb01669.x","is_oa":false,"landing_page_url":"https://doi.org/10.5694/j.1326-5377.2008.tb01669.x","pdf_url":null,"source":{"id":"https://openalex.org/S13978405","display_name":"The Medical Journal of Australia","issn_l":"0025-729X","issn":["0025-729X","1326-5377"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Journal of Australia","raw_type":"journal-article"},{"id":"pmid:18341471","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/18341471","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Medical journal of Australia","raw_type":"Journal Article"},{"id":"pmh:oai:dspace.flinders.edu.au:2328/11540","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/2328/11540","pdf_url":null,"source":{"id":"https://openalex.org/S4306401120","display_name":"Flinders Academic Commons (Flinders University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I169541294","host_organization_name":"Flinders University","host_organization_lineage":["https://openalex.org/I169541294"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Article"},{"id":"pmh:oai:fac.flinders.edu.au:2328/11540","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/2328/11540","pdf_url":null,"source":{"id":"https://openalex.org/S4306401120","display_name":"Flinders Academic Commons (Flinders University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I169541294","host_organization_name":"Flinders University","host_organization_lineage":["https://openalex.org/I169541294"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.8560000061988831,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":8,"referenced_works":["https://openalex.org/W24225093","https://openalex.org/W68928543","https://openalex.org/W125064766","https://openalex.org/W2142551515","https://openalex.org/W2339005670","https://openalex.org/W2435957394","https://openalex.org/W4256436395","https://openalex.org/W4285719527"],"related_works":["https://openalex.org/W2402753009","https://openalex.org/W2911531486","https://openalex.org/W182673633","https://openalex.org/W2794012405","https://openalex.org/W7131255786","https://openalex.org/W2999467496","https://openalex.org/W2527815622","https://openalex.org/W3080891868","https://openalex.org/W2884171583","https://openalex.org/W4399755635"],"abstract_inverted_index":{"*Emergency":[0],"department":[1],"performance":[2,31,111],"had":[3],"been":[4,57,113],"deteriorating":[5],"in":[6,38,42,50,90,98,107,115],"NSW":[7,108],"Health":[8],"facilities":[9],"and":[10,27,48],"at":[11],"Flinders":[12],"Medical":[13],"Centre":[14],"before":[15],"a":[16,21,87,105],"fundamentally":[17],"new":[18],"approach":[19],"involving":[20],"redesign":[22,138],"method,":[23],"additional":[24],"bed":[25],"capacity":[26],"more":[28],"rigorous":[29],"hospital":[30,141],"management":[32],"was":[33,36],"applied.":[34],"*Redesign":[35],"undertaken":[37],"over":[39,127],"60":[40],"hospitals":[41],"New":[43],"South":[44],"Wales.":[45],"*Numerous":[46],"disconnections":[47],"misalignments":[49],"the":[51,60,68,73,81,116,123],"process":[52],"of":[53,63,83,118],"care":[54],"delivery":[55],"have":[56],"uncovered":[58],"during":[59],"diagnostic":[61],"phase":[62],"this":[64,102],"redesign.":[65],"*Solutions":[66],"addressed":[67],"entire":[69],"patient":[70,78],"journey":[71],"through":[72],"hospital,":[74],"to":[75],"produce":[76],"smoother":[77],"flow":[79],"along":[80],"continuum":[82],"care.":[84],"*To":[85],"achieve":[86],"sustained":[88],"improvement":[89,124],"performance,":[91],"numerous":[92],"solutions":[93],"must":[94],"be":[95],"simultaneously":[96],"implemented":[97],"each":[99],"hospital.":[100],"*With":[101],"multipronged":[103],"approach,":[104],"turnaround":[106],"emergency":[109],"access":[110],"has":[112,125],"achieved":[114],"face":[117],"rising":[119],"demand":[120],"for":[121,139],"services;":[122],"continued":[126],"3":[128],"years.":[129],"*This":[130],"article":[131],"reports":[132],"on":[133],"our":[134],"findings":[135],"from":[136],"system-wide":[137],"unplanned":[140],"attendances.":[142]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2019,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":2},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":2},{"year":2012,"cited_by_count":4}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
