{"id":"https://openalex.org/W2398028140","doi":"https://doi.org/10.3233/978-1-61499-427-5-54","title":"Mid-term NEAT review: Analysing the improvements in hospital ED performance","display_name":"Mid-term NEAT review: Analysing the improvements in hospital ED performance","publication_year":2014,"publication_date":"2014-01-01","ids":{"openalex":"https://openalex.org/W2398028140","doi":"https://doi.org/10.3233/978-1-61499-427-5-54","mag":"2398028140","pmid":"https://pubmed.ncbi.nlm.nih.gov/25087527"},"language":"en","primary_location":{"id":"doi:10.3233/978-1-61499-427-5-54","is_oa":false,"landing_page_url":"https://doi.org/10.3233/978-1-61499-427-5-54","pdf_url":null,"source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"type":"article","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/A5083685928","display_name":"Sankalp Khanna","orcid":"https://orcid.org/0000-0001-6125-8871"},"institutions":[{"id":"https://openalex.org/I4210141844","display_name":"Australian e-Health Research Centre","ror":"https://ror.org/04ywhbc61","country_code":"AU","type":"facility","lineage":["https://openalex.org/I1292875679","https://openalex.org/I2801244131","https://openalex.org/I2801453606","https://openalex.org/I4210141844","https://openalex.org/I4387156119"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Khanna Sankalp","raw_affiliation_strings":["The CSIRO Australian E-Health Research Centre, Brisbane, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The CSIRO Australian E-Health Research Centre, Brisbane, Australia","institution_ids":["https://openalex.org/I4210141844"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034991787","display_name":"Justin Boyle","orcid":"https://orcid.org/0000-0001-9025-1441"},"institutions":[{"id":"https://openalex.org/I4210141844","display_name":"Australian e-Health Research Centre","ror":"https://ror.org/04ywhbc61","country_code":"AU","type":"facility","lineage":["https://openalex.org/I1292875679","https://openalex.org/I2801244131","https://openalex.org/I2801453606","https://openalex.org/I4210141844","https://openalex.org/I4387156119"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Boyle Justin","raw_affiliation_strings":["The CSIRO Australian E-Health Research Centre, Brisbane, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The CSIRO Australian E-Health Research Centre, Brisbane, Australia","institution_ids":["https://openalex.org/I4210141844"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041254443","display_name":"Norm Good","orcid":"https://orcid.org/0000-0001-6446-7644"},"institutions":[{"id":"https://openalex.org/I4210141844","display_name":"Australian e-Health Research Centre","ror":"https://ror.org/04ywhbc61","country_code":"AU","type":"facility","lineage":["https://openalex.org/I1292875679","https://openalex.org/I2801244131","https://openalex.org/I2801453606","https://openalex.org/I4210141844","https://openalex.org/I4387156119"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Good Norm","raw_affiliation_strings":["The CSIRO Australian E-Health Research Centre, Brisbane, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The CSIRO Australian E-Health Research Centre, Brisbane, Australia","institution_ids":["https://openalex.org/I4210141844"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5004109324","display_name":"James Lind","orcid":null},"institutions":[{"id":"https://openalex.org/I2800155786","display_name":"Gold Coast Hospital","ror":"https://ror.org/05eq01d13","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I1302211766","https://openalex.org/I2800155786","https://openalex.org/I2801244131"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Lind James","raw_affiliation_strings":["Gold Coast Hospital, Queensland Health, Gold Coast, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Gold Coast Hospital, Queensland Health, Gold Coast, Australia","institution_ids":["https://openalex.org/I2800155786"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":11.0035,"has_fulltext":false,"cited_by_count":3,"citation_normalized_percentile":{"value":0.98568702,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":90,"max":96},"biblio":{"volume":"204","issue":null,"first_page":"54","last_page":"9"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.998199999332428,"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":0.998199999332428,"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/T11376","display_name":"Geriatric Care and Nursing Homes","score":0.9574000239372253,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9197999835014343,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/overcrowding","display_name":"Overcrowding","score":0.8934717178344727},{"id":"https://openalex.org/keywords/workflow","display_name":"Workflow","score":0.6348526477813721},{"id":"https://openalex.org/keywords/emergency-department","display_name":"Emergency department","score":0.5897555947303772},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.5353589057922363},{"id":"https://openalex.org/keywords/work","display_name":"Work (physics)","score":0.5008716583251953},{"id":"https://openalex.org/keywords/facilitation","display_name":"Facilitation","score":0.4732273817062378},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.45551860332489014},{"id":"https://openalex.org/keywords/operations-management","display_name":"Operations management","score":0.41162770986557007},{"id":"https://openalex.org/keywords/emergency-medicine","display_name":"Emergency medicine","score":0.3837200105190277},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.24840739369392395},{"id":"https://openalex.org/keywords/psychology","display_name":"Psychology","score":0.22534149885177612},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.20224490761756897},{"id":"https://openalex.org/keywords/engineering","display_name":"Engineering","score":0.19893845915794373},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.13533088564872742}],"concepts":[{"id":"https://openalex.org/C2778872837","wikidata":"https://www.wikidata.org/wiki/Q7113614","display_name":"Overcrowding","level":2,"score":0.8934717178344727},{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.6348526477813721},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.5897555947303772},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.5353589057922363},{"id":"https://openalex.org/C18762648","wikidata":"https://www.wikidata.org/wiki/Q42213","display_name":"Work (physics)","level":2,"score":0.5008716583251953},{"id":"https://openalex.org/C1337776","wikidata":"https://www.wikidata.org/wiki/Q1941955","display_name":"Facilitation","level":2,"score":0.4732273817062378},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.45551860332489014},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.41162770986557007},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3837200105190277},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.24840739369392395},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.22534149885177612},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.20224490761756897},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.19893845915794373},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.13533088564872742},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0},{"id":"https://openalex.org/C169760540","wikidata":"https://www.wikidata.org/wiki/Q207011","display_name":"Neuroscience","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C77088390","wikidata":"https://www.wikidata.org/wiki/Q8513","display_name":"Database","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D001509","descriptor_name":"Bed Occupancy","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D001509","descriptor_name":"Bed Occupancy","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D001509","descriptor_name":"Bed Occupancy","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D003441","descriptor_name":"Crowding","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003441","descriptor_name":"Crowding","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003441","descriptor_name":"Crowding","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":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D005869","descriptor_name":"Ghana","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005869","descriptor_name":"Ghana","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005869","descriptor_name":"Ghana","qualifier_ui":null,"qualifier_name":null,"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":"D006297","descriptor_name":"Health Services Accessibility","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":"D006760","descriptor_name":"Hospitalization","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014850","descriptor_name":"Waiting Lists","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014850","descriptor_name":"Waiting Lists","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014850","descriptor_name":"Waiting Lists","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016526","descriptor_name":"Workload","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D016526","descriptor_name":"Workload","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D016526","descriptor_name":"Workload","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D017598","descriptor_name":"Efficiency, Organizational","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D017598","descriptor_name":"Efficiency, Organizational","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D017598","descriptor_name":"Efficiency, Organizational","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057188","descriptor_name":"Workflow","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057188","descriptor_name":"Workflow","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057188","descriptor_name":"Workflow","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.3233/978-1-61499-427-5-54","is_oa":false,"landing_page_url":"https://doi.org/10.3233/978-1-61499-427-5-54","pdf_url":null,"source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},{"id":"pmid:25087527","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/25087527","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,"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":"Studies in health technology and informatics","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.699999988079071,"id":"https://metadata.un.org/sdg/3"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4321054264","https://openalex.org/W4382936642","https://openalex.org/W2031219210","https://openalex.org/W2336075604","https://openalex.org/W3132755233","https://openalex.org/W4253365012","https://openalex.org/W3168131898","https://openalex.org/W2087024057","https://openalex.org/W2141668586","https://openalex.org/W2092734722"],"abstract_inverted_index":{"Introduced":[0],"with":[1],"a":[2,37,45,109],"promise":[3],"to":[4,19,68,86,108,144,172],"reduce":[5],"overcrowding":[6],"in":[7,150],"the":[8,13,23,63,76,92,100,114,152],"Emergency":[9,25],"Department":[10],"(ED)":[11],"and":[12,16,56,104,128,156,176],"associated":[14],"morbidity":[15],"mortality":[17],"linked":[18],"bed":[20],"access":[21],"difficulties,":[22],"National":[24],"Access":[26],"Target":[27],"(NEAT)":[28],"is":[29],"now":[30],"over":[31,99],"halfway":[32],"through":[33],"transitionary":[34],"arrangements":[35],"towards":[36],"target":[38],"of":[39,41,78,95,120,126,158],"90%":[40],"patients":[42],"that":[43,75,112],"visit":[44],"hospital":[46],"ED":[47,117],"being":[48,84],"admitted":[49],"or":[50],"discharged":[51],"within":[52],"4":[53,115,146],"hours.":[54],"Facilitation":[55],"reward":[57],"funding":[58],"has":[59],"ensured":[60],"hospitals":[61,79,98,122,139],"around":[62],"country":[64],"are":[65,80],"remodelling":[66],"workflows":[67],"ensure":[69],"compliance.":[70],"Recent":[71],"reports":[72],"however":[73],"show":[74],"majority":[77],"still":[81],"far":[82],"from":[83],"able":[85],"meet":[87],"this":[88,106],"target.":[89],"We":[90],"investigate":[91],"NEAT":[93,160],"journey":[94],"30":[96],"Queensland":[97],"past":[101],"two":[102],"years":[103],"compare":[105],"performance":[107,119,149],"previous":[110],"study":[111],"investigated":[113],"hour":[116,147],"discharge":[118,148],"these":[121],"at":[123],"various":[124],"times":[125],"day":[127],"under":[129],"varying":[130],"occupancy":[131],"conditions.":[132],"Our":[133],"findings":[134],"reveal":[135],"that,":[136],"while":[137],"most":[138],"have":[140],"made":[141],"significant":[142],"improvements":[143],"their":[145],"2013,":[151],"underlying":[153],"flow":[154],"patterns":[155],"periods":[157],"poor":[159],"compliance":[161],"remain":[162],"largely":[163],"unchanged.":[164],"The":[165],"work":[166],"identifies":[167],"areas":[168],"for":[169],"targeted":[170],"improvement":[171],"inform":[173],"system":[174],"redesign":[175],"workflow":[177],"planning.":[178]},"counts_by_year":[{"year":2016,"cited_by_count":2},{"year":2015,"cited_by_count":1}],"updated_date":"2026-06-11T09:08:48.828518","created_date":"2025-10-10T00:00:00"}