Validation and Impact of the Four-Hour Rule in the Emergency Department

How effective is the four-hour rule (National Emergency Access Target) in reducing access block and the adverse effects of overcrowding on patients?

Grant ID: PROJ-2010-002-BURKE

Lay Summary

This is a national collaborative research project approved by the National Health and Medical Research Council Partnership Projects scheme. This project aims to identify how the four-hour rule is effective in reducing access block and the adverse effects of emergency department overcrowding on patients. In particular, it will assess the impact of the four-hour rule as a policy intervention in reducing emergency department length of stay (EDLOS) over time in WA and compare the outcomes against comparable hospitals in NSW, Qld and ACT.
This project hypothesises that effective intervention for reducing EDLOS will translate into improved patient outcomes, particularly in subgroups identified as associated with the most harm from overcrowding.
This research has the potential to develop and promote long-term partnerships amongst hospitals, health services, ambulance services and researchers to conduct collaborative research related to adverse patient outcomes, overcrowding and access block in emergency departments.


Leveraged Funds

- $41,716 NHMRC


Dissemination

Conference Proceedings/Abstracts:

NEAT: building a cart before evaluating the horse. NHMRC Research Translation Symposium. Oral presentation. Sofitel Sydney Wentworth, Sydney. 27-28 Oct 2015.

The Four-Hour Rule in WA Hospital Emergency Departments: How Did It Fare? ACEM’s 32nd Annual Scientific Meeting. Oral presentation. Convention Centre, Brisbane. 22-26 Nov 2015.

Using Dynamic Modelling To Improve Daily ED Performance. ACEM’s 32nd Annual Scientific Meeting. Oral presentation. Convention Centre, Brisbane. 22-26 Nov 2015.

Opening Pandora’s Box?: A simulation model in the ED to achieve the National Emergency Access Target (NEAT). ACEM’s 32nd Annual Scientific Meeting. Oral presentation. Convention Centre, Brisbane. 22-26 Nov 2015.


SHARE

Amount Awarded
$50,000


Program


Grant Scheme


Status
Active


Principal Investigator:
Dr John Burke


Co Investigators:
Prof Gerry FitzGerald


Institution


Collaborating Institutions


CONTACT US +61 7 3720 5700 info@emfoundation.org.au 2/15 Lang Parade Milton Qld 4064