The Quebec emergency department guide: A cross-sectional study to evaluate its use, perceived usefulness, and implementation in rural emergency departments

Fleet, Richard; Hegg-Deloye, Sandrine; Maltais-Giguère, Julie; Ouimet, Mathieu; Poitras, Julien; Tanguay, Alain; Archambault, Patrick; Lévesque, Jean‐Frédéric; Simard-Racine, Geneviève; Dupuis, Gilles

doi:10.1017/cem.2017.423

Cited by 1 publication

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References 10 publications

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“…Our findings highlight that many barriers remain to improving the delivery of care in rural EDs. While current Emergency Department Management Guidelines in Québec include a small section on rural EDs [25], it is clear from our findings and from previous work [5,29] that the use of these guidelines is limited in rural EDs. Mobilizing rural stakeholders in a dialogue about challenges and solutions may be a promising approach to foster improvements.…”

Section: Mobilizing Stakeholders To Foster Implementation Of Solutionmentioning

confidence: 61%

Improving delivery of care in rural emergency departments: a qualitative pilot study mobilizing health professionals, decision-makers and citizens in Baie-Saint-Paul and the Magdalen Islands, Québec, Canada

Fleet

Turgeon-Pelchat

Smithman

et al. 2020

BMC Health Serv Res

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Background: Emergency departments (EDs) in rural and remote areas face challenges in delivering accessible, high quality and efficient services. The objective of this pilot study was to test the feasibility and relevance of the selected approach and to explore challenges and solutions to improve delivery of care in selected EDs. Methods: We conducted an exploratory multiple case study in two rural EDs in Québec, Canada. A survey filled out by the head nurse for each ED provided a descriptive statistical portrait. Semi-structured interviews were conducted with ED health professionals, decision-makers and citizens (n = 68) and analyzed inductively and thematically. Results: The two EDs differed with regards to number of annual visits, inter-facility transfers and wait time. Stakeholders stressed the influence of context on ED challenges and solutions, related to: 1) governance and management (e.g. lack of representation, poor efficiency, ill-adapted standards); 2) health services organization (e.g. limited access to primary healthcare and long-term care, challenges with transfers); 3) resources (e.g. lack of infrastructure, limited access to specialists, difficult staff recruitment/retention); 4) and professional practice (e.g. isolation, large scope, maintaining competencies with low case volumes, need for continuing education, teamwork and protocols). There was a general agreement between stakeholder groups. Conclusions: Our findings show the feasibility and relevance of mobilizing stakeholders to identify contextspecific challenges and solutions. It confirms the importance of undertaking a larger study to improve the delivery of care in rural EDs.

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Section: Mobilizing Stakeholders To Foster Implementation Of Solutionmentioning

confidence: 61%

Improving delivery of care in rural emergency departments: a qualitative pilot study mobilizing health professionals, decision-makers and citizens in Baie-Saint-Paul and the Magdalen Islands, Québec, Canada

Fleet

Turgeon-Pelchat

Smithman

et al. 2020

BMC Health Serv Res

Self Cite

View full text Add to dashboard Cite

show abstract

The Quebec emergency department guide: A cross-sectional study to evaluate its use, perceived usefulness, and implementation in rural emergency departments

Abstract: Although the QEDMG is considered a useful guide for rural EDs, it is not optimally known or used in rural EDs, especially by physician management. Stakeholders should consider these findings before implementing the revised versions of the QEDMG.

Cited by 1 publication

References 10 publications

Improving delivery of care in rural emergency departments: a qualitative pilot study mobilizing health professionals, decision-makers and citizens in Baie-Saint-Paul and the Magdalen Islands, Québec, Canada

Improving delivery of care in rural emergency departments: a qualitative pilot study mobilizing health professionals, decision-makers and citizens in Baie-Saint-Paul and the Magdalen Islands, Québec, Canada

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