Trends in access block 2011 to 2013: The Redcliffe National Emergency Access Target experience

Abstract

NEAT has been a driver of significant improvements in access block at our institution. We see significant issues with raising the NEAT threshold to the proposed 90% in 2015, and support recent calls for re-evaluation and modification of the target.

Training in the era of time‐based targets: Balancing service provision with education

“…ED presentations increased by 10% over the same time period. 7 Clinicians in Brisbane 8 and New Zealand 3 have reported similar findings.…”

Intravenous versus oral paracetamol for acute pain in adults in the emergency department setting: a prospective, double-blind, double-dummy, randomised controlled trial

“…Later time points in our study suffered from lack of power, with fewer patients remaining in the analysis. The ‘National Emergency Access Targets’ in use at the time required that 90% of patients leave the ED for admission, discharge or transfer within 4 hours,26 thus constraining access to longer-term data.…”

Perspectives on the evolution of time‐based targets and their impact on emergency medicine training

“…During the same year, a 4 h target was introduced in Western Australia (WA), and in 2011 the National Emergency Access Target (NEAT) was rolled out across Australia . Large studies investigating the impact of these targets on patient‐oriented outcomes are under way in both NZ and Australia, and data from a number of individual sites have already been published . At the time of their launch, no prospective studies were commissioned to measure their impact on teaching and learning in EDs, despite recommendations that NEAT be reviewed with respect to any possible impact on education and training.…”