Access Block
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of admitted patients still in ED at eight hours. Access block refers to the situation where patients are unable to gain access to appropriate hospital beds within a reasonable amount of time, no greater than 8 hours (Australasian College For Emergency Medicine Definition)
Numerator
Number of admitted patients still in ED at eight hours (inferred).
Denominator
Number of patients admitted from ED (inferred).
Exclusions
Use of Risk Adjustment
Risk Adjustments
Stratifications
Data Attributes
Type of Data Collection
Data Collection Methods
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Recommended quality measured for District Health Boards. Unable to determine if currently/routinely reported
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Jones P, Wells S, Harper A, Le Fevre J, Stewart J, Curtis E, Reid P, Ameratunga S. Impact of a national time target for ED length of stay on patient outcomes. N Z Med J. 2017 May 12;130(1455):15-34. PMID: 28494475. www.health.govt.nz/system/files/documents/publications/quality-famework-suite-of-quality-measures-for-ed.pdf#:~:text=In%20July%202009%20New%20Zealand%20%28NZ%29%20adopted%20the,discharged%20or%20transferred%20within%20six%20hours%20of%20presentation.%E2%80%99