Unplanned Representation Rates Within 48 Hours of ED Attendance

Identifying Attributes

Care Settings
Care Transitions
Country
New Zealand
Publishing Organisation
A Quality Framework and Suite of Quality Measures for the Emergency Department Phase of Acute Patient Care in New Zealand
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Hospitalisation

Defining Attributes

Definition

The proportion of patients who presented to any ED within 48 hours of discharge from either an ED or a hospital ward

Numerator

Number of patients who presented to any ED within 48 hours of discharge from either an ED or a hospital ward.

Denominator

Number of patients discharged from ED and hospital ward (inferred).

Exclusions

Arranged inter-hospital transfers

Use of Risk Adjustment
No
Risk Adjustments
Stratifications

Collection and Reporting 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
No

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

Technical Specifications
Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
No
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025