Journal article

Measurement and improvement of emergency department performance through inspection and rating: an observational study of emergency departments in acute hospitals in England

Thomas Allen, Kieran Walshe, Nathan Proudlove, Matt Sutton

Emergency Medicine Journal | BMJ Publishing Group | Published : 2019


Introduction: Hospital inspection and the publication of inspection ratings are widely used regulatory interventions that may improve hospital performance by providing feedback, creating incentives to change and promoting choice. However, evidence that these interventions assess performance accurately and lead to improved performance is scarce. Methods: We calculated six standard indicators of emergency department (ED) performance for 118 hospitals in England whose EDs were inspected by the Care Quality Commission, the national regulator in England, between 2013 and 2016. We linked these to inspection dates and subsequent rating scores. We used multilevel linear regression models to estimat..

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Awarded by NIHR

Funding Acknowledgements

This research was funded by the NIHR Policy Research Programme (PR-R11-0914-12001). The open access funding was provided by the Institute for Health Policy and Organisation, University of Manchester.