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An Updated Framework on Quality and Safety in Emergency Medicine

Emergency Medicine has been in existence for over 50 years; its rise and spread across the
globe occurred through an almost simultaneous development in the IFEM founder nations of
Australia, Canada, New Zealand, United States, and the United Kingdom.
Emergency Medicine is increasingly established in developed and developing nations,
reflected by the increased membership of the International Federation to 64 member
Organisations and over 80 countries in 2018. The Emergency Department (ED) is being
increasingly utilised by patients, who regard it as providing accessible, timely and high-quality
health care, as well as serving an important ‘safety-net’ function. The rise in the use of EDs
exceeds population growth and changes in population morbidity2 and presents particular system challenges of crowding, assessment and treatment delays. There is the potential for a reduction in both the quality and safety of care, especially if capacity cannot grow to match demand3,4. The ED may be known by various terms in different jurisdictions including Emergency Room (ER), Accident and Emergency (A+E), Emergency Units (EUs), Receiving Room or Casualty.

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