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. Author manuscript; available in PMC: 2020 Mar 1.
Published in final edited form as: Ann Emerg Med. 2018 Oct 11;73(3):237–247. doi: 10.1016/j.annemergmed.2018.08.439

Table 1.

Emergency medicine work domains and associated quality indicators: 3 domains of ED clinical care, clinical examples with associated quality care indicators, and opioid use disorder corollaries.

Emergency Department Work Domain Clinical Example Emergency Care Quality Indicators Application to OUD
Time-sensitive treatment and stabilization Acute myocardial infarction Door-to-balloon time Overdose reversal and clinical stabilization Treatment of severe withdrawal
Stroke Door-to-needle time
Door-to-CT time
Sepsis Initial sepsis bundle compliance
Trauma Appropriate head CT use
Protocolized trauma care
Acute diagnostic center Chest pain Timely ECG and cardiac biomarkers Assessment of undifferentiated altered mental status
Abdominal pain hCG testing in women Identification of OUD
Headache Appropriate head CT use
Interpersonal violence Intimate partner violence screening Treatment of opioid withdrawal
Sexual assault Sexual assault nurse examiner evaluation
STI testing STI testing and treatment
Health care access and treatment linkage Diabetes Initiation of antihyperglycemics
Hypertension Home medication adjustment Referral to OUD treatment
Early pregnancy Linkage to reproductive health care provider
Tobacco use Provision of smoking cessation resources Harm reduction (naloxone,
Suicidal ideation Linkage to psychiatric services overdose education, syringe access)
Child and elder abuse Mandatory reporting

hCG; Human chorionic gonadotropin; OUD, opioid use disorder.