Write a paper regarding the title and the Abstract attached? 2- APA style? 3- Follow the SQUIRE guidance and fields 3- Add references?Introduction.docxSQUIRE2.0ChecklistforReviewe

1- Write a paper regarding the title and the Abstract attached 

2- APA style 

3- Follow the SQUIRE guidance and fields

3- Add references 

  • Introduction.docx

  • SQUIRE2.0ChecklistforReviewers160315.pdf

Improvement in Return to ED Safety Measures in KAMC-NGHA)


Emergency department return cases as critical/dead patients is a concern to be measured and valued for any healthcare organization.


This study aimed to reduce the return of critical/dead adult patients to ER within 72 hours in King Abdulaziz Medical City (KAMC) at National Guard Health Affairs (NGHA) in the Kingdom of Saudi Arabia (KSA) and identify the inappropriate discharge of the first visit.


We conducted a multidisciplinary approach started in 2022 to monitor the ED return cases through daily trigger notification within 72 hours. Implement a consultation checklist through the HIS. SMS escalation message to leadership for any sentinel or serious event. Moreover, ensure appropriate discharge by involving subspecialty to physically assess the patient before discharge. Data was captured through the dashboard for 2021 until March 2023


The events were reduced from 0.13 % in 2021 to 0.08% in 2022-2023.

Conclusion: Continuous monitoring is required by applying daily trigger tools. Analyzing and escalating the return patients to ED in KAMC-NGHA.

Keywords: ED, Emergency Department, HIS, ER, KAMC, NGHA, KSA.

Figure 1: ED Return as Critical/Dead



Revised Standards for Quality Improvement Reporting Excellence (SQUIRE 2.0)

September 15, 2015

Text Section and Item

Name Section or Item Description

Notes to authors

 The SQUIRE guidelines provide a framework for

reporting new knowledge about how to improve


 The SQUIRE guidelines are intended for reports that

describe system level work to improve the quality,

safety, and value of healthcare, and used methods to

establish that observed outcomes were due to the


 A range of approaches exists for improving

healthcare. SQUIRE may be adapted for reporting

any of these.

 Authors should consider every SQUIRE item, but it

may be inappropriate or unnecessary to include

every SQUIRE element in a particular manuscript.

 The SQUIRE Glossary contains definitions of many

of the key words in SQUIRE.

 The Explanation and Elaboration document provides

specific examples of well-written SQUIRE items,

and an in-depth explanation of each item.

 Please cite SQUIRE when it is used to write a


As you review the

manuscript, place a

checkmark in this

column for each

SQUIRE item that is


addressed in the


Remember that not

every item is

necessary in every


Title and Abstract

1. Title

Indicate that the manuscript concerns an initiative to

improve healthcare (broadly defined to include the quality,

safety, effectiveness, patient-centeredness, timeliness, cost,

efficiency, and equity of healthcare)

2. Abstract

a. Provide adequate information to aid in searching and


b. Summarize all key information from various sections of

the text using the abstract format of the intended

publication or a structured summary such as:

background, local problem, methods, interventions,

results, conclusions

Introduction Why did you start?

3. Problem

Description Nature and significance of the local problem

4. Available


Summary of what is currently known about the problem,

including relevant previous studies

5. Rationale

Informal or formal frameworks, models, concepts, and/or

theories used to explain the problem, any reasons or

assumptions that were used to develop the intervention(s),

and reasons why the intervention(s) was expected to work

6. Specific aims Purpose of the project and of this report

Methods What did you do?

7. Context Contextual elements considered important at the outset of

introducing the intervention(s)

8. Intervention(s)

a. Description of the intervention(s) in sufficient detail that

others could reproduce it

b. Specifics of the team involved in the work

9. Study of the


a. Approach chosen for assessing the impact of the


b. Approach used to establish whether the observed

outcomes were due to the intervention(s)

10. Measures

a. Measures chosen for studying processes and outcomes

of the intervention(s), including rationale for choosing

them, their operational definitions, and their validity and


b. Description of the approach to the ongoing assessment

of contextual elements that contributed to the success,

failure, efficiency, and cost

c. Methods employed for assessing completeness and

accuracy of data

11. Analysis

a. Qualitative and quantitative methods used to draw

inferences from the data

b. Methods for understanding variation within the data,

including the effects of time as a variable

12. Ethical


Ethical aspects of implementing and studying the

intervention(s) and how they were addressed, including, but

not limited to, formal ethics review and potential conflict(s)

of interest

Results What did you find?

13. Results

a. Initial steps of the intervention(s) and their evolution

over time (e.g., time-line diagram, flow chart, or table),

including modifications made to the intervention during

the project

b. Details of the process measures and outcome

c. Contextual elements that interacted with the


d. Observed associations between outcomes, interventions,

and relevant contextual elements

e. Unintended consequences such as unexpected benefits,

problems, failures, or costs associated with the


f. Details about missing data

Discussion What does it mean?

14. Summary

a. Key findings, including relevance to the rationale and

specific aims

b. Particular strengths of the project

15. Interpretation

a. Nature of the association between the intervention(s)

and the outcomes

b. Comparison of results with findings from other


c. Impact of the project on people and systems

d. Reasons for any differences between observed and

anticipated outcomes, including the influence of context

e. Costs and strategic trade-offs, including opportunity


16. Limitations

a. Limits to the generalizability of the work

b. Factors that might have limited internal validity such as

confounding, bias, or imprecision in the design,

methods, measurement, or analysis

c. Efforts made to minimize and adjust for limitations

17. Conclusions

a. Usefulness of the work

b. Sustainability

c. Potential for spread to other contexts

d. Implications for practice and for further study in the


e. Suggested next steps

Other information

18. Funding

Sources of funding that supported this work. Role, if any, of

the funding organization in the design, implementation,

interpretation, and reporting


(USA, AUS, UK & CA PhD. Writers)


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