Louella Vaughan

TL;DR: This manuscript represents a synopsis of the lectures on overcrowding problems in the ED of the Third Italian GREAT Network Congress, held in Rome, 15–19 October 2012, and hopefully, they may provide valuable contributions in the understanding of ED crowding solutions.

TL;DR: Limited observational data suggest AMUs reduce in-patient mortality, length of stay and emergency department access block without increasing readmission rates, and improve patient and staff satisfaction.

TL;DR: The NEWS measured at different time points was a good predictor of patient outcomes and can be of additional value in the emergency department to longitudinally monitor patients throughout their stay in the ED and in the hospital.

TL;DR: It was found that only one of the eight countries (Italy) had drawn up a national policy on hospitals in rural or remote areas, and common challenges can be identified, including the financial sustainability of services, the importance of medical education and telemedicine and the provision of quick transport to more specialized services.

TL;DR: There is a high degree of support for structured change to the current provisions for junior doctor changeover, with strong support for a staggered changeover by grade.