Authors response to 'Impact of physician navigators: looking beyond productivity metrics and silver bullets by Leung et al

We would like to thank Dr Leung et al1 and the editors for the opportunity to engage in further discussion on the issues presented in our commentary entitled 'Tackling the demand for emergency department services: there are no silver bullets'.2 We believe that the intervention proposed by Leung et al3 demonstrated improved timeliness to definitive patient care and was an important contribution to the medical literature around emergency department (ED) flow optimisation. Furthermore, we applaud the authors on a broader adoption of the programme to their local clinical environment and their ability to change culture in the clinical setting.

Our initial commentary centred around quality improvement (QI) science methodology and appropriate application of its tenets. In the paper by Leung et al,3 a novel application was proposed in face of a common ED problem. While the study contributes to our understanding...

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