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Emergency Department Historic Breach Analysis

Turning Past ED Breaches into Future Solutions

Location in SystemView: SystemView > Explore > Emergency Department > Historic Breach Analysis component 

What is it?

The Emergency Department (ED) Historic Breach Analysis gives you a real-time view of past ED breaches. It helps you learn from past patterns, understand why delays happened, and guide improvements for patient care and ED flow.

ED Breaches

 

Why it matters

Look back to move forward.

Delays in the ED impact patient outcomes and experience. Historic Breach Analysis empowers teams to spot trends and address root causes, supporting data-informed decisions and continuous improvement.

This feature makes it easy to:

  • Understand when and why breaches occurred

  • Identify operational bottlenecks

  • Evaluate the real-world impact of interventions

  • Build evidence-based business cases for resourcing or change

  • Continuously refine patient flow and care standards 

How to Use It

Filter to focus on your service

Use filters to tailor the view by:

  • KPI timeframe

  • Breach type

  • Age group

  • Admission status

  • Triage category

  • Area type

  • Admitting specialty

Use filters to narrow the results to just your team’s patients. Multiple filters can be applied at once.

Toggle your focus

You can toggle between breaches by:

  • Date of breach
  • Arrival date

  • Departure date

This ensures you’re always viewing the most relevant information for your operational decisions.

Check patterns over time

  • Analyse data from the past 7 days up to 12 months

  • Spot spikes in breaches and recurring issues

  • Use the Patient Journey View to see specific pathways and contributing factors

How it helps you

  • Saves time: No spreadsheets or manual tracking required

  • Highlights risks: Pinpoint where processes break down

  • Informs planning: Back up change proposals with real-world data

  • Drives accountability: Share insights with teams and decision-makers

Best Practice: How Often Should I Use It?

To get the most from the Historic Breach Analysis component, we recommend the following routine:

What to Do How Often Who Should Do It Why It Helps
Review ED Historic Breach view Weekly Ed managers, flow coordinators Plan improvements, target interventions
Spot-check during busy periods Daily Clinical & admin teams Identify patterns and escalate persistent issues 
Analyse trends for business cases Monthly Leaders, directors Build evidence for resourcing or process changes
Share insights with the team Weekly Team leads, senior staff Support ongoing improvement discussions
 

Tips for Success

  • Use filters to zero in on the breach type and timeframe or your area or specialty

  • Focus first on frequent or high-impact breach types

  • Compare changes over time to measure impact of process changes

  • Keep your team engaged – regular use leads to better patient flow and fewer delays