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Getting started with the Emergency Department domain

Transform your ED operations with predictive insights

The Emergency Department (ED) domain in SystemView provides real-time and predictive insights that help hospitals manage demand, prevent bottlenecks, and improve patient outcomes.
It brings together powerful analytics and visualisations across the entire unscheduled care pathway, giving teams the information they need to take timely, data-driven action.

In this article:

What the ED domain does

Emergency Departments face constant pressure to deliver safe, timely care despite fluctuating demand and limited resources.
The ED domain provides a single view of patient flow, demand, and performance across the department, enabling proactive management rather than reactive response.

Key benefits

  • Real-time command centre: Monitor your ED with live, configurable visualisations that identify bottlenecks and constraints as they happen.
  • Predictive operations: Forecast patient arrivals and flow to take action before pressure builds.
  • Optimal bed allocation: Analyse ED bed usage and demand patterns to optimise physical layout and patient allocation.
  • Performance improvement: Replay daily operations to identify bottlenecks, test solutions, and refine processes.
  • Cross-department coordination: Support collaboration between ED and inpatient teams through shared data and standardised system logic.

How the ED domain is structured

The domain is divided into key component groups that represent different operational layers of ED management.

Category What it helps you do
🔗 Department Now Monitor live ED activity, view patients waiting for admission, and identify current bottlenecks.
🔗 Flow Monitor Trace the movement of patients through ED in real time or replay historical flow for review.
🔗 Performance Trends & Analytics Analyse performance metrics, breaches, demand patterns, and subspecialty review activity.
🔗 Modelling & Capacity Planning Use predictive models to plan optimal staffing and bed capacity based on historical trends.
🔗 Clinical & Support Tools Access clinician-level insights and review breach causes to support operational improvements.

Together, these components provide a complete, data-driven picture of how your department is functioning, both in the moment and over time.

Who uses the ED domain

The ED domain supports frontline clinicians, operational managers, and hospital executives to align resources, manage performance, and enhance patient flow.

Role What they use it for
ED Nurse Unit Managers (NUMs) Oversee live department status, patient flow, and staff coordination.
ED Consultants and Clinicians Review current workload, monitor breaches, and analyse subspecialty reviews.
Patient Flow and Bed Managers Track patients waiting for admission and coordinate inpatient handovers.
Hospital Command Centre Teams Use predictive data to anticipate surges and make proactive decisions.
Executives and Performance Analysts Monitor KPIs, trends, and system-level performance to identify improvement opportunities.

How to get started

  1. View your live department status
    Start with Department Now > Situation Report › to monitor current activity, arrivals, and patients waiting for admission.
  2. Track patient movement and flow
    Use Flow Monitor > Live Patient Flow › to see how patients are progressing through the department in real time.
  3. Analyse performance metrics
    Open NEAT / PET / ELOS Analysis › to review key ED performance indicators and identify where time targets are being exceeded.
  4. Understand breach causes
    Use Breach Analysis › and Historic Breach Analysis › to explore where and why breaches occur, and how patterns change over time.
  5. Review demand and trends
    Visit Trends > Demand & Activity › to identify peak periods, arrival trends, and workload distribution by triage category or diagnosis.
  6. Forecast capacity and plan ahead
    Use the LoS & Bed Capacity Model  › to predict how bed demand, length of stay, and admission patterns will affect future ED performance.

Video walkthrough

🎥 Watch the Introduction to the Emergency Department Domain video for a quick tour of components, navigation tips, and key concepts.

Want a detailed breakdown?

If you’d like a more detailed look at every component, chart, patient list, and tile in the Surgery domain, you can download the full SystemView Emergency Department User Guide below.

📎 Download: SystemView Emergency Department Guide

Tips for success

  • Check Department Now › daily. It gives you the most accurate real-time picture of current constraints and flow.
  • Use Flow Monitor › to replay activity. Reviewing recent patient flow helps identify where bottlenecks start.
  • Pair breaches with demand analysis. Use Breach Analysis › and Trends > Demand & Activity › together to understand root causes.
  • Integrate with the Beds › domain. ED performance is closely tied to inpatient flow and discharge timing.
  • Monitor predictive models weekly. Keep track of forecasted surges to plan staffing and resource allocation early.