What does this research mean for the field?

A consensus-based framework comprising 48 key performance indicators and system requirements—including operational metrics, strategic indicators, and role-specific alerts—provides a standardized blueprint for implementing real-time emergency department dashboards in Portugal. Novelty: ClaimNovelty.METHODOLOGICAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To identify and establish expert consensus on key performance indicators and technological requirements for real-time decision-support dashboards in emergency departments.

August 28, 2026BMC Health Services ResearchOpen Access

Dashboard to support emergency department management

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To identify and establish expert consensus on key performance indicators and technological requirements for real-time decision-support dashboards in emergency departments.
Conducted a two-round, anonymous online modified Delphi panel with multidisciplinary Portuguese emergency care experts, including clinicians, nurse managers, hospital administrators, and informatics specialists.
Evaluated 68 candidate operational metrics, strategic indicators, and system functionalities using a five-point Likert scale, defining consensus as at least 80% participant agreement across rounds (N=22 in round 1; N=19 in round 2).
Achieved consensus (≥80% agreement) on 48 of 68 proposed items (71%) in Round 1, consisting of 11 real-time operational metrics, 8 strategic performance indicators, and 29 system functionalities.
Identified strong expert prioritization for role-specific visualization, leadership-focused access, and automated alerts for overcrowding, triage breaches, diagnostic delays, and bed shortages.
Noted high implementation costs and inadequate technological infrastructure across hospital systems as the primary operational barriers to dashboard adoption.

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Implication

Delphi consensus study identifies key performance indicators for emergency department dashboards among multidisciplinary experts, highlighting critical operational alerts and system requirements.

Cite This Study

Ferreira et al. (2026) studied this question.

synapsesocial.com/papers/6a914599d15324a1df3a8ee3 https://doi.org/10.1186/s12913-026-14537-8

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Implication

Delphi consensus study identifies key performance indicators for emergency department dashboards among multidisciplinary experts, highlighting critical operational alerts and system requirements.

Dashboard to support emergency department management

Key Points

Discussion

Implication

Cite This Study

Dashboard to support emergency department management

Key Points

Discussion

Implication

Cite This Study

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