Editorial

ABSTRACT

The sense of risk associated with managing a workload which feels unsafe, of offering only the essential cares, and of working with a reduced workload as a result of sickness and low base numbers creates a tense and reactive workforce. If the resource is in terms of security systems or services, the input in terms of cost, staff numbers, and training to achieve meaningful improvement is again a significant consideration, and one that under our new health system should be addressed at a national level, to ensure equity across services. The role of security services and their interaction with the ED alongside the use of code responses are outlined in the cases for Middlemore and Taranaki Base hospital EDs - all providing additional ideas and opportunities to consider.