Key indicators of overcrowding in Canadian emergency departments: a Delphi study.

Key indicators of overcrowding in Canadian emergency departments: a Delphi study. Research Abstract Details 

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Key indicators of overcrowding in Canadian emergency departments: a Delphi study. Abstract Text:

Maria B Ospina,Kenneth Bond,Michael Schull,Grant Innes,Sandra Blitz,Brian H Rowe,Maria B Ospina,Kenneth Bond,Michael Schull,Grant Innes,Sandra Blitz,Brian H Rowe,

OBJECTIVE: To identify the level of consensus among a group of Canadian emergency department (ED) experts on the importance of a set of indicators to document ED overcrowding. METHODS: A 2-round Delphi survey was conducted from February 2005 to April 2005, with a multidisciplinary group of 38 Canadian experts in various aspects of ED operations who rated the relevance of 36 measures and ranked their relative importance as indicators of ED overcrowding. RESULTS: The response rates for the first and second rounds were 84% and 87%, respectively. The most important indicator identified by the experts was the percentage of the ED occupied by inpatients (mean on a 7-point Likert-type scale 6.53, standard deviation [SD] 0.80). The other 9 indicators, in order of the importance attributed, were the total number of ED patients (mean 6.35, SD 0.75), the total time in the ED (mean 6.16, SD 1.04), the percentage of time that the ED was at or above capacity (mean 6.16, SD 1.08), the overall bed occupancy (mean 6.19, SD 0.93), the time from bed request to bed assignment (mean 6.06, SD 1.08), the time from triage to care (mean 5.84, SD 1.08) the physician satisfaction (mean 5.84, SD 1.22), the time from bed availability to ward transfer (mean 5.53, SD 1.72) and the number of staffed acute care beds (mean 5.53, SD 1.57). CONCLUSION: Ten clinically important measures were prioritized by the participants as relevant indicators of ED overcrowding. Indicators derived from consensus techniques have face validity, but their metric properties must be tested to ensure their effectiveness for identifying ED overcrowding in different settings.

Key indicators of overcrowding in Canadian emergency departments: a Delphi study. Publishing Authors By Initials

MB Ospina,K Bond,M Schull,G Innes,S Blitz,BH Rowe,MB Ospina,K Bond,M Schull,G Innes,S Blitz,BH Rowe,

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Key indicators of overcrowding in Canadian emergency departments: a Delphi study. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: CJEM : Canadian journal of emergency medical care

VOLUME: 9

Page Numbers: 339-46

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ISSN: 1481-8035

DAY: 15

MONTH: Sep

YEAR: 2007

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LANGUAGE: eng

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AFFILIATION: University of Alberta Evidence-Based Practice Centre, Edmonton, Alberta, Canada.

Country: Canada

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MEDLINETA: CJEM

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