Correlations among common emergency medicine physician performance measures : Mixed messages or balancing forces?
Copyright © 2023 Elsevier Inc. All rights reserved..
The increasing complexity of ED physician performance measures has resulted in significant challenges, including duplicative and conflicting measures that fail to account for different ED settings. We performed a cross sectional analysis of correlations between measures to characterize their relationships and determine if differences exist between academic versus non-academic ED settings. Pearson correlations were calculated for 12 measures among 220 ED physicians at 11 EDs. Higher admission rate was strongly correlated with higher CT utilization rate (R = 0.7, p < 0.01) and longer room to discharge time (R = 0.7, p < 0.01). Higher patients per hour was strongly correlated with shorter room to doctor time (R = -0.7, p < 0.01). Stronger measure correlations were found in the academic setting compared to the non-academic setting. Strong correlations between ED measures imply opportunities to reduce competing performance demands on clinicians. Differences in correlations at academic versus non-academic settings suggest that it may be inappropriate to apply the same performance standards across settings.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:72 |
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| Enthalten in: |
The American journal of emergency medicine - 72(2023) vom: 07. Okt., Seite 58-63 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Scofi, Jean E [VerfasserIn] |
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| Links: |
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| Themen: |
Emergency medicine |
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| Anmerkungen: |
Date Completed 23.10.2023 Date Revised 24.10.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.ajem.2023.07.021 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
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| 520 | |a Copyright © 2023 Elsevier Inc. All rights reserved. | ||
| 520 | |a The increasing complexity of ED physician performance measures has resulted in significant challenges, including duplicative and conflicting measures that fail to account for different ED settings. We performed a cross sectional analysis of correlations between measures to characterize their relationships and determine if differences exist between academic versus non-academic ED settings. Pearson correlations were calculated for 12 measures among 220 ED physicians at 11 EDs. Higher admission rate was strongly correlated with higher CT utilization rate (R = 0.7, p < 0.01) and longer room to discharge time (R = 0.7, p < 0.01). Higher patients per hour was strongly correlated with shorter room to doctor time (R = -0.7, p < 0.01). Stronger measure correlations were found in the academic setting compared to the non-academic setting. Strong correlations between ED measures imply opportunities to reduce competing performance demands on clinicians. Differences in correlations at academic versus non-academic settings suggest that it may be inappropriate to apply the same performance standards across settings | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Emergency medicine | |
| 650 | 4 | |a Metrics | |
| 650 | 4 | |a Performance measures | |
| 650 | 4 | |a resource utilization | |
| 650 | 4 | |a throughput | |
| 700 | 1 | |a Underriner, Erin |e verfasserin |4 aut | |
| 700 | 1 | |a Sangal, Rohit B |e verfasserin |4 aut | |
| 700 | 1 | |a Rothenberg, Craig |e verfasserin |4 aut | |
| 700 | 1 | |a Patel, Amitkumar |e verfasserin |4 aut | |
| 700 | 1 | |a Pickens, Andrew |e verfasserin |4 aut | |
| 700 | 1 | |a Sather, John |e verfasserin |4 aut | |
| 700 | 1 | |a Parwani, Vivek |e verfasserin |4 aut | |
| 700 | 1 | |a Ulrich, Andrew |e verfasserin |4 aut | |
| 700 | 1 | |a Venkatesh, Arjun K |e verfasserin |4 aut | |
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