• Jean E Scofi, Erin Underriner, Rohit B Sangal, Craig Rothenberg, Amitkumar Patel, Andrew Pickens, John Sather, Vivek Parwani, Andrew Ulrich, and Arjun K Venkatesh.
• Department of Emergency Medicine, Yale University School of Medicine, New Haven, CT, United States of America. Electronic address: jean.scofi@gmail.com.
• Am J Emerg Med. 2023 Oct 1; 72: 586358-63.

AbstractThe 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.Copyright © 2023 Elsevier Inc. All rights reserved.

10 keywords...

hide…