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Parker BT, Marco C. Emergency department length of stay: accuracy of patient estimates. West J Emerg Med. 2014;15(2):170-5doi: 10.5811/westjem.2013.9.15816.
Parker, B. T., & Marco, C. (2014). Emergency department length of stay: accuracy of patient estimates. The western journal of emergency medicine, 15(2), 170-5. https://doi.org/10.5811/westjem.2013.9.15816
Parker, Brendan T, and Marco, Catherine. "Emergency department length of stay: accuracy of patient estimates." The western journal of emergency medicine vol. 15,2 (2014): 170-5. doi: https://doi.org/10.5811/westjem.2013.9.15816
Parker BT, Marco C. Emergency department length of stay: accuracy of patient estimates. West J Emerg Med. 2014 Mar;15(2):170-5. doi: 10.5811/westjem.2013.9.15816. PMID: 24672606; PMCID: PMC3966453.
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West J Emerg Med. 2014 Mar;15(2):170-5. doi: 10.5811/westjem.2013.9.15816.

Emergency department length of stay: accuracy of patient estimates.

The western journal of emergency medicine

Brendan T Parker, Catherine Marco

Affiliations

  1. University of Toledo Medical Center, Toledo, Ohio.

PMID: 24672606 PMCID: PMC3966453 DOI: 10.5811/westjem.2013.9.15816

Abstract

INTRODUCTION: Managing a patient's expectations in the emergency department (ED) environment is challenging. Previous studies have identified several factors associated with ED patient satisfaction. Lengthy wait times have shown to be associated with dissatisfaction with ED care. Understanding that patients are inaccurate at their estimation of wait time, which could lead to lower satisfaction, provides administrators possible points of intervention to help improve accuracy of estimation and possibly satisfaction with the ED. This study was undertaken to examine the accuracy of patient estimates of time periods in an ED and identify factors associated with accuracy.

METHOD: In this prospective convenience sample survey at UTMC ED, we collected data between March and July 2012. Outcome measures included duration of each phase of ED care and patient estimates of these time periods.

RESULTS: Among 309 participants, the majority underestimated the total length of stay (LOS) in the ED (median difference -7 minutes (IQR -29-12)). There was significant variability in ED LOS (median 155 minutes (IQR 75-240)). No significant associations were identified between accuracy of time estimates and gender, age, race, or insurance status. Participants with longer ED LOS demonstrated lower patient satisfaction scores (p<0.001).

CONCLUSION: Patients demonstrated inaccurate time estimates of ED treatment times, including total LOS. Patients with longer ED LOS had lower patient satisfaction scores.

References

  1. Health Care Manage Rev. 1995 Spring;20(2):7-15 - PubMed
  2. Ann Emerg Med. 1994 May;23(5):1032-6 - PubMed
  3. South Med J. 2003 Sep;96(9):880-3 - PubMed
  4. J Emerg Trauma Shock. 2011 Apr;4(2):163-7 - PubMed
  5. Acad Emerg Med. 1995 Dec;2(12):1057-62 - PubMed
  6. Am J Emerg Med. 2002 Oct;20(6):506-9 - PubMed
  7. Med Care. 1985 Oct;23(10):1171-8 - PubMed
  8. Ann Emerg Med. 1996 Dec;28(6):652-6 - PubMed
  9. JAMA. 1984 Nov 2;252(17):2441-6 - PubMed
  10. J Health Care Mark. 1993 Summer;13(2):26-33 - PubMed

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