Key result
Each 1-hour increase in emergency department length of stay was associated with decreased patient satisfaction and a 44% increase in the odds of patients leaving without being seen (95% CI 1.25-1.68).
Why the study?
Is emergency department length of stay associated with publicly reported quality-of-care measures in US hospitals?
Population
2,619 hospitals in the United States reporting Hospital Compare timeliness measure of length of stay for…
Design
Cohort
Follow-up
1 year (2012 to 2013)
Authors
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Reductions in ED LOS were associated with better patient experience; hypothesis-generating for quality initiatives, needs prospective confirmation.
Cohort (n=2,619)
Yes
Is emergency department length of stay associated with publicly reported quality-of-care measures in US hospitals?
Odds Ratio: 1.44 (95% CI 1.25–1.68)
p-value: p=<0.01
Increases in emergency department length of stay are associated with worse patient experience and process measures, though not with readmissions or time to percutaneous coronary intervention.
Chang et al. (2016) conducted a cohort in Emergency department crowding (n=2,619). Emergency department length of stay was evaluated on Quality-of-care measures including patient satisfaction, time to pain management, and left without being seen (OR 1.44, 95% CI 1.25-1.68, p=<0.01). Each 1-hour increase in emergency department length of stay was associated with decreased patient satisfaction and a 44% increase in the odds of patients leaving without being seen (95% CI 1.25-1.68).
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