Table 4 Results comparing two approaches using the hospital emergency department model
Performance measure | Value (95% CI) | Difference (SD) |
|---|---|---|
Utilization** | ||
Physician-Without interaction | 23% | 18% |
With reaction | 41% | |
Delegate-Without interaction | 56% | 15% |
With interaction | 71% | |
Time from arrival to bed (minutes) | ||
High acuity-Without interaction | 20.39 (20.06, 20.72) | 1.08* (0.26) |
With interaction | 21.47 (21.19, 21.75) | |
Low acuity-Without interaction | 68.94 (62.87, 75.01) | 19.55* (1.47) |
With interaction | 88.49 (80.36, 96.62) | |
Patient waiting time for physician or delegate (minutes) | ||
Physician (high acuity)-Without interaction | 0.49 (0.44, 0.54) | 0.53* (0.04) |
With interaction | 1.02 (0.96, 1.08) | |
Physician (low acuity)-Without interaction | 0.56 (0.55, 0.57) | 0.93* (0.02) |
With interaction | 1.49 (1.46, 1.52) | |
Delegate (low acuity)-Without interaction | 0.15 (0.14, 0.16) | 0.37* (0.01) |
With interaction | 0.52 (0.49, 0.55) | |
Patient time with the delegate (minutes) | ||
Delegate (low acuity)-Without interaction | 14.50 (14.5, 14.5) | 10.01* (0.01) |
With interaction | 24.51 (24.48, 24.51) | |
Average total length of stay (minutes) | ||
Physician (high acuity)-Without interaction | 85.91 (85.15, 86.67) | 0.92 (0.61) |
With interaction | 86.83 (85.88, 87.78) | |
Physician (low acuity)-Without interaction | 118.54 (111.13, 125.78) | 18.45* (1.31) |
With interaction | 136.99 (128.47, 145.51) | |
Delegate (low acuity)-Without interaction | 114.84 (108.32, 121.36) | 27.23* (1.36) |
With interaction | 142.07 (135.48, 148.66) | |
All low acuity patients-Without interaction | 116.66 (110.49, 122.83) | 23.1* (0.94) |
With interaction | 138.91 (130.86, 146.96) | |