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Pediatric emergency department directorsʼ benchmarking survey

2003· article· en· W2030762397 on OpenAlexaboutno aff
Kathy N. Shaw, Richard M. Ruddy, Marc H. Gorelick

Bibliographic record

VenuePediatric Emergency Care · 2003
Typearticle
Languageen
FieldMedicine
TopicEmergency and Acute Care Studies
Canadian institutionsnot available
Fundersnot available
KeywordsStaffingMedicineBenchmarkingPediatric emergency medicineEmergency departmentAmbulatoryEmergency medicineMedical emergencyFamily medicinePediatricsEmergency physicianNursingSurgery

Abstract

fetched live from OpenAlex

OBJECTIVES: To answer basic questions, using precise definitions, regarding emergency department (ED) utilization, wait times, services, and attending physician staffing of representative pediatric EDs (PEDs). METHODS: Ten questions with precise definitions were developed and sent to members of the Ambulatory Pediatric Association's PED Directors' Special Interest Group in November of 2001, with two repeated requests 3 and 6 months later. RESULTS: Twenty-one PEDs from 14 states, the District of Columbia, and Canada responded (41%). The average PED has 48,000 patient visits per year (range, 25,000-97,000). Two thirds have urgent care or fast track areas to see nonurgent patients, while only 29% have 23-hour treatment units. The average admission rate is 13.2% (range, 6.8-20.8%). The average rate of patients who leave without being seen is 1.6%. The average patient waits 1 hour to see a physician and spends a total of 3 hours in the PED. The majority of attending staffing is by pediatric emergency medicine (PEM) Board-certified/eligible physicians (73%), although a few PEDs are staffed only by PEM specialists. Attending staffing is 2.8 patients per attending per hour, or 0.36 hours per patient, with more staffing for PEDs with higher admission rates or acuity. The average entry-level base salary for PED physicians in 2000 was 117,250 dollars (range, 98,000 dollars-145,000 dollars). CONCLUSIONS: Benchmarking of PEM staffing and performance indicators by PEM directors yields important administrative data. PEDs have higher census and admission rates compared with information from all EDs, while their attending staffing, wait times, and rate of patients who leave without being seen are comparable to those of general EDs.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Insufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.116
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0000.002
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0070.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.021
GPT teacher head0.292
Teacher spread0.270 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations31
Published2003
Admission routes1
Has abstractyes

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