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Record W4394953895 · doi:10.29173/cjen158

Exploring delay points at the emergency department

2024· article· en· W4394953895 on OpenAlex
Jenipher Kayuni, Dzifa Dordunoo, Αναστασία Μαλλίδου, Mitchell Mohan, Pamela Marquard

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.
venuePublished in a venue whose home country is Canada.

Bibliographic record

VenueCanadian Journal of Emergency Nursing · 2024
Typearticle
Languageen
FieldMedicine
TopicEmergency and Acute Care Studies
Canadian institutionsFraser HealthUniversity of Victoria
Fundersnot available
KeywordsEmergency departmentMedical emergencyComputer scienceMedicineNursing

Abstract

fetched live from OpenAlex

Background The increasing time spent in the emergency department is becoming a global problem contributing to overcrowding. The increased length of stay in the emergency department can negatively affect patients' perception of care, contributes to high morbidity and mortality rates, and increased aggression towards staff. Therefore, understanding the delay points will help administrators and policy makers channel resources to the areas that require improvement. Methods This is a cross-sectional descriptive study to evaluate the delay points in the emergency department. The study was conducted at level IV community hospital in British Columbia. One hundred sixty-seven participants were recruited using a consecutive convenience sampling. Results The total sample size of this study was 167 and the age of the respondents ranged from 18-101 years. There were more females (50.9%) than males (47.9%) or queer individuals. The care point with the longest wait time was tests to physician reassessment (median time 65 minutes), followed by physician to Imaging (median time 52 minutes) and finally nurse to physician assessment (median time 45 minutes). Despite the prolonged length of stay in emergency department, most participants enjoyed the courtesy of staff (74.7%, good-very good) and 59.9% indicated that they would recommend this emergency department to others. Conclusion Tests and waiting for physician reassessments are important points in the patient journey in the emergency department that can prolong length of stay. Future studies are needed to determine whether various interventions such as point of care testing, utilizing the Lean Model and improving physician services can help reduce lengths of stay in the emergency department.

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.

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)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.192
Threshold uncertainty score0.996

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0050.000

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 head0.095
GPT teacher head0.328
Teacher spread0.233 · 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