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<div id="summaryView" role="tabpanel" aria-labelledby="tabSummaryView">
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Name
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Total Time Spent in Emergency Department for Non-Admitted Patients (Hours, Percentile)
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Short/Other Names
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Not applicable

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Description
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This indicator measures the time interval between the earlier of triage date/time or registration date/time and the date/time when a patient is discharged, transferred or leaves the emergency department (ED).
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Interpretation
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The 90th or 50th percentile of this indicator represents the maximum length of time that 90% or 50% of patients who are discharged, transferred out or leave spend in the ED.

A small number is desirable.

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HSP Framework Dimension
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Health System Outputs: Access to comprehensive, high-quality health services

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Areas of Need
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Getting Better

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Geographic Coverage
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Prince Edward Island, Nova Scotia, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia, Yukon

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Reporting Level/Disaggregation
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National, Province/Territory, Peer group

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Indicator Results
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https://www.cihi.ca/sites/default/files/document/nacrs-2017-2018-qs-static-table-en.xlsx

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<div role="button" class="expandableTitle" aria-controls="identifyingInfoRegion">Identifying Information</div>
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Name
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Total Time Spent in Emergency Department for Non-Admitted Patients (Hours, Percentile)
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Short/Other Names
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Not applicable

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<div role="button" class="expandableTitle" aria-controls="descAndCalRegion">Indicator Description and Calculation</div>
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Description
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This indicator measures the time interval between the earlier of triage date/time or registration date/time and the date/time when a patient is discharged, transferred or leaves the emergency department (ED).
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Calculation: Description
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The indicator is measured in hours, usually using the 90th percentile and/or 50th percentile, which represents the maximum length of time that 90% and/or 50% of non-admitted patients stay in the ED.

Unit of analysis: Single ED visit

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Calculation: Geographic Assignment
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Place of service

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Calculation: Type of Measurement
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Number - Number of hours, percentile

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Calculation: Adjustment Applied
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None

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Calculation: Method of Adjustment
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Not applicable

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Denominator
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Numerator
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Description:
All emergency visits
Inclusions:
1. Non-Admitted (Visit Disposition 01, 03–05, 08–15) unscheduled emergency visits

2. ED visits with a valid and known registration date/time or triage date/time and a valid and known date/time patient left the ED or disposition date/time

Exclusions:
1. Scheduled emergency visits

2. Admitted emergency visits

3. ED visits with Visit Disposition 02 (Left without being seen, not triaged)

4. Both registration and triage date/time are unknown, or both disposition date/time and patient left the ED date/time are unknown

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<div role="button" class="expandableTitle" aria-controls="backgroundRegion">Background, Interpretation and Benchmarks</div>
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Rationale
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Time is crucial to the effectiveness and outcome of patient care, especially for emergency patients. In conjunction with other indicators, this can be used to monitor the time patients spend in the ED until they are discharged, transferred out or leave the ED in an effort to improve the efficiency and, ultimately, the outcome of patient care.

Many factors can influence the indicator results, including triage level, patient population and hospital resources.

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Interpretation
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The 90th or 50th percentile of this indicator represents the maximum length of time that 90% or 50% of patients who are discharged, transferred out or leave spend in the ED.

A small number is desirable.

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HSP Framework Dimension
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Health System Outputs: Access to comprehensive, high-quality health services

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Areas of Need
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Getting Better

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Targets/Benchmarks
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Not applicable

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References
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Not applicable

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Data Sources
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NACRS

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Available Data Years
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Type of Year:
Fiscal
First Available Year:
2013
Last Available Year:
2017

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Geographic Coverage
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Prince Edward Island, Nova Scotia, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia, Yukon

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Reporting Level/Disaggregation
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National, Province/Territory, Peer group

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Update Frequency
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Every year

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Indicator Results
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Web Tool:
Quick Stats
URL: https://www.cihi.ca/sites/default/files/document/nacrs-2017-2018-qs-static-table-en.xlsx

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Updates
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Not applicable

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Caveats and Limitations
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Not applicable

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Trending Issues
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Coverage in the National Ambulatory Care Reporting System (NACRS) changes over time as more jurisdictions participate.

For more information on NACRS coverage, please refer to the Coverage tab in the pre-formatted NACRS Quick Stats: https://www.cihi.ca/en/quick-stats.

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Comments
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Quick Stats results from the previous year can be found here: https://www.cihi.ca/sites/default/files/document/nacrs-2016-2017-qs-static-table-en.xlsx.

These static tables include both 50th and 90th percentiles at jurisdictional levels. Additional breakdowns based on the 90th percentile are provided by peer group, age and main problem.

Additional results based on the 50th percentile can be found in the interactive tables and include breakdowns by main problem, triage level, visit disposition, age and sex: https://apps.cihi.ca/mstrapp/asp/Main.aspx?server=apmstrextprd_i.cihi.ca&project=Quick+Stats&uid=pce_pub_en&pwd=&evt=2048001&visualizationMode=0&documentID=5C3D461F11E8D6F520190080EFE53D3B&hiddensections=header,path,dockTop,dockLeft,footer.

Depending on the acuity of the case or hospital procedures, triage may occur before registration or vice versa. Therefore, the earlier of these 2 events is used as the starting point for calculation of this indicator.

Indicator results are also available as of 2012 in Your Health System: Insight.

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