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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
Table Cell (td)

The 90th

,

or 50th

or other

percentile of this indicator represents the maximum length of time that 90%

,

or 50%

or other percentage

of patients who are discharged, transferred out or leave spend in the ED.

A small number is desirable.

Table Row (tr)
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HSP Framework Dimension
Table Cell (td)

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

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Table Cell (td)
Areas of Need
Table Cell (td)

Getting Better

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Geographic Coverage
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Prince Edward Island, Nova Scotia, Quebec, 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/en/

applications

quick-stats

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Identifying Information
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<div role="button" class="expandableTitle" aria-controls="identifyingInfoRegion">Identifying Information</div>
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Table Row (tr)
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Name
Table Cell (td)
Total Time Spent in Emergency Department for Non-Admitted Patients (Hours, Percentile)
Table Row (tr)
Table Cell (td)
Short/Other Names
Indicator Description and Calculation
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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).
Table Row (tr)
Table Cell (td)
Calculation: Description
Table Cell (td)

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

admitted (Visit Disposition = 08, 09, 12–14, 16, 17, 30, 40, 62–64, 71–74 and 90 as of 2018–2019, Visit Disposition = 01, 03–05

,

and 08–15 for previous fiscal years) 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)

= 02 from 2013–2014 to 2017–2018, and Visit Disposition = 61 as of 2018–2019

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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Background, Interpretation and Benchmarks
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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.

Table Row (tr)
Table Cell (td)
Interpretation
Table Cell (td)

The 90th

,

or 50th

or other

percentile of this indicator represents the maximum length of time that 90%

,

or 50%

or other percentage

of patients who are discharged, transferred out or leave spend in the ED.

A small number is desirable.

Table Row (tr)
Table Cell (td)
HSP Framework Dimension
Table Cell (td)

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

Table Row (tr)
Table Cell (td)
Areas of Need
Table Cell (td)

Getting Better

Table Row (tr)
Table Cell (td)
Targets/Benchmarks
Table Cell (td)

Not applicable

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Table Cell (td)
References
Availability of Data Sources and Results
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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:

2011

2013
Last Available Year:

2015

2019

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Table Cell (td)
Geographic Coverage
Table Cell (td)

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

Table Row (tr)
Table Cell (td)
Reporting Level/Disaggregation
Result Updates
Table Cell (td)

National, Province/Territory, Peer group

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Update Frequency
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Every year in Quick Stats; every month in YHS: Insight

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Indicator Results
Table Cell (td)

Web Tool:

Your Health System: Insight

Quick Stats
URL: https://www.cihi.ca/en/

applications

quick-stats

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Updates
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Not applicable

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Quality Statement
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Caveats and Limitations

Not applicable

Table Cell (td)

Scheduled visits to the ED and visits with Visit Disposition 02 are excluded from this indicator.

This indicator can also be calculated at other percentiles, such as the 10th, 25th or 75th percentile.

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Table Cell (td)
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

see the

refer to the Coverage tab in the pre-formatted NACRS Quick Stats:

http

https://www.cihi.ca/en/quick-stats.

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Comments
Table Cell (td)

Quick Stats results from the previous year can be found here: https://www.cihi.ca

/CIHI-ext-portal/internet/EN/Quick_Stats/quick+stats/quick_stats_main?xQSType=Pre-formatted%20Table&xTopic=Hospital%20Care&pageNumber=2&resultCount=10&filterTypeBy=1&filterTopicBy=5&autorefresh=1.
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Comments
td

/sites/default/files/document/nacrs-2017-2018-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

2010 in CAD eNACRS Reports (https://www.cihi.ca/en/applications) and in Quick Stats (http://www.cihi.ca/CIHI-ext-portal/internet/EN/Quick_Stats/quick+stats/quick_stats_main?pageNumber=1&resultCount=10).

2012 in Your Health System: Insight.

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