VALIDATION OF THE SHORT FORM OF THE INTERNATIONAL CROWDING MEASURE IN EMERGENCY DEPARTMENTS (ICMED): INTERNATIONAL STUDY
| Autor: | C Basaure Verdejo, Robin Clouston, Ian Higginson, K Grewal, Paul Liston, Adrian Boyle, Abel Wakai, George Stoica, P Gilligan, Sophie Richter, Paul Atkinson, Valerie Norton, E Chan, V Newcombe |
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| Rok vydání: | 2016 |
| Předmět: |
Validation study
Measure (data warehouse) business.industry Emergency department crowding 030208 emergency & critical care medicine Regression analysis General Medicine Critical Care and Intensive Care Medicine medicine.disease Crowding 03 medical and health sciences 0302 clinical medicine Emergency Medicine Medicine Observational study 030212 general & internal medicine Medical emergency business Face validity |
| Zdroj: | Emergency Medicine Journal. 33:904.2-905 |
| ISSN: | 1472-0213 1472-0205 |
| DOI: | 10.1136/emermed-2016-206402.12 |
| Popis: | Objectives & Background There is little consensus on the best way to measure emergency department crowding. We have previously developed a consensus based measure, the International Crowding Measure in Emergency Departments (ICMED). This measure has both flow and non-flow items, and also contains items which measure Input, Throughput and Output. We aimed to externally validate a short form of the ICMED against emergency physician9s perceptions of crowding and danger across a wide variety of Emergency Departments. Face validity is important to support implementation of any measure Methods We performed an observational validation study in seven emergency departments in five different countries. We recorded sICMED observations and the most senior available emergency physician9s perceptions of crowding and danger at the same time. We performed a times series regression model to account for clustering and correlation. Results 397 data points were analysed. The sICMED showed moderate positive correlations with emergency physician9s perceptions of crowding r=0.4110, p Conclusion The short form of the ICMED has moderate face validity in measuring crowding. This is an important first step in validating this measure. The measure performs less well in Emergency Departments that are constantly crowded. |
| Databáze: | OpenAIRE |
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