Validation of the short form of the International Crowding Measure in Emergency Departments: an international study
| Autor: | Abel Wakai, Ian Higginson, Edward Chan, Adrian Boyle, Valerie Norton, Paul Atkinson, Carlos Basaure Verdejo, Sophie Richter, Karan Grewal, Virginia F. J. Newcombe, Robin Clouston, Paedar Gilligan, Paul Liston, George Stoica |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Measure (data warehouse)
Validation study genetic structures Reproducibility of Results 030208 emergency & critical care medicine Regression analysis Emergency department 030204 cardiovascular system & hematology medicine.disease Crowding 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Emergency Medicine medicine Humans Observational study Medical emergency Emergency physician Psychology Emergency Service Hospital Face validity |
| Zdroj: | European journal of emergency medicine : official journal of the European Society for Emergency Medicine. 26(6) |
| ISSN: | 1473-5695 |
| Popis: | OBJECTIVE There is little consensus on the best way to measure emergency department (ED) crowding. We have previously developed a consensus-based measure, the International Crowding Measure in Emergency Departments. We aimed to externally validate a short form of the International Crowding Measure in Emergency Department (sICMED) against emergency physician's perceptions of crowding and danger. METHODS We performed an observational validation study in seven EDs in five different countries. We recorded sICMED observations and the most senior available emergency physician's perceptions of crowding and danger at the same time. We performed a times series regression model. RESULTS A total of 397 measurements were analysed. The sICMED showed moderate positive correlations with emergency physician's perceptions of crowding, r = 0.4110, P < 0.05) and safety (r = 0.4566, P < 0.05). There was considerable variation in the performance of the sICMED between different EDs. The sICMED was only slightly better than measuring occupancy or ED boarding time. CONCLUSION The sICMED has moderate face validity at predicting clinician's concerns about crowding and safety, but the strength of this validity varies between different EDs and different countries. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|