Table 5.
Operational performance measures; Note: double dashes between factors indicates a time interval
| Alessandrini 2011 | Beniuk 2012 | Coleman 2010 | Ekelund 2011 | Guttmann 2006 | Graff 2002 | Heyworth 2011 | Hung 2008 | Lindsay 2002 | McClelland 2012 | Schull 2011 | Sibbritt 2006 | Solberg 2003 | Welch 2011 | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Operations |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Planning |
Acute load |
|
|
|
|
|
|
|
|
|
|
|
|
x |
|
| |
Bed occupancy rate |
|
|
|
|
|
|
|
|
|
|
|
x |
x |
|
| |
Boarding burden |
|
x |
|
|
|
|
|
|
|
|
|
|
x |
|
| Utilization |
Utilization rate (lab equipment) |
x |
|
|
|
x |
|
|
|
|
|
|
|
|
|
| |
Number of ECG’s taken |
|
|
|
|
|
|
|
|
x |
|
|
|
|
x |
| |
Number of plain radiographic studies |
|
|
|
|
|
|
|
|
|
|
|
|
|
x |
| |
Number of CT studies |
|
|
|
|
|
|
|
|
|
|
|
|
|
x |
| |
Number of MRI studies |
|
|
|
|
|
|
|
|
|
|
|
|
|
x |
| |
Number of ultrasonic studies |
|
|
|
|
|
|
|
|
|
|
|
|
|
x |
| |
Number of laboratory studies |
|
|
|
|
|
|
|
|
|
|
|
|
|
x |
| |
Overall medication usage |
|
|
|
|
|
|
|
|
|
|
|
|
|
x |
| |
Number of behavioural health consultations |
|
|
|
|
|
|
|
|
|
|
|
|
|
x |
| |
Number of specialty consultations |
|
|
|
|
|
|
|
|
|
|
|
|
|
x |
| |
Utilization rate (employees) |
|
|
|
|
|
|
|
|
x |
|
|
|
|
|
| Efficiency |
Throughput |
|
|
|
|
|
|
|
|
|
|
|
|
x |
|
| |
ED admission transfer rate |
|
x |
x |
|
|
|
|
|
|
|
|
|
x |
|
| Time intervals |
LOS (Length of Stay), total |
|
x |
|
x |
x |
x |
x |
x |
x |
x |
x |
x |
x |
x |
| |
Ambulance off-loading time |
|
x |
|
|
|
|
|
|
|
|
x |
|
|
x |
| |
Arrival -- Registration |
|
|
|
|
|
|
|
|
|
|
|
|
|
x |
| |
Arrival -- Treatment space |
|
|
|
|
|
|
|
|
|
|
|
|
|
x |
| |
Arrival -- Clinical assessment |
x |
x |
|
x |
|
x |
x |
x |
|
|
x |
|
|
x |
| |
Arrival -- Hospitalization |
x |
|
x |
|
|
|
|
x |
|
|
x |
|
x |
|
| |
Arrival -- Init. triage |
x |
x |
|
|
|
|
|
|
|
|
|
x |
|
|
| |
Arrival -- Init. treatment |
|
|
x |
|
|
|
x |
|
|
x |
x |
|
|
|
| |
Registration -- Init. triage |
x |
|
|
|
|
|
|
x |
|
|
|
|
|
|
| |
Registration -- Discharge/transfer |
|
|
|
|
|
|
|
x |
|
|
|
|
|
|
| |
Triage -- Triage completed |
|
|
|
|
|
|
|
|
|
|
|
|
|
x |
| |
Triage -- Init. treatment |
x |
|
|
|
|
|
|
x |
|
|
|
x |
|
|
| |
Admit decision -- Discharge |
|
|
|
|
|
|
|
|
|
|
|
|
x |
x |
| |
Treatment space -- init. encounter |
|
|
|
|
|
|
|
|
|
|
|
|
|
x |
| |
Init. encounter -- Init.treatment |
|
|
x |
|
|
|
|
|
|
|
|
|
|
x |
| |
Init. encounter -- Hospitalization |
|
|
|
|
|
|
|
|
|
|
x |
|
|
|
| |
Init. encounter -- Clinical decision |
|
|
x |
|
|
|
|
x |
|
|
|
|
|
|
| |
Init. encounter -- Discharge/transfer |
|
|
|
|
|
|
|
|
|
|
x |
|
|
|
| |
Disposition decision -- Discharge |
|
|
|
|
|
|
|
|
|
|
|
|
|
x |
| |
Hospitalization -- Discharge/transfer |
|
|
|
|
|
|
|
x |
|
x |
x |
|
|
|
| (diagnostic imaging) |
Registration -- X-ray ordered |
|
|
|
|
|
|
|
|
|
|
|
|
|
x |
| |
X-ray ordered -- X-ray taken (radiology turnaround) |
|
|
|
|
|
x |
|
|
|
x |
|
|
x |
x |
| |
Data ready -- Disposition decision time |
|
|
|
|
|
|
|
|
|
|
|
|
|
x |
| (laboratory) |
Blood sample ordered -- Blood sample result (lab turnaround) |
x |
|
|
|
|
|
|
|
|
|
|
|
|
x |
| (bed logistics) | Bed ordered -- Bed assigned | x |