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Emerg Med J. 2015 Feb;32(2):130-3. doi: 10.1136/emermed-2013-203051. Epub 2013 Sep 10.

Real time shift reporting by emergency physicians predicts overall ED performance.

Author information

  • 1Emergency Department, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
  • 2NHMRC Clinical Trials Centre, Sydney, New South Wales, Australia.



To investigate factors associated with emergency physician perception of the shift and to determine whether these perceptions were predictors of overall daily emergency department (ED) performance indicators.


This was an observational study conducted at an inner city ED in New South Wales. Shift reports completed by the emergency physician in charge at clinical handover times between February and July 2012 were included. Variables collected by the shift report included (1) total number of patients in ED, (2) number of patients in the ED with length of stay (LOS) greater than 4 h, (3) number of admitted patients, (4) number of patients waiting to be seen by a doctor and (5) medical staffing levels. Outcomes of interest for this study were shift perception scores (1=very poor to 5=very good) and daily ED performance measures. Performance measures were the proportion of patients admitted or discharged from ED within 4 h (National Emergency Access Target, NEAT) and the percentage of inpatient admissions leaving ED within 8 h of ED arrival time.


The number of patients in ED with LOS >4 h (OR 0.83, 95% CI 0.79 to 0.87, p value <0.001) and number of patients waiting to be seen (OR 0.92, 95% CI 0.88 to 0.95, p value <0.001) were the factors most strongly associated with shift perception score. After adjustment, the mean NEAT performance improved 6% for each incremental increase in average shift perception score (β=0.06 95% CI 0.04 to 0.07, p<0.001).


Shift reports and shift perceptions by emergency physicians may be used to predict overall ED performance.

Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to


emergency department management

[PubMed - indexed for MEDLINE]
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