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Emergency Medicine Journal 2006;23:558-559; doi:10.1136/emj.2005.032748
© 2006 BMJ Publishing Group Ltd and the College of Emergency Medicine.

SHORT REPORT

Are these emergency department performance data real?

T E Locker, S M Mason

School of Health and Related Research, University of Sheffield, Regent Court, Regent Street, Sheffield S1 4DA, UK

Correspondence to:
Correspondence to:
Dr T Locker
Research Fellow in Emergency Medicine, School of Health and Related Research, University of Sheffield, Regent Court, Regent Street, Sheffield S1 4DA, UK; t.locker{at}sheffield.ac.uk

ABSTRACT

We have recently demonstrated that the distribution of total time spent by patients in emergency departments (EDs) in England shows a peak immediately prior to the current Department of Health target of 4 hours. We aimed to investigate whether this suggested that performance data were being manipulated. We collected data from 117 EDs, and 616 067 patient episodes were included in the analysis. Evidence of manipulation of performance data appears to be present in a small proportion of episodes, but because of the numbers involved, it could equate to over 50 000 episodes per year in EDs in England.

Abbreviations: DPB, digit preference bias; ED, emergency department

Keywords: digit preference bias; emergency department; performance


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