Table 3

Model of attending physician new patients per hour and covariates at site 2

EffectEstimated new patients per hour95% CIP value
Hour 1 (intercept)2.952.47 to 3.43<0.01
Hour 2−1.35−1.71 to −0.99<0.01
Hour 3−1.62−2.04 to −1.20<0.01
Hour 4−1.91−2.37 to −1.44<0.01
Hour 5−2.07−2.54 to −1.61<0.01
Hour 6−1.93−2.40 to −1.49<0.01
Hour 7−2.12−2.54 to −1.72<0.01
Hour 8−2.69−3.03 to −2.34<0.01
Arrivals0.370.31 to 0.43<0.01
Arrivals * hour 2−0.01−0.06 to 0.03<0.01
Arrivals * hour 30.00−0.01 to 0.09<0.01
Arrivals * hour 40.01−0.04 to 0.06<0.01
Arrivals * hour 50.02−0.05 to 0.09<0.01
Arrivals * hour 6−0.11−0.19 to −0.04<0.01
Arrivals * hour 7−0.14−0.22 to −0.07<0.01
Arrivals * hour 8−0.23−0.29 to −0.17<0.01
Each additional doctor working−0.27−0.34 to −0.21<0.01
Acuity (median ESI)0.120.05 to 0.20<0.01
  • Asterisk (*) denotes interaction terms. 

  • Estimate of new patients per hour=(2.95+hourly adjustment)+(arrivals×(0.37+hourly adjustment))+(doctors working×−0.27)+(median acuity×0.25).

  • In the first hour of the shift, a physician working alone with five new patient arrivals and a median ESI score of 3 would see an estimate of: 2.95+(5×0.37)+(0×−0.27)+(3×0.25)=5.55 patients.

  • In the fourth hour of the shift, a physician working alone with five new patient arrivals and a median ESI score of 3 would see an estimate of: (2.95+−1.91)+(5×(0.37+0.01))+(0×−0.27)+(3×0.25)=3.69 patients.

  • ESI, Emergency Severity Index.