RT Journal Article SR Electronic T1 Real time shift reporting by emergency physicians predicts overall ED performance JF Emergency Medicine Journal JO Emerg Med J FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine SP 130 OP 133 DO 10.1136/emermed-2013-203051 VO 32 IS 2 A1 Nadia Husain A1 Kendall J Bein A1 Timothy C Green A1 Anne-Sophie Veillard A1 Michael M Dinh YR 2015 UL http://emj.bmj.com/content/32/2/130.abstract AB Objective 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. Methods 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. Results 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). Conclusions Shift reports and shift perceptions by emergency physicians may be used to predict overall ED performance.