Science topic

Emergency Medicine - Science topic

Emergency medicine is a medical specialty in which physicians (DOs and MDs) care for patients with acute illnesses or injuries which require immediate medical attention.
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Publications related to Emergency Medicine (10,000)
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Article
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Primary pancreatic lymphoma is a rare clinical entity representing <0.5% of pancreatic cancers and 1% of extra-nodal lymphomas. Due to the paucity of cases described in the literature, its clinico-pathological features, differential diagnosis, optimal therapy and outcomes are not well defined. As the clinical manifestations are often non-specific,...
Article
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Introduction The burden of stroke in Africa has increased in the last two decades, with the population undergoing a rapid epidemiological transition, with a rise in the incidence of stroke risk factors together with the gradual aging of the population. Evidence-based guidelines for acute stroke care are often not feasible in resource challenged set...
Article
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Objectives Ultrasound measurement of the optic nerve sheath diameter (ONSD) is a rapid, non-invasive means to indirectly assess intracranial pressure. Previous research has demonstrated the ability of emergency physicians to measure ONSD accurately with bedside ultrasound when compared to CT scan or MRI, however the reliability of this measurement...
Article
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Background The COVID-19 pandemic has pressured post-graduate medical education programs to shift from traditional in-person teaching to remote teaching and learning. Remote learning in medical education has been described in the literature mostly in the context of local in-country teaching. International remote medical education poses unique challe...
Article
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Background Acute abdominal pain is one of the most common complaints that patients present with in the emergency room and has long been a challenge to effectively manage without relying on opioid analgesia. The use of ultrasound-guided peripheral nerve blocks (UGRA) represents a new frontier in multimodal pain control regimens in the acute setting....
Article
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Point of care ultrasound (POCUS) use in the emergency department is associated with improved patient outcomes and increased patient satisfaction. When used for procedural guidance, it has been shown to increase first pass success and decrease complications. As of 2012, ultrasound has been identified as a core skill required for graduating emergency...
Article
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Background Dyspnea is one of the common symptoms patients present to the emergency department (ED). The broad spectrum of differentials often requires laboratory and radiological testing in addition to clinical evaluation, causing unnecessary delay. Point of care ultrasound (PoCUS) has shown promising results in accurately diagnosing patients with...
Article
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Introduction The current service metrics used to evaluate quality in emergency care do not account for specific healthcare outcome goals for older people living with frailty. These have previously been classified under themes of ‘Autonomy’ and ‘Functioning’. There is no person-reported outcome measure (PROM) for older people with frailty and emerge...
Article
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Background Although prehospital point-of-care ultrasound (POCUS) is gaining in importance, its rapid interpretation remains challenging in prehospital emergency situations. The technical development of remote real-time supervision potentially offers the possibility to support emergency medicine providers during prehospital emergency ultrasound. The...
Article
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Introduction The African Federation of Emergency Medicine (AFEM) recommends the use of emergency point-of-care ultrasound (ePOCUS) as a core skill for health care practitioners in Africa. The study explored the use of ePOCUS by health care practitioners among AFEM members who work across Africa. Methods An anonymous online survey was distributed t...
Article
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Background Undergraduate emergency medicine (EM) training is important because all medical graduates are expected to have basic emergency knowledge and skills regardless of their future speciality. EM clerkship should provide opportunities to improve not only knowledge and skills but also the self-efficacy of learners. This study aims to evaluate t...
Article
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Background Many documented secondary neurologic manifestations are associated with COVID-19, including mild peripheral and central nervous system disorders (such as hypo/anosmia, hypo/ageusia, and cranial nerve VII palsy) and severe problems (such as ischemic stroke, Guillain-Barré syndrome, and encephalitis). The list is growing. A new addition is...
Article
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Emergency applications of rescue blankets go far beyond protection from hypothermia. In this review alternative applicabilities of these remarkable multifunctional tools were highlighted. Newly fabricated rescue blankets prove impressive robustness. The high tensile strength along with its low weight enable further applications, e.g. immobilization...
Poster
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Subject: Announcement [Cancers, IF 6.639] Special Issue “Cyclooxygenase (COX) and Lipoxygenase (LOX) in the Inflammogenesis of Cancer” Dear Colleagues, As the Guest Editor of the Special Issue below, I am inviting you to contribute an original research or review article that addresses the role of COX/LOX in cancer. Your work on this topic is inte...
Article
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Introduction: Non-specialist emergency medicine qualifications are an important step in developing the specialty of emergency medicine. The Diploma in Primary Emergency Care (Dip PEC) of the Colleges of Medicine of South Africa is one of the oldest registrable qualifications. Reviewing its changing role over time has lessons for academics developi...
Article
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Introduction: Appropriate and efficient staffing is a cornerstone of emergency centre performance. There is however a paucity of literature describing clinician output in low- and middle-income countries with current staffing models based on anecdotal evidence. This study aimed to assess clinician output at a district level emergency centre, and h...
Article
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Purpose of Review This review seeks to discuss the use of RA in the ED including benefits of administration, types of RA by anatomic location, complications and management, teaching methods currently in practice, and future applications of RA in the ED. Recent Findings The early use of RA in pain management may reduce the transition of acute to ch...
Article
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Introduction: Considering the population's socioeconomic status and clinical features is essential in planning and performing interventions related to disease control. The main purpose of this study was to investigate the relationship between income level and hospitalization rate of COVID-19 patients. Methods: A cross-sectional study was performed...
Article
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Purpose of Review This review summarizes the current knowledge and evidence behind the diagnosis and management of adult status epilepticus (SE) in the Emergency Department (ED). It incorporates the most recent evidence-based diagnostic and management strategies, while reflecting them back onto the foundational aspects of SE care. Recent Findings...
Article
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Background and Objectives: Insertion of an intraosseous access device enables intravascular access for critically ill patients in a prehospital and emergency department setting even when intravenous access is not possible. The aim of our study was to assess the attitudes of prehospital and emergency department nursing staff towards the utilization...
Article
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Objective: The HEART Score is a clinically validated risk stratification tool for patients with chest pain. Using five parameters (History, Electrocardiogram, Age, Risk factors, and Troponin), this instrument categorizes patients as low, moderate, or high risk for major adverse cardiac events within six weeks after evaluation. Of these parameters,...
Article
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Objective: The Copenhagen Burnout Inventory (CBI) is an open-access, valid, and reliable instrument measuring burnout that includes 19 items distributed across the following 3 domains (factors): personal burnout, work burnout, and patient burnout. The primary objective of this study was to determine the validity and reliability of an abbreviated C...
Article
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Abstract: Objective To analyze the distribution, classic literature, hotspots and the frontier of septic shock research.Methods The relevant literature data on septic shock from 2017 to 2021 was retrieved from CNKI database and manually selected and imported into CiteSpace. Cooperative network analysis, burst keyword analysis and cluster analysis w...
Book
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Die Lage auf den Intensivstationen deutscher Krankenhäuser wurde durch die Corona-Pandemie in einem Maße in den Blick der Öffentlichkeit und Politik gerückt, wie dies in der Geschichte der Bundesrepublik noch nie der Fall war. In zahlreichen Medienberichten wurde wie unter einem Brennglas sichtbar, was in der Fachöffentlichkeit bereits seit langem...
Article
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b> Background: Assessment is essential for any accreditation process in the medical field. If a candidate passes a high-stakes assessment, they can work independently. While oral examinations are common, given the complexity of clinical competencies, such an approach may not be the most effective assessment method. A form of performance-based asses...
Article
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Background Frailty is a common condition present in older Emergency Department (ED) patients that is associated with poor health outcomes. The Clinical Frailty Scale (CFS) is a tool that measures frailty on a scale from 1 (very fit) to 9 (terminally ill). The goal of this scoping review was to describe current use of the CFS in emergency medicine a...
Article
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Overcrowding in emergency rooms (EDs) has been more common and severe during the last decade. Conferences like those conducted by the Society for Academic Emergency Medicine (SAEM) and the American College of Emergency Physicians (ACEP) have become a hotbed of debate on this subject. The Institute of Medicine just released a lengthy paper on the su...
Article
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Objectives To compare acute nystagmus characteristics of posterior circulation stroke (PCS) and acute vestibular neuritis (AVN) in the emergency room (ER) within 24 h of presentation. Methods ER-based video-nystagmography ( VNG) was conducted, recording ictal nystagmus in 101 patients with PCS (on imaging) and 104 patients with AVN, diagnosed on a...
Article
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Background: In the last two years, the SARS-CoV-2 pandemic has determined radical changes in human behaviors and lifestyles, with a drastic reduction in socialization due to physical distancing and self-isolation. These changes have also been reflected in the epidemiological patterns of common respiratory viruses. For this reason, early discrimina...
Article
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Background Substance use is common among people who visit emergency departments (EDs) frequently. We aimed to characterize subgroups within this cohort to better understand care needs/gaps, and generalizability of characteristics in three Canadian provinces. Methods This was a retrospective cohort study (April 1 st , 2013 to March 31 st , 2016) of...
Article
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Background The survival of children who suffer cardiac arrest is poor. This study aimed to determine the predictors and outcome of cardiac arrest in paediatric patients presenting to an emergency department of a tertiary hospital in Tanzania. Methodology This was a prospective cohort study of paediatric patients > 1 month to ≤ 14 years presenting...
Article
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Background Rational use of antibiotics (AB) and infection prevention and control (IPC) are key measures for reducing antimicrobial resistance (AMR) in healthcare. Nonetheless, transferring evidence into clinical practice in emergency medicine has proven difficult. The extent to which structural requirements for implementing AMR control exist in Ger...
Presentation
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Based on an integration between the IGLO and the JD-R model, job demands and resources can be identified at four organisational levels: Individual, Group, Leader, and Organisation; which workplace interventions should tackle as the main sources of either workers’ well-being or impaired health. This contribution aims to describe the design, implemen...
Article
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Low- and middle-income countries (LMICs) across the Pacific region have been severely impacted by the COVID-19 pandemic, and emergency care (EC) clinicians have been on the frontline of response efforts. Their responsibilities have extended from triage and clinical management of patients with COVID-19 to health system leadership and coordination. T...
Article
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Inguinal hernias containing the appendix are rare, but even more exceptional is the occurrence of complicated appendicitis within the hernial sac with a cutaneous fistula. We report the case of a man in his 50s presenting to the emergency department with a right-sided erythematous and painful inguinal swelling secreting seropurulent material. A per...
Conference Paper
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Post-Covid condition (or long covid) describes the persistence of symptoms several months to years after SARS-CoV-2 infection. It has been increasingly described in children as well, particularly in preteens and teenagers. Most commonly reported symptoms include fatigue, difficulty concentrating, sleeping disorders, shortness of breath, and mood di...
Article
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Background Compared with conventional hospitalization, admission to an acute geriatric care unit (AGU) is associated with better outcomes in elderly patients. In 2012, 50% of the hospitalizations of elderly patients were preceded by an emergency department (ED) visit. Hospital occupancy, access blocks and overcrowding experienced by patients during...
Article
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From its first use in medicine, ultrasonography has been an excellent non-invasive diagnostic tool. The use of ultrasound increased dramatically especially in the last decade, as it is a painless, safe, and widely accessible, especially with the development of pocket ultrasound machines. In addition, it is crucial in promptly diagnosing unstable pa...
Article
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Background The COVID-19 pandemic highlighted challenges for all health systems worldwide. This research aimed to explore the impact of COVID-19 across the Pacific especially with regards to emergency care (EC) and clinicians’ preparations and responses. Methods A collaboration of Australia and Pacific researchers conducted prospective qualitative...
Article
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The COVID-19 pandemic continues to test health systems resilience worldwide. Low- and middle-income country (LMIC) health care systems have considerable experience in disasters and disease outbreaks. Lessons from the preparedness and responses to COVID-19 in LMICs may be valuable to other countries. This policy paper synthesises findings from a mul...
Article
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Michael J Twiner,1,2 John Hennessy,3 Rachel Wein,1 Phillip D Levy1,2 1Department of Emergency Medicine, Wayne State University, Detroit, MI, USA; 2Integrative Biosciences Center, Wayne State University, Detroit, MI, USA; 3College of Engineering, University of Michigan, Ann Arbor, MI, USACorrespondence: Michael J Twiner, Department of Emergency Medi...
Article
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Background Competition in road cycling events is common, yet little is known about the nature and disposition of injuries sustained in these events. The purpose of this study is to describe injured body regions and the disposition of injuries sustained by cyclists during competitive road cycling events. Methods Data regarding body region injured a...
Article
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Background Universal access to safe, effective emergency care (EC) during the COVID-19 pandemic has illustrated its centrality to healthcare systems. The ‘Leadership and Governance’ building block provides policy, accountability and stewardship to health systems, and is essential to determining effectiveness of pandemic response. This study aimed t...
Article
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Introduction: Standardized Letters of Evaluation (SLOEs) are designed to objectively compare medical students to their peers for completed emergency medicine (EM) rotations to be used in the EM residency match. In an attempt to adapt quickly to the lack of availability of in-person EM rotations due to COVID restrictions, "off-service" SLOEs (OSLOE...
Article
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Background Emergency care (EC) addresses the needs of patients with acute illness and injury, and has fulfilled a critical function during the COVID-19 pandemic. ‘Processes’ (e.g. triage) and ‘data’ (e.g. surveillance) have been nominated as essential building blocks for EC systems. This qualitative research sought to explore the impact of the pand...
Article
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Objectives: To assess the association between emergency medicine physician supervision and 3-day mortality for patients receiving care from non-physician clinicians in a task-sharing model of emergency care in rural Uganda. Design: Retrospective cohort analysis with multivariable logistic regression. Setting: Single rural Ugandan emergency uni...
Article
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Continuous medical education (CME) is an effort by a medical department to implement teachings of a particular specialty to improve the knowledge of the staffs within a department that will translate to better clinical practice. Traditional CME modules have always involved gathering of medical officers with a preset of topics that are rotate at a r...
Article
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The use of ultrasound-guided regional anesthesia for pain management has become increasingly prevalent in Emergency Medicine, with studies noting excellent pain control while sparing opioid use. However, the use of ultrasound-guided regional anesthesia may be hampered by concern about risks for patient harm. This systematic review protocol describe...
Article
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Purpose This study aimed to describe the demographic and clinical characteristics of individuals involved in electric scooter (E-scooter) accidents and the factors associated with these incidents. Methods We conducted a prospective observational study of individuals involved in E-scooter accidents admitted to the emergency department of Saint-Pier...
Article
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Background First Nations people experience racism in society and in the healthcare system. This study aimed to document emergency care providers’ perspectives on care of First Nations patients. First Nations research partner organizations co-led all aspects of the research. Methods Sixteen semi-structured interviews were conducted with Alberta eme...
Conference Paper
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La médecine est une discipline marquée par développement exponentiel des connaissances. La pandémie du COVID-19 est un exemple marquant de la capacité de cette science à s’adapter et à développer de nouvelles connaissances de manière excessivement rapide. Cette explosion de connaissances a des conséquences pour les professionnels du monde médical q...
Article
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Background The COVID-19 pandemic has affected every facet of American health care, including graduate medical education (GME). Prior studies show that COVID-19 resulted in reduced opportunities for elective surgeries, lower patient volumes, altered clinical rotations, increased reliance on telemedicine, and dependence on virtual didactic conference...
Article
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Background: Drug-related hospital admissions (DRAs) represent a significant problem affecting all countries worldwide. This study aimed to determine the prevalence and preventability of DRAs, identify the most common medications involved in DRAs, the most common clinical manifestations of DRAs and describe the preventability aspects of DRAs. Metho...
Article
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Trauma is the leading cause of death in young people with a considerable socio-economic impact worldwide. A trimodal distribution of trauma mortality was described in the past, but recently different studies underlined a progressive change in trauma mortality distribution linked to improvement in trauma care. This study aimed to analyze the mortali...
Article
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Background With more emergency visits, there is increasing pressure to provide emergency medical services globally and locally. This study aimed to investigate the epidemiological characteristics and the disease spectrum of patients presenting in the last three years to the Department of Emergency Medicine of Tianjin Medical University General Hosp...
Preprint
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Background: Tele-emergency physicians (TEPs) take an increasingly important role in the need-oriented provision of emergency patient care. To improve emergency medicine in rural areas, we set up the project Land|Rettung (English: Rural|Rescue), which uses TEPs to restructure professional rescue services using information and communication technolog...
Article
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During the COVID-19 pandemic, academic health centers suspended clinical clerkships for students. A need emerged for innovative virtual curricula to continue fostering professional competencies. In March 2020, a multidisciplinary team from the University of Nebraska Medical Center had 2 weeks to create a course on the impact of infectious diseases...
Article
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Background Pre-hospital emergency medicine (PHEM) personnel are at risk of developing psychological disorders during the Covid-19 pandemic. This study aimed to investigate depression, anxiety, and stress levels of the Iranian PHEM personnel during the Covid-19 pandemic. Methods This descriptive cross-sectional study was performed on 544 PHEM perso...
Article
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Background The development of tools that could help emergency department clinicians recognize stroke during triage could reduce treatment delays and improve patient outcomes. Growing evidence suggests that stroke is associated with several changes in circulating cell counts. The aim of this study was to determine whether machine-learning can be use...
Article
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Radial arterial catheters (RAC) are used extensively across critical care settings (Anesthesia, Intensive Care, Emergency Medicine) for continuous hemodynamic monitoring, allowing for immediate adjustments in vasopressor therapies and blood collection. Radial catheter failures are an ongoing significant issue for critical care clinicians with repor...
Article
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Background Recent changes in medical education calls for a shift toward student-centered learning. Therefore, it is imperative that clinical educators transparently assess the work-readiness of their medical residents through entrustment-based supervision decisions toward independent practice. Similarly, it is critical that medical residents are vo...
Article
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Background Medical education has been criticised for not adapting to changes in society, health care and technology. Internationally, it is necessary to strengthen primary health care services to accommodate the growing number of patients. In Norway, emergency care patients are increasingly treated in municipal emergency care units in the primary h...
Article
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Purpose of review Cancer-related emergency department (ED) visits often result in higher hospital admission rates than non-cancer visits. It has been estimated many of these costly hospital admissions can be prevented, yet urgent care clinics and EDs lack cancer-specific care resources to support the needs of this complex population. Implementing e...
Article
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Purpose of Review Pain management in trauma patients is challenging. Triage, resuscitation, and treatment of life-threatening injuries remain the priority in the trauma patient. Once a trauma patient is stabilized, side effects of opioid-based analgesic regimens lead to undertreatment of pain. The use of regional anesthesia (RA) as part of a multim...
Article
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Patient management in the emergency department (ED) is evaluated by performance indicators, such as wait times (time to be seen by a physician), length of stay (LOS) and the number of diagnostic tests per patient. To