Variable domain | Round One | Round Two | p-value | ||||
---|---|---|---|---|---|---|---|
No of respondents | Variable | No (%) panellists ranking variable Important/ Very important | No of respondents | Variable | No (%) panellists ranking variable Important/ Very important | ||
Treatment | 39 | Time of completion of admitting/consulting team assessment to time of ED departure | 26 (66.7%) | 35 | Time of completion of admitting/consulting team assessment in the ED to time of ED departure | 25 (71.4%) | 0.66 |
Treatment | 39 | ICU admission rate | 22 (56.4%) | 35 | ICU admission rate | 30 (85.7%) | 0.01 |
Implementation | 35 | ICU referral rate | 23 (65.7%) | 32 | ICU referral rate | 25 (78.1%) | 0.78 |
Implementation | 35 | Resuscitation room activity level | 22 (62.9%) | 32 | Resuscitation room activity level | 30 (93.8%) | 0.01 |
Implementation | 35 | Number of times ISBAR communication tool was used to communicate the need for escalation | 22 (62.9%) | 32 | Number of times ISBAR communication tool was used to communicate the need for escalation | 25 (78.1%) | 0.52 |
Implementation | 35 | Health Professionals Work Index (HPWI) survey to measure autonomy and control over practice; work place relationships; managerial support and availability of resources | 20 (57.1%) | 32 | Staff perception of availability of support and resources | 27 (84.4%) | 0.04 |
Implementation | 35 | Number of people being triaged | 18 (51.4%) | 32 | Number of patients triaged | 27 (84.4%) | 0.01 |
Implementation | 35 | Minnesota Job Satisfaction Questionnaire to measure job satisfaction | 16 (45.7%) | 32 | Job satisfaction for ED staff | 30 (93.8%) | < 0.001 |
Treatment (Round 1) /utcome (Round 2) | 39 | Admission to Intensive Care Unit (ICU) within 2 days of having been assessed and treated and deemed appropriate for admission to a hospital ward from ED | 25 (64.1%) | 31 | Admission to Intensive Care Unit (ICU) within 2 h of having been assessed and treated and deemed appropriate for admission to the ICU from the ED | 22 (71.0%) | 0.55 |
Outcome | 34 | In-hospital mortality rate | 23 (67.6%) | 31 | In-hospital mortality rate | 24 (77.4%) | 0.38 |
Balancing | 32 | Service delivery measured through e.g. resources (beds, equipment etc.) against recommended requirements | 22 (68.8%) | 30 | Service delivery measured through e.g. available resources (beds, equipment etc.) against recommended requirements | 23 (76.7%) | 0.72 |
Balancing | 32 | Average length of stay (AVLOS) in hospital for patients who come through ED | 22 (68.8%) | 30 | Average length of stay (AVLOS) in hospital for patients who come through ED | 23 (76.7%) | 0.72 |
Balancing | 32 | Number of patients waiting for in-patient beds | 21 (65.6%) | 30 | Number of patients who are in the ED waiting for in-patient beds | 24 (80.0%) | 0.30 |