Evidence map›Paper›PMID 29065673›Full record

ArticleJournal of healthcare engineering2017

Evaluating the Relationship between Productivity and Quality in Emergency Departments.

Hyojung Kang, Nathaniel D Bastian, John P Riordan

Abstract readEvaluation Study
In one paragraph

Article in Journal of healthcare engineering, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. A novel approach to measuring emergency physician efficiency.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Article
  2. Identifying and prioritizing inefficiency causes in Iran's health system.Cost effectiveness and resource allocation : C/E · 2024
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. July Phenomenon Impacts Efficiency of Emergency Care.The western journal of emergency medicine · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Hyojung KangDepartment of Systems and Information Engineering, School of Engineering, University of Virginia, Charlottesville, VA, USA.ORCID 0000-0001-7429-1101
Nathaniel D BastianDepartment of Supply Chain and Information Systems, Smeal College of Business, Pennsylvania State University, University Park, PA, USA.
John P RiordanUniversity of Virginia Health System, Charlottesville, VA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the United States, emergency departments (EDs) are constantly pressured to improve operational efficiency and quality in order to gain financial benefits and maintain a positive reputation.

objectivesThe first objective is to evaluate how efficiently EDs transform their input resources into quality outputs. The second objective is to investigate the relationship between the efficiency and quality performance of EDs and the factors affecting this relationship.

methodsUsing two data sources, we develop a data envelopment analysis (DEA) model to evaluate the relative efficiency of EDs. Based on the DEA result, we performed multinomial logistic regression to investigate the relationship between ED efficiency and quality performance.

resultsThe DEA results indicated that the main source of inefficiencies was working hours of technicians. The multinomial logistic regression result indicated that the number of electrocardiograms and X-ray procedures conducted in the ED and the length of stay were significantly associated with the trade-offs between relative efficiency and quality. Structural ED characteristics did not influence the relationship between efficiency and quality.

conclusionsDepending on the structural and operational characteristics of EDs, different factors can affect the relationship between efficiency and quality.

Indexed as

Efficiency, OrganizationalQuality of Health CareDatabases, FactualEmergency Service, HospitalLogistic ModelsUnited States

Identifiers

PMID29065673
PMCPMC5559952

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.