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dc.contributor.authorWalker, KJ
dc.contributor.authorJiarpakdee, J
dc.contributor.authorLoupis, A
dc.contributor.authorTantithamthavorn, C
dc.contributor.authorJoe, K
dc.contributor.authorBen-Meir, M
dc.contributor.authorAkhlaghi, H
dc.contributor.authorHutton, J
dc.contributor.authorWang, W
dc.contributor.authorStephenson, M
dc.contributor.authorBlecher, G
dc.contributor.authorBuntine, P
dc.contributor.authorSweeny, A
dc.contributor.authorTurhan, B
dc.description.abstractStudy objective: To derive and internally and externally validate machine-learning models to predict emergency ambulance patient door–to–off-stretcher wait times that are applicable to a wide variety of emergency departments. Methods: Nine emergency departments provided 3 years (2017 to 2019) of retrospective administrative data from Australia. Descriptive and exploratory analyses were undertaken on the datasets. Statistical and machine-learning models were developed to predict wait times at each site and were internally and externally validated. Results: There were 421,894 episodes analyzed, and median site off-load times varied from 13 (interquartile range [IQR], 9 to 20) to 29 (IQR, 16 to 48) minutes. The global site prediction model median absolute errors were 11.7 minutes (95% confidence interval [CI], 11.7 to 11.8) using linear regression and 12.8 minutes (95% CI, 12.7 to 12.9) using elastic net. The individual site model prediction median absolute errors varied from the most accurate at 6.3 minutes (95% CI, 6.2 to 6.4) to the least accurate at 16.1 minutes (95% CI, 15.8 to 16.3). The model technique performance was the same for linear regression, random forests, elastic net, and rolling average. The important variables were the last k-patient average waits, triage category, and patient age. The global model performed at the lower end of the accuracy range compared with models for the individual sites but was within tolerable limits. Conclusion: Electronic emergency demographic and flow information can be used to estimate emergency ambulance patient off-stretcher times. Models can be built with reasonable accuracy for multiple hospitals using a small number of point-of-care variables.en_US
dc.publisherElsevier BVen_US
dc.relation.ispartofjournalAnnals of Emergency Medicineen_US
dc.subject.fieldofresearchClinical Sciencesen_US
dc.titlePredicting Ambulance Patient Wait Times: A Multicenter Derivation and Validation Studyen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Articlesen_US
dcterms.bibliographicCitationWalker, KJ; Jiarpakdee, J; Loupis, A; Tantithamthavorn, C; Joe, K; Ben-Meir, M; Akhlaghi, H; Hutton, J; Wang, W; Stephenson, M; Blecher, G; Buntine, P; Sweeny, A; Turhan, B, Predicting Ambulance Patient Wait Times: A Multicenter Derivation and Validation Study, Annals of Emergency Medicine, 2021en_US
gro.description.notepublicThis publication has been entered in Griffith Research Online as an advanced online version.en_US
gro.hasfulltextNo Full Text
gro.griffith.authorSweeny, Amy L.

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