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Time Spent in the Emergency Department

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For detailed information on public reporting of emergency room wait times across Ontario, please visit the Ontario government website www.ontariowaittimes.com.

Mount Sinai Hospital is committed to continuously improve the delivery of safe, excellent and efficient emergency care to each of our patients. We are strong supporters of the Ministry of Health and Long-Term Care’s strategy to reduce wait times in our Emergency Department and have implemented several initiatives over
the last few years to improve emergency wait times.

Time spent in the Emergency Department measures the total time a patient is in the department for a particular visit.  There are a number of different factors* that influence the time a patient might spend in the emergency department including the current volume of patients, complexity of symptoms presented by patients, type and number of diagnostics (i.e. x-rays) required, and whether the patient requires admission to the hospital.

How is the time spent in the Emergency Department measured? 

The time spent in the emergency department is defined as the time interval between when the patient is triaged and when the patient is discharged or is admitted to the hospital.


Time Spent in the Emergency Department

Reporting Period
Complex conditions requiring more time for diagnosis, treatment or hospital bed admission
Minor or uncomplicated conditions requiring less time for diagnosis, treatment or observation
Total Visits
Total Visits excludes LWBS*
ED LOS 90th Percentilee
Toronto Central
LHIN ED LOS 90th Percentile
Total Visits
Total Visits excludes LWBS*
ED LOS 90th
Percentile*
Toronto Central LHIN ED LOS 90th
Percentile
Apr. - Jun.
2013
10,378 10,152 10.1 11.2 4,045 3,930 4.3 4.6
Jul. - Sep.
2013
10,810 10,584 9.7 10.9 4,206 4,092 4.1 4.4
Oct. - Dec. 2013 10,579 10,372 9.5 11.6 3,926 3,822 4.3 4.5
Jan. - Mar. 2014 10,738 10,577 9.6 12.1 3,705 3,622 4.2 4.8
Apr. - Jun. 2014 11,570 11,306 10.2 12.0 3,779 3,658 4.2 4.7
Jul. - Sep. 2014 11,927 11,619 10.0 11.6 3,666 3,550 4.1 4.3
Oct. - Dec. 2014 11,386 11,187 10.5 12.6 3,855 3,755 4.0 4.5
Jan. - Mar. 2015 11,319 11,167 10.1 13.0 3,669 3,586 3.9 4.4
Apr. - Jun. 2015 11,575 11,351 10.4 11.8 4,317 4,183 4.0 4.4
Jul. - Sep. 2015 11,435 11,181 10.7 12.3 4,881 4,752 4.2 4.4
Oct. - Dec. 2015 10,530 10,360 10.6 12.2 4,245 4,161 3.9 4.3
Jan. - Mar. 2016 11,271 11,086 10.7 13.1 4,527 4,391 4.1 4.9
Apr. - Jun. 2016 10,990 10,741 11.0 12.6 4,609 4,489 4.4 4.5
Jul. - Sep. 2016 11,332 11,022 10.9 12.5 4,984 4,811 4.6 4.6
Oct. - Dec. 2016 10,630 10,396 12.3 3.2 4.507 4,355 4.5 4.6

  *ED Wait times are based on Visits excluding cases left without being seen.
  *Open year data, subject to change.

What are we doing to improve our length of stay in the Emergency Department?

Mount Sinai balances the improvement of the time spent in the Emergency Department with increases in the number of patients who come to the Hospital for emergency treatment. Mount Sinai aims to continue improving time spent in the Emergency Department while balancing efficient treatment and safe, quality care of our patients.  A number of improvement initiatives have been put in place including: 

  • Implementation of a Rapid Assessment Zone for moderately acute patients
  • Collaboration with external partners such as Emergency Medical Services (EMS) and Community Care Access Centre (CCAC)
  • Implementation of policies and procedures in response to problems and anticipation of wait time initiatives.
  • Creation of an “Offload nurse” position to help ambulances return to the streets
  • Development of hospital-wide bed flow policies
  • Creation of a “Patient flow” coordinator position
  • Ongoing process re-design to manage volumes
  • Signs throughout the department to describe reasons for waiting
  • Nurse initiated diagnostics and interventions while waiting

Should you find yourself requiring care in Mount Sinai’s Emergency Department, our staff will attempt to provide the services you need in as efficient a manner as possible.  If you have questions about any aspect of your care, please bring them to the attention of your nurse or physician.  We appreciate your patience and understanding as we balance the needs of all of our patients.

 

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