{
  "abstract": "Accurate attribution of emergency department (ED) 4-hour breaches is important for governance, operational planning and service improvement.1 The 4-hour target remains a widely used performance metric, informing escalation decisions, staffing allocation and redesign of patient flow pathways.2 3 Many hospitals rely on automated coding systems to classify breach causes; however, these systems may not accurately reflect the true operational drivers of delay.4",
  "authors": [
    {
      "affiliations": [
        "Emergency, Pilgrim Hospital, Boston, Lincolnshire, UK"
      ],
      "name": "Ahmed Ismail Mohammed Moustafa"
    },
    {
      "affiliations": [
        "Emergency, Pilgrim Hospital, Boston, Lincolnshire, UK"
      ],
      "name": "Wael Abdelgawwad"
    },
    {
      "affiliations": [
        "Emergency, Pilgrim Hospital, Boston, Lincolnshire, UK"
      ],
      "name": "Herath Anura"
    },
    {
      "affiliations": [
        "Emergency, Pilgrim Hospital, Boston, Lincolnshire, UK"
      ],
      "name": "Hussein Hussein"
    },
    {
      "affiliations": [
        "Emergency, Pilgrim Hospital, Boston, Lincolnshire, UK"
      ],
      "name": "Uyiosa Osunde"
    },
    {
      "affiliations": [
        "Emergency, Pilgrim Hospital, Boston, Lincolnshire, UK"
      ],
      "name": "Rawan Honeini"
    }
  ],
  "title": "Improving accuracy of 4-hour breach coding in the emergency department: a retrospective observational study",
  "uid": "83051004-b206-590a-aed8-fc73e8256269"
}