id author title date pages extension mime words sentences flesch summary cache txt cord-352656-hpuhjbki Cohen, Brett A. Emergency department operations in a large health system during COVID-19 2020-06-02 .txt text/plain 1212 91 57 The following operational metrics were collected: median daily visits, COVID-19 specific J o u r n a l P r e -p r o o f visits, patients LWBS, door to diagnostic evaluation by a qualified medical professional ("doorto-doc" time), hospitalization rate, decision to admit to ED departure (boarding time), and median ED LOS. The evaluation of operational metrics revealed the very high-volume urban academic ED experienced the greatest improvements, with LWBS, ED LOS, boarding time, and door-to-doc time decreasing by 89.5%, 36.1%, 49.4% and 83.8% respectively (all p<0.001) ( Table 3) . The above data demonstrate a trend of decreased ED patient visits across a single health system during the initial stages of the COVID-19 pandemic, in conjunction with greater improvements in ED operational metrics observed at a large urban academic center compared to smaller community hospitals within the same health system. ./cache/cord-352656-hpuhjbki.txt ./txt/cord-352656-hpuhjbki.txt