Demonstration of a Fair Level of Agreement Between Escalation Scores Reported by Hospital Managers and Analysis of Stress-Related Hospital Metrics

Hugo C van Woerden, Neil J Walker, Vasiliki Kiparoglou, Yaling Yang

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The National Health System in Wales has developed a novel national electronic dashboard which reports a daily
“escalation score,” reflecting management’s opinion of the pressure each hospital is facing, primarily due to unscheduled care. The
aim of this study was to examine the possibility of replacing human scores with a quantitative model, based on the relationship
between reported escalation scores and selected hospital metrics.
Original languageEnglish
Pages (from-to)1-8
Number of pages8
JournalHealth Services Research and Managerial Epidemiology
Issue number1-8
Publication statusPublished - 15 Mar 2019



  • Unscheduled care
  • escalation scores
  • hospital pressure
  • emergency admissions

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