Definition of “Admit Time”
Approved by the ACEP Board of Directors June 2016
The time when the “Order to Admit” is placed by the emergency department provider or the time when the inpatient bed request is placed, whichever is earlier.
This definition may be difficult to operationalize in some environments. In those cases, an alternate definition that could be used, as developed by the Emergency Department Benchmarking Alliance in 2014:
First documented date and time of the disposition to admit the patient from the ED. As admission processes vary at different hospitals, this can use the first documented time of any of the following:
1) admission order (this may be an operational order rather than the hospital admission to inpatient status order), 2) disposition order (must explicitly state to admit), 3) documented bed request, or 4) documented acceptance from admitting physician. This is not the “bed assignment time” or “report called” time.