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The digital age has allowed us to do many things more easily. We can shop online, know whether the movie we want to see is sold out before we leave home, or book a restaurant seating. Another piece of information that we can glean from the electronic tea leaves of the Internet is information on wait times at Canada/US border crossings. While driving to the border from a city such as Vancouver, where options exist regarding which route to take, there are electronic roadway signs that provide wait times for the various crossing locations. With this regularly updated information, a traveler can decide on a familiar route or choose a less traveled crossing with a shorter wait time. With no disrespect to the importance of border crossing information, it is vexing that electronic means to display and disseminate wait times in emergency departments (EDs), whether for patients or emergency medical service personnel, barely exist in Canada. Moreover, publishing ED wait times remains a relatively low priority for most organizations. In this issue, Yip and colleagues report a study titled ‘‘Influence of Publicly Available Online Wait Time Data on Emergency Department Choice in Patients with Noncritical Complaints.’’ This research involved a survey of 1,211 patients to determine the proportion who access static ED wait times data on a website and the desire of patients to access such information. The authors concluded that although only 10% of patients accessed the hospital website where this information was housed, 45% said that they would like to use such a website. A similar percentage felt that they would use wait times to guide their choice of an ED. It should be underscored that these were patients who made their own way to an ED; those arriving by ambulance were excluded. Nevertheless, in most Canadian EDs, roughly 75 to 80% of patients arrive independently. There is surprisingly little research on the impact of real-time ED wait time information on patient flow and patient care. Currently in Canada, only Calgary has a website that displays real-time data for four hospitals and two walk-in clinics. Vancouver Coastal Health is scheduled to go live with a similar system in six urban hospitals later this year. Ontario currently only provides average value wait time information for each ED. Beyond not being in real time, the Ontario definition of wait time refers to the length of stay of the ED visit and not the time until the patient is seen by a physician. Clearly, such information would have minimal utility in the moment when, as a potential patient, one was trying to decide which ED is least busy. In contrast, many American hospitals provide ED wait times for treatment on their hospital home pages. Most such situations involve private hospitals that use the wait times predominantly as an advertisement rather than a patient-centred tool. In further dramatic contrast to Canada, many of these US sites

Les délais d'attente: le patient à l'urgence est un client