May 5, 2026 · Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · DOI: 10.1111/acem.70314

Standardized Workload Assessment Metric for Pediatric Emergency Departments (SWAMPED): Multicenter Derivation and Evaluation of a Task-Level Workload Measure

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The authors aimed to develop and evaluate the Standardized Workload Assessment Metric for Pediatric Emergency Departments (SWAMPED) to provide a more accurate measure of physician workload at the task level, beyond traditional proxy measures. Through a multicenter study involving 62 physicians, they demonstrated that SWAMPED produced reliable and precise workload estimates that were sensitive to contextual factors affecting care components. This metric lays the groundwork for future research linking workload to clinical outcomes and health system planning.

Garth Meckler, Jeffrey N Bone, Tania Principi, Bruce Wright, Jocelyn Gravel, Ahmed Mater, Devin Singh, Matthias Görges, Tibor van Rooij, Katrina F Hurley, Quynh Doan, for Pediatric Emergency Research Canada (PERC)

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