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Impact of the Four-Hour Rule in Western Australian hospitals: Trend analysis of a large record linkage study 2002-2013.

PLoS One · 2018 · PMC5851625 · PMID 29538401

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an increasing trendno p-value reported
Principal outcomes Attendance and re-attendance measures Rate of ED attendance was on an increasing trend for Hospitals C through E pre-FHR.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.