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ABSTRACTStudy objective:To develop an operational definition and a parsimonious list of postulated determinants for urban emergency department (ED) overcrowding.Methods:A panel was formed from clinical and administrative experts in pre-hospital, ED and hospital domains. Key studies and reports were reviewed in advance by panel members, an experienced health services researcher facilitated the panel's discussions, and a formal content analysis of audiotaped recordings was conducted.Results:Thedoi:10.1017/s1481803500006163 fatcat:g2fbjq2xo5gujphetja6izwg2e