That is a very bleak, very libertarian view of emergency rooms. Good thing you're not running the show. My colleagues who work in ER would be fired if their measure of good wait times was 'not die'.
There are so many different ailments, illnesses and injuries it's unfair to cast them all in the same pot. Response and care depends on severity, criticality, priority, etc.
There are three main measures of success to an ER (depending on who you ask, but these are pretty common):
1. Average wait time
2. Average length of stay
3. Time to RVU (clinician productivity metric)
You can include other metrics (e.g. total patients seen, total RVUs, avg eval and management metrics, patient satisfaction, etc.). But there is far more nuance to the success of an ER than 'not dying'. That is a very myopic (and dark) view of how care is triaged in our healthcare system.
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