Re-engineering an American emergency department with Team Triage - adapting to increasing patient volume in emergency services

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Re-engineering an American emergency department with Team Triage - adapting to increasing patient volume in emergency services

Introduction Overcrowding in U.S. emergency departments (ED) is a critical issue. In a privatized health care system, patients with limited access to insurance benefits (as influenced by challenging socio-economic conditions) often utilize the ED as crucial point of access to care. Non-acute patients seeking primary care in ED facilities can congest operations and contribute to overcrowding. In...

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Team triage improves emergency department efficiency.

OBJECTIVE To see whether three hours of combined doctor and nurse triage would lead to earlier medical assessment and treatment and whether this benefit would carry on for the rest of the day when normal triage had resumed. METHOD Eight days were randomly selected; four for team triage and four for the normal nurse led triage. Team triage was coordinated by a middle grade or consultant from 9...

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Managing patient expectations at emergency department triage

Emergency departments (ED) overcrowding, long wait, and uncomfortable waiting room conditions may lower perceived quality of the patient experience and satisfaction. This study investigates the relationship between patient satisfaction and communication of expected wait times, at the point of triage. A pre-post (11/4/ 2008 – 2/5/2009) group design with convenience sample (n=1,209) of all discha...

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Emergency department triage revisited.

Triage is a process that is critical to the effective management of modern emergency departments. Triage systems aim, not only to ensure clinical justice for the patient, but also to provide an effective tool for departmental organisation, monitoring and evaluation. Over the last 20 years, triage systems have been standardised in a number of countries and efforts made to ensure consistency of a...

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Triage of children in an Emergency Department

Results A total of 81.9% (n=104) of the children were registered with triage colour indicating the level of urgency. This was done within a mean of 26.4 minutes from time of arrival. Children younger than 1 year old were significantly more likely not to be triaged compared to children older than 1 year old RR 2.78 (95% CI 1.31-5.93) (p=0.0249). Distribution of triage was; green (lowest level) 5...

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ژورنال

عنوان ژورنال: BMC Proceedings

سال: 2012

ISSN: 1753-6561

DOI: 10.1186/1753-6561-6-s4-p52