waiting times in emergency department after using the emergency severity index triage tool
نویسندگان
چکیده
background hospital emergency departments (eds) are as barometers of the health care system. crowded eds threaten delivery of timely care. prolonged ed wait times reduce the quality of care and increase adverse and sometimes irreversible events. objectives the purpose of this study was to determine the patients' waiting time at namazi and shahid faghihi hospitals in shiraz, iran. patients and methods this analytical cross-sectional study was conducted in two phases from december 2012 to may 2013. first, the researcher attended the eds of the two hospitals and recorded the information of 900 patients who entered the ed, including arrival time, level of triage, and time of first visit by physician. then, among patients admitted to the ed units, 273 were followed and waiting times for the first physician order in the referral unit and the commencement of clinical interventions (defined as check time by the nurse) were recorded. results the median waiting time from arrival to first visit by physician for the 900 patients included in the study was 8 (5-14) minutes [median (interquartile range)]. for the patients admitted to referral units, waiting time was 84 (43-145) minutes for the physician order and 85 (45-147) minutes for the commencement of first clinical intervention; 75% of the patients in triage level i, 84.6% in triage level ii, and 95.6% in triage level iii were visited within the target time limit. conclusions waiting time for commencement of clinical action in patients admitted to the eds was considerably high for patients with higher priorities; so, rapid care of critically ill patients, identified during the triage process, should be emphasized.
منابع مشابه
Waiting Times in Emergency Department After Using the Emergency Severity Index Triage Tool
BACKGROUND Hospital emergency departments (EDs) are as barometers of the health care system. Crowded EDs threaten delivery of timely care. Prolonged ED wait times reduce the quality of care and increase adverse and sometimes irreversible events. OBJECTIVES The purpose of this study was to determine the patients' waiting time at Namazi and Shahid Faghihi hospitals in Shiraz, Iran. PATIENTS A...
متن کاملMetadata Correction: A Web-Based Tool for Patient Triage in Emergency Department Settings: Validation Using the Emergency Severity Index
BACKGROUND We evaluated the concordance between triage scores generated by a novel Internet clinical decision support tool, Clinical GPS (cGPS) (Lumiata Inc, San Mateo, CA), and the Emergency Severity Index (ESI), a well-established and clinically validated patient severity scale in use today. Although the ESI and cGPS use different underlying algorithms to calculate patient severity, both util...
متن کاملValidity of the emergency severity index in predicting patient outcomes in a major emergency department
Background and Purpose: The emergency severity index (ESI) triage system has been recommended by the Ministry of Health to classify patients at emergency departments. This study aimed to assess the validity of ESI system (version 4) in the emergency department of a teaching hospital. Outcome measures were hospitalization, emergency department (ED) length of stay, resource consumption, in-hos...
متن کاملEvaluating the accuracy of emergency nurses in correct triage using emergency severity index triage in Sina hospital of Tabriz: a cross-sectional analysis
Objective: Triage refers to the evaluation and categorization of patients for better management to deliver services. A good triage system should be able to accurately specify the patients who require urgent care. Thus, this study aimed to evaluate the accuracy of emergency nurses in correct triage using Emergency Severity Index (ESI) triage. Methods: In ...
متن کاملEffect of introduction of nurse triage on waiting times in a South African emergency department.
BACKGROUND In a resource poor setting with poverty, a high burden of disease and critically low medical staff numbers, triage could potentially improve the long waiting times experienced at South African public hospital emergency departments (ED) and render timely emergency care to those in most need. AIM To evaluate the impact of introducing nurse triage (using the Cape Triage Score (CTS)) o...
متن کاملمنابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
archives of trauma researchجلد ۳، شماره ۴، صفحات ۰-۰
کلمات کلیدی
میزبانی شده توسط پلتفرم ابری doprax.com
copyright © 2015-2023