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An advance triage system.

W W H Cheung1, L Heeney, J L Pound

  • 1Emergency Department, Centenary Health Centre, Toronto, Canada.

Accident and Emergency Nursing
|May 10, 2002
PubMed
Summary
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Implementing Advance Triage in emergency departments significantly reduces patient length of stay by 46 minutes. This innovative process improves patient flow and satisfaction through efficient diagnostic protocols.

Area of Science:

  • Emergency Medicine
  • Healthcare Management
  • Patient Flow Optimization

Background:

  • Emergency departments face challenges with patient flow and satisfaction.
  • Longer patient lengths of stay (LOS) negatively impact patient experience.
  • Current triage processes may not efficiently initiate diagnostic pathways.

Purpose of the Study:

  • To redesign the emergency department triage process to improve patient flow.
  • To increase patient satisfaction by reducing overall length of stay.
  • To evaluate the effectiveness of an Advance Triage system.

Main Methods:

  • Development of nine physician-approved Advance Triage algorithms for common conditions.
  • Implementation of a comprehensive educational program for triage nurses.

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  • Initiation of the Advance Triage process in an emergency department setting.

    • Main Results:

    • Average length of stay reduced by 46 minutes for all advance-triaged patients.
    • Significant time savings of 76 minutes for 'Urgent' category patients.
    • Greatest time savings occurred after initial physician assessment due to early diagnostic results.

    Conclusions:

    • Advance Triage efficiently utilizes patient waiting time.
    • The system enhances job satisfaction for nurses and physicians.
    • Redesigned triage processes can substantially improve emergency department efficiency and patient outcomes.