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Impact of triage in accident and emergency departments in Bahrain

B E Fateha1, A Y Hamza

  • 1Office of Medical Review, Ministry of Health, Manama, Bahrain.

Eastern Mediterranean Health Journal = La Revue De Sante De La Mediterranee Orientale = Al-Majallah Al-Sihhiyah Li-Sharq Al-Mutawassit
|August 31, 2004
PubMed

Insights

Physician-led triage significantly reduced patient referrals to Accident and Emergency (AE) cubicles by 54.4%. This cost-effective strategy also lowered healthcare expenditure by up to 17.3% in the AE Department.

Area of Science:

  • Emergency Medicine
  • Healthcare Management
  • Health Economics

Background:

  • The Accident and Emergency (AE) Department at Salmaniya Medical Complex faced significant workload challenges.
  • Optimizing patient flow and resource allocation in AE departments is crucial for efficient healthcare delivery.
  • The role of physician-led triage in managing AE department workload and expenditure was previously underexplored in this setting.

Purpose of the Study:

  • To evaluate the impact of implementing physician-led triage on the workload within the AE Department.
  • To assess the effect of physician-led triage on the overall expenditure of the AE Department.
  • To determine the cost-effectiveness of physician-led triage in an AE setting.

Main Methods:

  • Analysis of patient visit data over a 9-month period post-triage implementation.
  • Comparison with patient visit data from the preceding year.
  • Inclusion of forecasted patient visit data for a 9-month period starting July 1999.

Main Results:

  • A statistically significant reduction in patient referrals to AE cubicles by 54.4% was observed post-triage.
  • A significant reduction in the overall workload of the AE Department was documented.
  • Estimated healthcare expenditure reduction ranged between 15.3% and 17.3%.

Conclusions:

  • Physician-led triage is a cost-effective strategy for managing AE departments.
  • Implementation of triage effectively reduces AE department workload.
  • Triage allows AE departments to allocate more time to critical and life-threatening cases.

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