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Related Experiment Videos

Team triage improves emergency department efficiency.

F Subash1, F Dunn, B McNicholl

  • 1Emergency Department, Royal Victoria Hospital, Grosvenor Road, Belfast BT12 6AB, UK.

Emergency Medicine Journal : EMJ
|August 31, 2004
PubMed
Summary
This summary is machine-generated.

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A three-hour combined doctor and nurse triage significantly speeds up patient assessment and discharge. However, this emergency department triage benefit did not extend beyond the intervention period.

Area of Science:

  • Emergency Medicine
  • Healthcare Management

Background:

  • Efficient patient flow in emergency departments is crucial for timely care.
  • Traditional nurse-led triage may present bottlenecks during peak hours.

Purpose of the Study:

  • To evaluate the impact of a combined doctor and nurse triage on patient assessment and treatment times.
  • To determine if the benefits of team triage persist after the intervention period.

Main Methods:

  • A randomized controlled trial comparing team triage (doctor and nurse) with standard nurse-led triage over eight days.
  • Data collection included times to triage, physician assessment, radiology, admission, and discharge for all patient types.
  • Staffing levels remained constant, with no additional personnel.

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Main Results:

  • Team triage significantly reduced median times to triage (2 vs. 7 minutes), physician assessment (2 vs. 32 minutes), and radiology (11.5 vs. 44.5 minutes).
  • A higher proportion of patients were seen and discharged within 20 minutes in the intervention group (19% vs. 3%).
  • No significant carry-over effect on waiting times was observed after the 3-hour intervention period.

Conclusions:

  • A brief, 3-hour combined doctor and nurse triage effectively shortens patient waiting times and improves throughput.
  • The positive impact of team triage is limited to the intervention duration, with no sustained effect on subsequent patient flow.