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Emergency department triage performance timing. A regional multicenter descriptive study in Italy
Stefano Bambi1, Marco Ruggeri2, Sandra Sansolino3
1Emergency and Trauma Intensive Care Unit, Azienda Ospedaliero Universitaria Careggi, Largo Brambilla 3, 50134 Florence, Italy.
International Emergency Nursing
|January 23, 2016
Summary
Nurse triage time in emergency departments (EDs) is comparable globally. Interruptions significantly prolong triage duration, highlighting a key area for efficiency improvements in patient care.
Area of Science:
- Emergency Medicine
- Nursing Practice
- Healthcare Operations
Background:
- The efficiency of the emergency department (ED) triage process is crucial for patient flow and timely care.
- Understanding the time dynamics of nursing triage is essential for optimizing resource allocation and performance.
Purpose of the Study:
- To explore the time nurses spend on the ED triage process.
- To assess factors influencing triage timing, including nurse experience, ED characteristics, and interruptions.
Main Methods:
- A multicenter, prospective, descriptive-explorative study was conducted in 11 EDs in Italy.
- 120 nurses were observed using a 5-tier triage system, with stratified proportional randomization based on years of service.
- Data on triage phases, duration, and interruptions were collected during work shifts.
Main Results:
- Median triage waiting time was 2.55 minutes, and median triage duration was 2.58 minutes.
- Interruptions occurred in 35.9% of observed triage processes and significantly increased time intervals.
- Significant differences in triage times were found based on nurses' experience and between different EDs.
Conclusions:
- Nurse triage time performance in this Italian cohort is consistent with global benchmarks.
- Interruptions represent a significant factor impacting triage efficiency and warrant targeted interventions.
