Literature DB >> 15239754

Multidisciplinary assessment at triage: a new way forward.

Joanna R Richardson1, George Braitberg, Michael J Yeoh.   

Abstract

OBJECTIVE: To evaluate a dual doctor and nurse triage system at a tertiary referral hospital.
METHODS: Data were compared between periods of multidisciplinary triage and periods of standard triage. Data comparison was also made between rostered multidisciplinary triage shifts and non-multidisciplinary triage shifts. Staff satisfaction with the process was assessed.
RESULTS: The percentage of patients seen within Australasian Triage Scale performance indicator thresholds increased from 75% to 81% in Category 2 patients (P = 0.12) and 56% to 78% in Category 3 patients (P < 0.0001). There was a reduction of 50% in the number of patients who left prior to being seen by a doctor (P = 0.024). Surveys showed high staff satisfaction with the process.
CONCLUSIONS: We feel that multidisciplinary triage performs a useful function in our department enabling us to reduce waiting times. The process is widely accepted amongst the staff and it ensures a senior doctor assesses most patients. It reduces the number of patients leaving prior to being seen by a doctor and it provides one way of getting around access block and a physically small department.

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Mesh:

Year:  2004        PMID: 15239754     DOI: 10.1111/j.1742-6723.2004.00541.x

Source DB:  PubMed          Journal:  Emerg Med Australas        ISSN: 1742-6723            Impact factor:   2.151


  8 in total

Review 1.  Modern triage in the emergency department.

Authors:  Michael Christ; Florian Grossmann; Daniela Winter; Roland Bingisser; Elke Platz
Journal:  Dtsch Arztebl Int       Date:  2010-12-17       Impact factor: 5.594

Review 2.  A systematic review of triage-related interventions to improve patient flow in emergency departments.

Authors:  Sven Oredsson; Håkan Jonsson; Jon Rognes; Lars Lind; Katarina E Göransson; Anna Ehrenberg; Kjell Asplund; Maaret Castrén; Nasim Farrohknia
Journal:  Scand J Trauma Resusc Emerg Med       Date:  2011-07-19       Impact factor: 2.953

3.  Implementing wait-time reductions under Ontario government benchmarks (Pay-for-Results): a Cluster Randomized Trial of the Effect of a Physician-Nurse Supplementary Triage Assistance team (MDRNSTAT) on emergency department patient wait times.

Authors:  Ivy Cheng; Jacques Lee; Nicole Mittmann; Jeffrey Tyberg; Sharon Ramagnano; Alex Kiss; Michael Schull; Fergus Kerr; Merrick Zwarenstein
Journal:  BMC Emerg Med       Date:  2013-11-11

4.  Medical Team Evaluation: Effect on Emergency Department Waiting Time and Length of Stay.

Authors:  Juliane Lauks; Blaz Mramor; Klaus Baumgartl; Heinrich Maier; Christian H Nickel; Roland Bingisser
Journal:  PLoS One       Date:  2016-04-22       Impact factor: 3.240

5.  Effectiveness of Resident Physicians as Triage Liaison Providers in an Academic Emergency Department.

Authors:  Victoria Weston; Sushil K Jain; Michael Gottlieb; Amer Aldeen; Stephanie Gravenor; Michael J Schmidt; Sanjeev Malik
Journal:  West J Emerg Med       Date:  2017-04-17

6.  NO WAIT: new organised well-adapted immediate triage: a lean improvement project.

Authors:  Ahmed Elkholi; Huda Althobiti; Jamal Al Nofeye; Mohamed Hasan; Ahmed Ibrahim
Journal:  BMJ Open Qual       Date:  2021-01

7.  Inter-Rater Agreement of Emergency Nurses and Physicians in Emergency Severity Index (ESI) Triage.

Authors:  Mehrdad Esmailian; Majid Zamani; Fatemeh Azadi; Faezeh Ghasemi
Journal:  Emerg (Tehran)       Date:  2014

8.  Improved quality and efficiency after the introduction of physician-led team triage in an emergency department.

Authors:  Lena Burström; Marie-Louise Engström; Maaret Castrén; Tony Wiklund; Mats Enlund
Journal:  Ups J Med Sci       Date:  2015-11-09       Impact factor: 2.384

  8 in total

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