ArticleScandinavian journal of trauma, resuscitation and emergency medicine2012
Physician-led team triage based on lean principles may be superior for efficiency and quality? A comparison of three emergency departments with different triage models.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Impact of adding a medical intern to the emergency department night shift.BMJ open quality · 2026Article
- Evaluating an AI Decision Support System for the Emergency Department: Retrospective Study.JMIR AI · 2026Article
- Challenges and Contributing Factors to Emergency Department Overcrowding in Taiwan After the Lunar New Year Holiday: A 2024 Survey.Journal of acute medicine · 2025Article
- Evaluation of Difference in Emergency Care Quality by Years of Physician Experience at the Emergency Department.Juntendo Iji zasshi = Juntendo medical journal · 2024Article
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- Overcrowding in Emergency Department: Causes, Consequences, and Solutions-A Narrative Review.Healthcare (Basel, Switzerland) · 2022Review
- Emergency department provider in triage: assessing site-specific rationale, operational feasibility, and financial impact.Journal of the American College of Emergency Physicians open · 2021Article
- Emergency department overcrowding : Analysis and strategies to manage an international phenomenon.Wiener klinische Wochenschrift · 2021Review
- Defining "Swarming" as a New Model to Optimize Efficiency and Education in an Academic Emergency Department.AEM education and training · 2020Article
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- Article
- Effectiveness of Resident Physicians as Triage Liaison Providers in an Academic Emergency Department.The western journal of emergency medicine · 2017Article
- Overcrowding in emergency departments: A review of strategies to decrease future challenges.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2017Review
- Article
- Lean thinking in health and nursing: an integrative literature review.Revista latino-americana de enfermagem · 2016Review
- Improved quality and efficiency after the introduction of physician-led team triage in an emergency department.Upsala journal of medical sciences · 2016Article
- Article
- Healthcare workers' perceptions of lean: a context-sensitive, mixed methods study in three Swedish hospitals.Applied ergonomics · 2015Article
- Patient throughput benefits of triage liaison providers are lost in a resource-neutral model: a prospective trial.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2014Article
- Waiting management at the emergency department - a grounded theory study.BMC health services research · 2013Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe management of emergency departments (EDs) principally involves maintaining effective patient flow and care. Different triage models are used today to achieve these two goals. The aim of this study was to compare the performance of different triage models used in three Swedish EDs. Using efficiency and quality indicators, we compared the following triage models: physician-led team triage, nurse first/emergency physician second, and nurse first/junior physician second.
methodsAll data of patients arriving at the three EDs between 08:00- and 21:00 throughout 2008 were collected and merged into a database. The following efficiency indicators were measured: length of stay (LOS) including time to physician, time from physician to discharge, and 4-hour turnover rate. The following quality indicators were measured: rate of patients left before treatment was completed, unscheduled return within 24 and 72 hours, and mortality rate within 7 and 30 days.
resultsData from 147,579 patients were analysed. The median length of stay was 158 minutes for physician-led team triage, compared with 243 and 197 minutes for nurse/emergency physician and nurse/junior physician triage, respectively (p < 0.001). The rate of patients left before treatment was completed was 3.1% for physician-led team triage, 5.3% for nurse/emergency physician, and 9.6% for nurse/junior physician triage (p < 0.001). Further, the rates of unscheduled return within 24 hours were significantly lower for physician-led team triage, 1.0%, compared with 2.1%, and 2.5% for nurse/emergency physician, and nurse/junior physician, respectively (p < 0.001). The mortality rate within 7 days was 0.8% for physician-led team triage and 1.0% for the two other triage models (p < 0.001).
conclusionsPhysician-led team triage seemed advantageous, both expressed as efficiency and quality indicators, compared with the two other models.
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