ArticleUpsala journal of medical sciences2016
Improved quality and efficiency after the introduction of physician-led team triage in an emergency department.
Article in Upsala journal of medical sciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.
- Emergency department crowding: A systematic review of causes, consequences and solutions.PloS one · 2018Pooled it
- Overcrowding Indicators in Emergency Departments Across Countries: Scoping Review.Interactive journal of medical research · 2026Review
- Rapid triage and transfer system for patients with proven Covid-19 at emergency department.Journal of applied biomedicine · 2024Article
- The effect of having a physician in the triage area on the rate of patients leaving without being seen: A quality improvement initiative at King Fahad Specialist hospital.Saudi medical journal · 2024Article
- Impact of Care Initiation Model on Emergency Department Orders and Operational Metrics: Cohort Study.The western journal of emergency medicine · 2023Article
- Article
- An updated national survey of triage and triage related work in Sweden: a cross-sectional descriptive and comparative study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Article
- Exploring overcrowding trends in an inner city emergence department in the UK before and during COVID-19 epidemic.BMC emergency medicine · 2021Article
- Team triage increases discharges and decreases time to discharge without increasing test ordering.Journal of the American College of Emergency Physicians open · 2021Article
- Defining "Swarming" as a New Model to Optimize Efficiency and Education in an Academic Emergency Department.AEM education and training · 2020Article
- Impact of Emergency Department Phlebotomists on Left-Before-Treatment-Completion Rates.The western journal of emergency medicine · 2019Observational
- Actual clinical leadership: a shadowing study of charge nurses and doctors on-call in the emergency department.Scandinavian journal of trauma, resuscitation and emergency medicine · 2019Article
- NHAMCS Validation of Emergency Severity Index as an Indicator of Emergency Department Resource Utilization.The western journal of emergency medicine · 2018Article
- Key High-efficiency Practices of Emergency Department Providers: A Mixed-methods Study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2018Observational
- Article
- 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
- Does Case-Finding for Admission to Aged Care Rapid Investigation and Assessment Unit for Older Patients Improve Hospital Length of Stay?International journal of integrated careArticle
- The Impact of Team Triage Method on Emergency Department Performance Indexes: A quasi-interventional study.International journal of applied & basic medical researchArticle
- Emergency Medicine Telehealth: A Pandemic Becomes a Gateway for Virtual Care in Missouri.Missouri medicineArticle
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOvercrowding in the emergency department (ED) may negatively affect patient outcomes, so different triage models have been introduced to improve performance. Physician-led team triage obtains better results than other triage models. We compared efficiency and quality measures before and after reorganization of the triage model in the ED at our county hospital. MATERIALS AND
methodsWe retrospectively compared two study periods with different triage models: nurse triage in 2008 (baseline) and physician-led team triage in 2012 (follow-up). Physician-led team triage was in use during day-time and early evenings on weekdays. Data were collected from electronic medical charts and the National Mortality Register.
resultsWe included 20,073 attendances in 2008 and 23,765 in 2012. The time from registration to physician presentation decreased from 80 to 33 min (P < 0.001), and the length of stay decreased from 219 to 185 min (P < 0.001) from 2008 to 2012, respectively. All of the quality variables differed significantly between the two periods, with better results in 2012. The odds ratio for patients who left before being seen or before treatment was completed was 0.62 (95% confidence interval 0.54-0.72). The corresponding result for unscheduled returns was 0.36 (0.32-0.40), and for the mortality rates within 7 and 30 days 0.72 (0.59-0.88) and 0.84 (0.73-0.97), respectively. The admission rate was 37% at baseline and 32% at follow-up (P < 0.001).
conclusionPhysician-led team triage improved the efficiency and quality in EDs.
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Registered trials
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