ArticleBMJ open2018
Can interprofessional teamwork reduce patient throughput times? A longitudinal single-centre study of three different triage processes at a Swedish emergency department.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- Pooled it
- Metaverse technologies in acute care medical education: A scoping review.AEM education and training · 2025Article
- Article
- Healthcare-associated adverse events and readmission to the emergency departments within seven days after a first consultation.Frontiers in public health · 2023Article
- Evaluation of interprofessional teamwork modules implementation in an emergency department - A mixed-methods case study of implementation fidelity.BMC health services research · 2021Article
- 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
- Can dedicated emergency team and area for older people reduce the hospital admission rate? - An observational pre- and post-intervention study.BMC geriatrics · 2021Article
- A perception survey on the roles of nurses during triage in a selected public hospital in Kwazulu-Natal Province, South Africa.The Pan African medical journal · 2020Article
- Management of multiple traumas in emergency medicine department: A review.Journal of family medicine and primary care · 2019Review
- Observational
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine the impact on emergency department (ED) throughput times and proportion of patients who leave without being seen by a physician (LWBS) of two triage interventions, where comprehensive nurse-led triage was first replaced by senior physician-led triage and then by interprofessional teamwork.
designSingle-centre before-and-after study.
settingAdult ED of a Swedish urban hospital.
participantsPatients arriving on weekdays 08:00 to 21:00 during three 1-year periods in the interval May 2012 to November 2015. A total of 185 806 arrivals were included.
interventionsSenior physicians replaced triage nurses May 2013 to May 2014. Interprofessional teamwork replaced the triage process on weekdays 08:00 to 21:00 November 2014 to November 2015.
main outcome measuresPrimary outcomes were the median time to physician (TTP) and the median length of stay (LOS). Secondary outcome was the LWBS rate.
resultsThe crude median LOS was shortest for teamwork, 228 min (95% CI 226.4 to 230.5) compared with 232 min (95% CI 230.8 to 233.9) for nurse-led and 250 min (95% CI 248.5 to 252.6) for physician-led triage. The adjusted LOS for the teamwork period was 16 min shorter than for nurse-led triage and 23 min shorter than for physician-led triage. The median TTP was shortest for physician-led triage, 56 min (95% CI 54.5 to 56.6) compared with 116 min (95% CI 114.4 to 117.5) for nurse-led triage and 74 min (95% CI 72.7 to 74.8) for teamwork. The LWBS rate was 1.9% for nurse-led triage, 1.2% for physician-led triage and 3.2% for teamwork. All outcome measure differences had two-tailed p values<0.01.
conclusionsInterprofessional teamwork had the shortest length of stay, a shorter time to physician than nurse-led triage, but a higher LWBS rate. Interprofessional teamwork may be a useful approach to reducing ED throughput times.
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