Evidence map›Paper›PMID 33615308›Full record

ArticleJournal of the American College of Emergency Physicians open2021

Team triage increases discharges and decreases time to discharge without increasing test ordering.

Samita M Heslin, Arie Francis, Richard Cloney, Gina Marie Polizzo, Karen Scott, Candice King, Peter Viccellio, Alison L Rowe, Eric J Morley

Abstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Team triage increases discharges and decreases time to discharge without increasing test ordering.Journal of the American College of Emergency Physicians open · 2021
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Samita M HeslinDepartment of Emergency Medicine Renaissance School of Medicine at Stony Brook University Stony Brook New York USA.
Arie FrancisDepartment of Emergency Medicine Renaissance School of Medicine at Stony Brook University Stony Brook New York USA.
Richard CloneyDepartment of Emergency Medicine Renaissance School of Medicine at Stony Brook University Stony Brook New York USA.
Gina Marie PolizzoDepartment of Emergency Medicine Renaissance School of Medicine at Stony Brook University Stony Brook New York USA.
Karen ScottDepartment of Emergency Medicine Renaissance School of Medicine at Stony Brook University Stony Brook New York USA.
Candice KingDepartment of Emergency Medicine Renaissance School of Medicine at Stony Brook University Stony Brook New York USA.
Peter ViccellioDepartment of Emergency Medicine Renaissance School of Medicine at Stony Brook University Stony Brook New York USA.
Alison L RoweDepartment of Emergency Medicine Renaissance School of Medicine at Stony Brook University Stony Brook New York USA.
Eric J MorleyDepartment of Emergency Medicine Renaissance School of Medicine at Stony Brook University Stony Brook New York USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesEmergency department (ED) crowding is detrimental to patients and staff. During traditional triage, nurses evaluate patients and identify their level of emergency. During team triage, physicians and/or nurse practitioners (NPs) and physician assistants (PAs) place orders, laboratory results, intravenous lines (IVs), and imaging in triage. Team triage improves access to testing and decreases length of stay. However, ordering practices in team triage may lead to overtesting.

methodsThis is a retrospective review of patients seen before and after a team triage process was established. Percentage of patients receiving testing and the diagnostic yields of troponins, lactates, international normalized ratios (INRs), blood cultures, glomerular filtration rates (GFR), and head computed tomography (CT) images were studied.

resultsA total of 704 traditionally triaged patients and 862 team triaged patients met inclusion criteria. Comparing traditional versus team triaged patients, the proportion of patients discharged was 0.44 versus 0.53 (

conclusionCompared with traditional triage, the team triage process increased discharges and decreased time to discharge, but did not lead to increased testing or decreased diagnostic yield.

Identifiers

PMID33615308
PMCPMC7877865

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.