Evidence map›Paper›PMID 38220229›Full record

ArticleSaudi medical journal2024

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.

Faisal T Mahmood, Mohammed M AlGhamdi, Mohammad O AlQithmi, Nasser M Faris, Muhammad U Nasir, Ali Salman

Abstract read
In one paragraph

Article in Saudi medical journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. Review
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

6 authors.

Faisal T MahmoodFrom the Department of Emergency (Mahmood, AlQithmi), King Fahad Specialist Hospital, Dammam, from the Department of Emergency (AlGhamdi), Johns Hopkins Aramco Healthcare, Dhahran, from the Department of Emergency (Faris), Armed Forces Hospital, Jazan, Kingdom of Saudi Arabia, from the Department of Internal Medicine (Nasir), King Edward Medical University, Lahore, and from the Department of Internal Medicine (Salman), Dow University of Health Sciences, Karachi, Pakistan.ORCID https://orcid.org/0009-0009-7592-747X
Mohammed M AlGhamdiFrom the Department of Emergency (Mahmood, AlQithmi), King Fahad Specialist Hospital, Dammam, from the Department of Emergency (AlGhamdi), Johns Hopkins Aramco Healthcare, Dhahran, from the Department of Emergency (Faris), Armed Forces Hospital, Jazan, Kingdom of Saudi Arabia, from the Department of Internal Medicine (Nasir), King Edward Medical University, Lahore, and from the Department of Internal Medicine (Salman), Dow University of Health Sciences, Karachi, Pakistan.
Mohammad O AlQithmiFrom the Department of Emergency (Mahmood, AlQithmi), King Fahad Specialist Hospital, Dammam, from the Department of Emergency (AlGhamdi), Johns Hopkins Aramco Healthcare, Dhahran, from the Department of Emergency (Faris), Armed Forces Hospital, Jazan, Kingdom of Saudi Arabia, from the Department of Internal Medicine (Nasir), King Edward Medical University, Lahore, and from the Department of Internal Medicine (Salman), Dow University of Health Sciences, Karachi, Pakistan.
Nasser M FarisFrom the Department of Emergency (Mahmood, AlQithmi), King Fahad Specialist Hospital, Dammam, from the Department of Emergency (AlGhamdi), Johns Hopkins Aramco Healthcare, Dhahran, from the Department of Emergency (Faris), Armed Forces Hospital, Jazan, Kingdom of Saudi Arabia, from the Department of Internal Medicine (Nasir), King Edward Medical University, Lahore, and from the Department of Internal Medicine (Salman), Dow University of Health Sciences, Karachi, Pakistan.
Muhammad U NasirFrom the Department of Emergency (Mahmood, AlQithmi), King Fahad Specialist Hospital, Dammam, from the Department of Emergency (AlGhamdi), Johns Hopkins Aramco Healthcare, Dhahran, from the Department of Emergency (Faris), Armed Forces Hospital, Jazan, Kingdom of Saudi Arabia, from the Department of Internal Medicine (Nasir), King Edward Medical University, Lahore, and from the Department of Internal Medicine (Salman), Dow University of Health Sciences, Karachi, Pakistan.
Ali SalmanFrom the Department of Emergency (Mahmood, AlQithmi), King Fahad Specialist Hospital, Dammam, from the Department of Emergency (AlGhamdi), Johns Hopkins Aramco Healthcare, Dhahran, from the Department of Emergency (Faris), Armed Forces Hospital, Jazan, Kingdom of Saudi Arabia, from the Department of Internal Medicine (Nasir), King Edward Medical University, Lahore, and from the Department of Internal Medicine (Salman), Dow University of Health Sciences, Karachi, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the effect of the presence of a physician in the triage area on the number of patients who leave without being seen (LWBS) and some of the factors affecting emergency department (ED) crowding.

methodsThis was a pre-post study carried out at King Fahad Specialist Hospital, Dammam, Saudi Arabia. The 3-month study, consisting of 7826 patients, was split into pre-physician and post-physician periods. Variables compared across these periods were the number of LWBS patients, length of hospital stay, time to physician, and time to disposition decision. Statistical analysis was carried out using R version 4.3.0.

resultsOur results showed that the presence of a triage physician significantly decreased the number of LWBS patients (

conclusionThe appointment of a triage physician has streamlined patient flow and decreased LWBS rates in the ED, demonstrating the need for more thorough research in this area.

Indexed as

PhysiciansQuality ImprovementCrowdingEmergency Service, HospitalHospitals, SpecialHumansLength of StayRetrospective StudiesTime FactorsTriagecrowdingemergency departmentleft without being seenphysiciantriage

Identifiers

PMID38220229
PMCPMC10807670

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.