Evaluation of a ‘see and treat’ pilot study introduced to an emergency department

Rogers, Tessa; Ross, Nicola; Spooner, Daniel

doi:10.1016/j.aaen.2003.08.005

Cited by 41 publications

(52 citation statements)

References 3 publications

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“…Nine studies 14,15,21,22,25,30,31,34,38 reported outcome data on PIA for all patients. One RCT showed a significant reduction in the PIA associated with TLP presence when compared to nurse-led triage (triage process with a TLP, -30.00 minutes; 95% CI = -56.91 to -3.09).…”

Section: Search Resultsmentioning

confidence: 99%

“…Nineteen studies 1,[14][15][16][17][21][22][23][24][25][29][30][31][32][33]35,36,38,39 reported outcome data on ED LOS. A pooled result from two RCTs indicated a significant reduction in ED LOS when comparing TLP interventions to nurse-led triage (WMD = )36.85 min; 95% CI = )51.11 to -22.58-note that a negative time is used to denote a shorter or improved time).…”

Section: Search Resultsmentioning

confidence: 99%

“…1,38 These last activities have been related to achieving of the goal of ''see and treat.'' 20,22,23,29 Most importantly, these differences may have critical implications during the implementation of such interventions into routine clinical practice. The different needs and TLP intervention roles should align with the characteristics of the individual ED and the factors contributing to the crowding.…”

Section: Discussionmentioning

confidence: 99%

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The Role of Triage Liaison Physicians on Mitigating Overcrowding in Emergency Departments: A Systematic Review

Rowe

Guo

Villa‐Roel

et al. 2011

Academic Emergency Medicine

107

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Objectives: The objective was to examine the effectiveness of triage liaison physicians (TLPs) on mitigating the effects of emergency department (ED) overcrowding.Methods: Electronic databases (Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, Web of Science, HealthSTAR, Dissertation Abstracts, and ABI ⁄ INFORM Global), controlled trial registry websites, conference proceedings, study references, contact with experts in the field, and correspondence with authors were used to identify potentially relevant TLP studies. Intervention studies in which a TLP was used to influence ED overcrowding metrics (length of stay [LOS] in minutes, physician initial assessment [PIA], and left without being seen [LWBS]) were included in the review. Two reviewers independently conducted data extraction and assessed the citation relevance, inclusion, and study quality. For continuous outcomes, weighted mean differences (WMD) were calculated and reported with corresponding 95% confidence intervals (CIs). For dichotomous variables, individual and pooled statistics were calculated as relative risk (RR) with 95% CI.Results: From 14,446 potentially relevant studies, 28 were included in the systematic review. Thirteen were journal publications, 12 were abstracts, and three were Web-based articles. Most studies employed before-after designs; 23 of the 28 studies were considered of weak quality. Based on the statistical pooling of data from two randomized controlled trials (RCTs), TLP resulted in shorter ED LOS compared to nurse-led triage (WMD = )36.85 min; 95% CI = )51.11 to -22.58). One of these RCTs showed a significant reduction in the PIA associated to TLP presence (WMD = )30.00 min; 95% CI = )56.91 to -3.09); the other RCT showed no change in LWBS due to a CI that included unity (RR = 0.82; 95% CI = 0.67 to 1.00).Conclusions: While the evidence summarized here suggests that to have a TLP is an effective intervention to mitigate the effects of ED overcrowding, due to the weak research methods identified, more research is required before its widespread implementation.

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Section: Search Resultsmentioning

confidence: 99%

Section: Search Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Role of Triage Liaison Physicians on Mitigating Overcrowding in Emergency Departments: A Systematic Review

Rowe

Guo

Villa‐Roel

et al. 2011

Academic Emergency Medicine

107

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“…In a similar vein, the study conducted in the United Kingdom by Rogers et al (2004) demonstrates the positive effect of the fast-track system on patient waiting times. The proportion of patients assessed within 15 minutes rose from 82% to 98%, while those assessed within one hour rose from 63% to 90%.…”

mentioning

confidence: 82%

“…The proportion of patients assessed within 15 minutes rose from 82% to 98%, while those assessed within one hour rose from 63% to 90%. The system enabled the removal of a large number of patients from the general ED, which in turn freed up the remainder of the staff to concentrate on patients with a high level of acuity or injury (Rogers et al, 2004).…”

mentioning

confidence: 99%

Emergency Care Services

Berchet

2015

OECD Health Working Papers

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Queueing Problems in Emergency Departments: A Review of Practical Approaches and Research Methodologies

Elalouf

Wachtel

2021

Oper. Res. Forum

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Problems related to patient scheduling and queueing in emergency departments are gaining increasing attention in theory, in the fields of operations research and emergency and healthcare services, and in practice. This paper aims to provide an extensive review of studies addressing queueing-related problems explicitly related to emergency departments. We have reviewed 229 articles and books spanning seven decades and have sought to organize the information they contain in a manner that is accessible and useful to researchers seeking to gain knowledge on specific aspects of such problems. We begin by presenting a historical overview of applications of queueing theory to healthcare-related problems. We subsequently elaborate on managerial approaches used to enhance efficiency in emergency departments. These approaches include bed management, fast-track, dynamic resource allocation, grouping/prioritization of patients, and triage approaches. Finally, we discuss scientific methodologies used to analyze and optimize these approaches: algorithms, priority models, queueing models, simulation, and statistical approaches.

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Evaluation of a ‘see and treat’ pilot study introduced to an emergency department

Cited by 41 publications

References 3 publications

The Role of Triage Liaison Physicians on Mitigating Overcrowding in Emergency Departments: A Systematic Review

The Role of Triage Liaison Physicians on Mitigating Overcrowding in Emergency Departments: A Systematic Review

Emergency Care Services

Queueing Problems in Emergency Departments: A Review of Practical Approaches and Research Methodologies

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