Evaluation of the quality of triage system by nurses at the emergency services

Ueno, Yuta; Kono, Mototsugu; Kizawa, Akiyo; Kikuchi, Taeko; Sugegaya, Junichi; Atake, Shigeru; Mashiko, Kunihiro

doi:10.3893/jjaam.20.116

Cited by 3 publications

(1 citation statement)

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“…It has 453 beds and an emergency and critical care center. Since February 2006, all ambulatory emergency patients have been triaged by trained nurses to determine which patients are prioritized for physician consultation . Out‐of‐hours, all ambulatory patients are triaged and then the emergency physician on duty consults with patients.…”

Section: Introductionmentioning

confidence: 99%

Inappropriate use of the emergency department for nonurgent conditions: Patient characteristics and associated factors at a Japanese hospital

Miyazawa

Maeno

Shaku

et al. 2019

J of Gen and Family Med

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Background The purpose of this study was to investigate the primary factors associated with inappropriate out‐of‐hours emergency department ( ED ) use by patients with nonurgent conditions. Methods We compared patients with nonurgent conditions who made inappropriate, out‐of‐hours ED visits to patients who visited an acute care hospital during daytime consultation hours between May 30 and October 16, 2014, in terms of patient characteristics and reasons for consultation. Our goal was to identify factors associated with inappropriate ED use, defined as an out‐of‐hours, nonurgent, and unnecessary visits. Results We analyzed data from 84 patients who made inappropriate use of out‐of‐hours emergency care and 147 patients who sought care during regular consultation hours. In the inappropriate use group, “desire to be cured quickly” was the most common reason. Acute upper respiratory infection, acute gastroenteritis, and primary headache comprised 51.1% of diagnoses in the inappropriate use group. One factor associated with inappropriate use was two or more previous out‐of‐hours ED visits (odds ratio ( OR ) 3.19; 95% confidence interval ( CI ) 1.22‐8.31) (reference: 0 visits). Conclusions Patients with two or more previous out‐of‐hours ED visits were more than three times as likely to inappropriately use the ED compared to patients who had not visited the ED at all in the past 3 years.

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Section: Introductionmentioning

confidence: 99%