Provider in Triage

Bahena, Diana; Andreoni, Colleen

doi:10.1097/tme.0b013e3182aa05ba

Cited by 10 publications

(8 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several studies demonstrated that intelligent use of physicians in triage causes substantial improvement in ED patient flow and results in shorter length of stay especially in overcrowded conditions in the ED [ 24 , 26 ]. Some studies suggested that emergency nurse practitioners as an optimal choice have greater impact on quality measures and financial indices in ED [ 12 , 27 ]. Comparison between the nurse practitioner and general practitioners demonstrated that the nurse practitioner can deal with patients effectively [ 12 , 28 ] and they can be assumed as superb candidates for expanded and extended role [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

The Role Descriptions of Triage Nurse in Emergency Department: A Delphi Study

et al. 2016

View full text Add to dashboard Cite

Background. Triage nurses play a pivotal role in the emergency department. However some researchers have attempted to expand triage nurse's role; remarkable discrepancies exist among scholarly communities. The aim was to develop a role description of triage nurse relying on the experts. Methods. A modified Delphi study consisting of 3 rounds was performed from March to October 2014. In the first round, an extensive review of the literature was conducted. Expert selection was conducted through a purposeful sample of 38 emergency medicine experts. Results. Response rates for the second and third rounds were 37% and 58%. Average age of panelists was (38.42 ± 5.94) years. Thirty-nine out of 54 items reached to the final round. Prioritizing had the higher agreement rate and least agreement on triage related interventions. Conclusion. Triage nursing as a relatively new role for nurses needs significant development to be practiced. Comprehensive educational programs and developmental research are required to support diagnostic and therapeutic interventions in triage practice by nurses.

show abstract

Section: Discussionmentioning

confidence: 99%

The Role Descriptions of Triage Nurse in Emergency Department: A Delphi Study

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Prior studies have demonstrated that a PIT process increases patient satisfaction, decreases the number of patients who leave without being seen (but perhaps not those leaving without completion of treatment or AMA), and in some settings decreases total length of stay (LOS). 16 – 22 …”

Section: Introductionmentioning

confidence: 99%

Impact of a Physician-in-Triage Process on Resident Education

Nicks

Mahler

Manthey

2014

WestJEM

View full text Add to dashboard Cite

IntroductionEmergency department (ED) crowding negatively impacts patient care quality and efficiency. To reduce crowding many EDs use a physician-in-triage (PIT) process. However, few studies have evaluated the effect of a PIT processes on resident education. Our objective was to determine the impact of a PIT process implementation on resident education within the ED of an academic medical center.MethodsWe performed a prospective cross-sectional study for a 10-week period from March to June 2011, during operationally historic trended peak patient volume and arrival periods. Emergency medicine residents (three-year program) and faculty, blinded to the research objectives, were asked to evaluate the educational quality of each shift using a 5-point Likert scale. Residents and faculty also completed a questionnaire at the end of the study period assessing the perceived impact of the PIT process on resident education, patient care, satisfaction, and throughput. We compared resident and attending data using Mann-Whitney U tests.ResultsDuring the study period, 54 residents and attendings worked clinically during the PIT process with 78% completing questionnaires related to the study. Attendings and residents indicated “no impact” of the PIT process on resident education [median Likert score of 3.0, inter-quartile range (IQR): 2–4]. There was no difference in attending and resident perceptions (p-value =0.18). Both groups perceived patient satisfaction to be “positively impacted” [4.0, IQR:2–4 for attendings vs 4.0, IQR:1–5 for residents, p-value =0.75]. Residents perceived more improvement in patient throughput to than attendings [3.5, IQR:3–4 for attendings vs 4.0, IQR:3–5 for residents, p-value =0.006]. Perceived impact on differential diagnosis generation was negative in both groups [2.0, IQR:1–3 vs 2.5, IQR:1–5, p-value = 0.42]. The impact of PIT on selection of diagnostic studies and medical decision making was negative for attendings and neutral for residents: [(2.0, IQR:1–3 vs 3.0, IQR:1–4, p-value =0.10) and (2.0, IQR:1–4 vs 3.0, IQR:1–5, p-value =0.14 respectively].ConclusionImplementation of a PIT process at an academic medical center was not associated with a negative (or positive) perceived impact on resident education. However, attendings and residents felt that differential diagnosis development was negatively impacted. Attendings also felt diagnostic test selection and medical decision-making learning were negatively impacted by the PIT process.

show abstract

“…High waiting time was significantly related to adverse outcomes in both patients with ACS and non-ACS. Nursing triage is one important step to correctly identify patients at risk for ACS [ 10 , 11 ]. Unfortunately, only 16% of patients were identified correctly as having ACS by the nurse triage at the ED.…”

Section: Discussionmentioning

confidence: 99%

An Online Tool for Nurse Triage to Evaluate Risk for Acute Coronary Syndrome at Emergency Department

Sittichanbuncha

Sanpha-asa

Thongkrau

et al. 2015

Emergency Medicine International

View full text Add to dashboard Cite

Background. To differentiate acute coronary syndrome (ACS) from other causes in patients presenting with chest pain at the emergency department (ED) is crucial and can be performed by the nurse triage. We evaluated the effectiveness of the ED nurse triage for ACS of the tertiary care hospital. Methods. We retrospectively enrolled consecutive patients who were identified as ACS at risk patients by the ED nurse triage. Patients were categorized as ACS and non-ACS group by the final diagnosis. Multivariate logistic analysis was used to predict factors associated with ACS. An online model predictive of ACS for the ED nurse triage was constructed. Results. There were 175 patients who met the study criteria. Of those, 28 patients (16.0%) were diagnosed with ACS. Patients with diabetes, patients with previous history of CAD, and those who had at least one character of ACS chest pain were independently associated with having ACS by multivariate logistic regression. The adjusted odds ratios (95% confidence interval) were 4.220 (1.445, 12.327), 3.333 (1.040, 10.684), and 12.539 (3.876, 40.567), respectively. Conclusions. The effectiveness of the ED nurse triage for ACS was 16%. The online tool is available for the ED triage nurse to evaluate risk of ACS in individuals.

show abstract

Provider in Triage

Cited by 10 publications

References 12 publications

The Role Descriptions of Triage Nurse in Emergency Department: A Delphi Study

The Role Descriptions of Triage Nurse in Emergency Department: A Delphi Study

Impact of a Physician-in-Triage Process on Resident Education

An Online Tool for Nurse Triage to Evaluate Risk for Acute Coronary Syndrome at Emergency Department

Contact Info

Product

Resources

About