“…However, the causes are interrelated and multifaceted and include increased medical complexity and acuity, increased overall patient volume, a lack of inpatient beds, shortages of physicians, nurses, and staff, delays in laboratory or radiology results, and limited space within the ED [20][21][22][23]. Besides the implementation of standing orders, numerous studies demonstrate that other changes in throughput, such as modifications to capacity, triage, laboratory testing, staffing, and registration, improve ED LOS [7,8,[24][25][26][27]. Along the same lines, the placement of a physician or midlevel provider at triage is an alternative strategy to triage standing orders [5,28].…”