2.50
Hdl Handle:
http://hdl.handle.net/10755/162759
Type:
Presentation
Title:
An Evaluation on Revised Triage Approach in an Emergency Department
Abstract:
An Evaluation on Revised Triage Approach in an Emergency Department
Conference Sponsor:Emergency Nurses Association
Conference Year:2000
Author:Poon, Wai-Kwong, RN, MBA, CEN
P.I. Institution Name:Queen Elizabeth Hospital
Contact Address:, Hong Kong, SAR, China
Purpose: All emergency patients begin their hospital experience at Triage. Nurses must accurately, quickly, consistently and efficiently triage each client on arrival. However, the sudden increase in patient volume may affect triage efficiency and may cause decreased patient satisfaction.

Based on a Hong Kong radio talk show spot-surrey, the most unpleasant job/position, the emergency triage nurse scored the highest. In addition, many ED patient satisfaction surveys showed that satisfaction regarding triage was low. Patients desired a quick response, accurate triage, with no waiting. The Revised Nurses Initiated Proactive Triage approach was developed to streamline the triage process. The approach was to use one's sense and be proactive after the client arrival. A comparative evaluation on triage times was made between the initial and revised approaches.

Methods: A retrospective study was completed on two ED record samples from a Level I, with 650 daily attendance emergency department. Evaluation of computer recorded time was studied.

A total of 351 ED records in mid-1999 were selected. Objective computer scanning measurement on the time recorded from registration until triage was used for comparison. More than five minutes recorded time was excluded from the study on the assumption that error was noted like missed scanning procedure or patients was delayed in showing up to triage with personal reasons.

Results: For the pre-revised approach, an average of 3.36 minutes was reported for 259 samples triage records. Under the revised approach, only 1.61 minutes average triage time per 192 samples recorded was needed. The flow of ED patients was also facilitated and can be triaged to cubicle and see the doctors earlier for those emergency category patients.

Conclusion: The revised triage approach was more effective in moving patient through Triage. The triage time was decreased to less than two minutes post registration. This is beneficial to both patient and staff since patients will be sent to appropriate category faster, and time will be shorter for those emergency categorized patients to be served. [Research Poster Presentation]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAn Evaluation on Revised Triage Approach in an Emergency Departmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/162759-
dc.description.abstract<table><tr><td colspan="2" class="item-title">An Evaluation on Revised Triage Approach in an Emergency Department</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2000</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Poon, Wai-Kwong, RN, MBA, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Queen Elizabeth Hospital</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">, Hong Kong, SAR, China</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">poon_wai_kwon@eucampusa.online.edu</td></tr><tr><td colspan="2" class="item-abstract">Purpose: All emergency patients begin their hospital experience at Triage. Nurses must accurately, quickly, consistently and efficiently triage each client on arrival. However, the sudden increase in patient volume may affect triage efficiency and may cause decreased patient satisfaction.<br/><br/>Based on a Hong Kong radio talk show spot-surrey, the most unpleasant job/position, the emergency triage nurse scored the highest. In addition, many ED patient satisfaction surveys showed that satisfaction regarding triage was low. Patients desired a quick response, accurate triage, with no waiting. The Revised Nurses Initiated Proactive Triage approach was developed to streamline the triage process. The approach was to use one's sense and be proactive after the client arrival. A comparative evaluation on triage times was made between the initial and revised approaches.<br/><br/>Methods: A retrospective study was completed on two ED record samples from a Level I, with 650 daily attendance emergency department. Evaluation of computer recorded time was studied.<br/><br/>A total of 351 ED records in mid-1999 were selected. Objective computer scanning measurement on the time recorded from registration until triage was used for comparison. More than five minutes recorded time was excluded from the study on the assumption that error was noted like missed scanning procedure or patients was delayed in showing up to triage with personal reasons.<br/><br/>Results: For the pre-revised approach, an average of 3.36 minutes was reported for 259 samples triage records. Under the revised approach, only 1.61 minutes average triage time per 192 samples recorded was needed. The flow of ED patients was also facilitated and can be triaged to cubicle and see the doctors earlier for those emergency category patients.<br/><br/>Conclusion: The revised triage approach was more effective in moving patient through Triage. The triage time was decreased to less than two minutes post registration. This is beneficial to both patient and staff since patients will be sent to appropriate category faster, and time will be shorter for those emergency categorized patients to be served. [Research Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:33:39Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:33:39Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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