9.00
Hdl Handle:
http://hdl.handle.net/10755/162814
Type:
Presentation
Title:
Development and Implementation of an Advanced Triage System
Abstract:
Development and Implementation of an Advanced Triage System
Conference Sponsor:Emergency Nurses Association
Conference Year:1997
Author:Pound, Janice L., RN, BscN, M.Ed
Contact Address:, USA
Co-Authors:Wendy Cheung, BscN and Lynne Heeney, RN
Clinical Topic: The intent of the project was to redesign the triage process in the Emergency Department in order to improve efficiency of patient flow while at the same time increasing patient satisfaction through reduction of average length of stay. The new practice, called advanced triage, allows the triage nurse to initiate diagnostic protocols for frequently occurring medical problems based on physician-approved algorithms.

Process of Utilization: Planning and implementation included the following steps: (1) Literature review by the Emergency Nursing Committee; (2) Site visits to other emergency departments; (3) Development of six initial triage algorithms by a team consisting of staff nurses, unit coordinators, a clinical educator, emergency physicians and medical specialists; (4) Approval of algorithms by the various professional groups involved. The initial six algorithms included abdominal pain, eye trauma, chest pain, gynecological symptoms, substance abuse and orthopaedic trauma. These were selected due to their frequency of presentation coupled with the importance of knowing diagnostic results before treatment decisions could be made for these patients; (5) Comprehensive in-service education for the triage nurses; (6) Evaluation processes established and conducted at one year; (7) Addition, one year later, of two more algorithms - pediatric fever and pediatric emergent category; and (8) Ongoing assessment.

Outcomes: Effects of advanced triage include improved emergency department efficiency evidenced by reduction in average length of stay by thirty minutes for all patients, reduction in the frequency of ambulance redirection, and improved patient satisfaction based on survey of perceived waiting time vs. actual waiting time. Other effects of advanced triage were extensive media and journal coverage locally, provincially and nationally, and the process was implemented at several Canadian hospitals through our assistance.

Recommendations for Clinical Practice: Recommendations for advanced triage include: (1) establishment of the advanced triage process at large and medium-sized emergency departments, and (2) further expansion of algorithms to include other commonly presented complaints such as gastroenteritis and asthma. [Clinical 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.titleDevelopment and Implementation of an Advanced Triage Systemen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162814-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Development and Implementation of an Advanced Triage System</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">1997</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Pound, Janice L., RN, BscN, M.Ed</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">res@ena.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Wendy Cheung, BscN and Lynne Heeney, RN</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: The intent of the project was to redesign the triage process in the Emergency Department in order to improve efficiency of patient flow while at the same time increasing patient satisfaction through reduction of average length of stay. The new practice, called advanced triage, allows the triage nurse to initiate diagnostic protocols for frequently occurring medical problems based on physician-approved algorithms.<br/><br/>Process of Utilization: Planning and implementation included the following steps: (1) Literature review by the Emergency Nursing Committee; (2) Site visits to other emergency departments; (3) Development of six initial triage algorithms by a team consisting of staff nurses, unit coordinators, a clinical educator, emergency physicians and medical specialists; (4) Approval of algorithms by the various professional groups involved. The initial six algorithms included abdominal pain, eye trauma, chest pain, gynecological symptoms, substance abuse and orthopaedic trauma. These were selected due to their frequency of presentation coupled with the importance of knowing diagnostic results before treatment decisions could be made for these patients; (5) Comprehensive in-service education for the triage nurses; (6) Evaluation processes established and conducted at one year; (7) Addition, one year later, of two more algorithms - pediatric fever and pediatric emergent category; and (8) Ongoing assessment.<br/><br/>Outcomes: Effects of advanced triage include improved emergency department efficiency evidenced by reduction in average length of stay by thirty minutes for all patients, reduction in the frequency of ambulance redirection, and improved patient satisfaction based on survey of perceived waiting time vs. actual waiting time. Other effects of advanced triage were extensive media and journal coverage locally, provincially and nationally, and the process was implemented at several Canadian hospitals through our assistance.<br/><br/>Recommendations for Clinical Practice: Recommendations for advanced triage include: (1) establishment of the advanced triage process at large and medium-sized emergency departments, and (2) further expansion of algorithms to include other commonly presented complaints such as gastroenteritis and asthma. [Clinical Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:34:37Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:34:37Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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