SwePub
Sök i LIBRIS databas

  Extended search

id:"swepub:oai:DiVA.org:uu-181961"
 

Search: id:"swepub:oai:DiVA.org:uu-181961" > Physician-led team ...

  • 1 of 1
  • Previous record
  • Next record
  •    To hitlist
  • Burström, LenaUppsala universitet,Centrum för klinisk forskning, Västerås (author)

Physician-led team triage based on lean principles may be superior for efficiency and quality? : A comparison of three emergency departments with different triage models

  • Article/chapterEnglish2012

Publisher, publication year, extent ...

  • Springer Science and Business Media LLC,2012
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:uu-181961
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-181961URI
  • https://doi.org/10.1186/1757-7241-20-57DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:125485064URI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • BACKGROUND:The management of emergency departments (EDs) principally involves maintaining effective patient flow and care. Different triage models are used today to achieve these two goals. The aim of this study was to compare the performance of different triage models used in three Swedish EDs. Using efficiency and quality indicators, we compared the following triage models: physician-led team triage, nurse first/emergency physician second, and nurse first/junior physician second.METHODS: All data of patients arriving at the three EDs between 08:00- and 21:00 throughout 2008 were collected and merged into a database. The following efficiency indicators were measured: length of stay (LOS) including time to physician, time from physician to discharge, and 4-hour turnover rate. The following quality indicators were measured: rate of patients left before treatment was completed, unscheduled return within 24 and 72 hours, and mortality rate within 7 and 30 days.RESULTS: Data from 160,684 patients were analysed. The median length of stay was 158 minutes for physician-led team triage, compared with 243 and 197 minutes for nurse/emergency physician and nurse/junior physician triage, respectively (p < 0.001). The rate of patients left before treatment was completed was 3.1 % for physician-led team triage, 5.3 % for nurse/emergency physician, and 9.6 % for nurse/junior physician triage (p < 0.001). Further, the rates of unscheduled return within 24 hours were significantly lower for physician-led team triage, 1.0 %, compared with 2.1 %, and 2.5 % for nurse/emergency physician, and nurse/junior physician, respectively (p < 0.001). The mortality rate within 7 days was 0.8 % for physician-led team triage and 1.0 % for the two other triage models (p < 0.001).CONCLUSIONS: Physician-led team triage seemed advantageous, both expressed as efficiency and quality indicators, compared with the two other models.

Added entries (persons, corporate bodies, meetings, titles ...)

  • Nordberg, MartinKarolinska Institutet (author)
  • Örnung, Göran (author)
  • Castrén, MaaretKarolinska Institutet (author)
  • Wiklund, TonyUppsala universitet,Centrum för klinisk forskning, Västerås(Swepub:uu)towik173 (author)
  • Engström, Marie-LouiseUppsala universitet,Centrum för klinisk forskning, Västerås(Swepub:uu)maeng254 (author)
  • Enlund, MatsUppsala universitet,Centrum för klinisk forskning, Västerås,Anestesiologi och intensivvård(Swepub:uu)matsenlu (author)
  • Uppsala universitetCentrum för klinisk forskning, Västerås (creator_code:org_t)

Related titles

  • In:Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine: Springer Science and Business Media LLC20:1, s. 57-1757-7241

Internet link

Find in a library

To the university's database

  • 1 of 1
  • Previous record
  • Next record
  •    To hitlist

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

 
pil uppåt Close

Copy and save the link in order to return to this view