Impact of a Triage Liaison Physician on Emergency Department Overcrowding and Throughput: A Randomized Controlled Trial

Holroyd, Brian R.; Bullard, Michael J.; Latoszek, K.; Gordon, Debbie; Allen, Sheri; Tam, Siulin; Blitz, Sandra; Yoon, Philip W.; Rowe, Brian H.

doi:10.1197/j.aem.2007.04.018

Cited by 107 publications

(74 citation statements)

References 21 publications

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“…[5][6][7] Improved ED triage, bedside registration, physical expansion of hospitals, and regional ambulance programs have been implemented to decrease ED diversion. [8][9][10][11][12] Despite these attempts, ED diversion continues to be prevalent.…”

Section: Resultsmentioning

confidence: 99%

Hospitalist‐led medicine emergency department team: Associations with throughput, timeliness of patient care, and satisfaction

Chadaga

Shockley

Keniston

et al. 2012

Journal of Hospital Medicine

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Section: Resultsmentioning

confidence: 99%

Hospitalist‐led medicine emergency department team: Associations with throughput, timeliness of patient care, and satisfaction

Chadaga

Shockley

Keniston

et al. 2012

Journal of Hospital Medicine

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“…Studies have suggested that having an advanced practitioner or a physician in triage may reduce the ED LOS and rates of leaving without being seen [45,50]. Two randomized trials of physician in triage demonstrated reduced patient LOS by 36 min in one study (12% reduction) [51], and 122 min in the other (35% reduction) [52]. Both of these studies occurred in Canada, however, where delivery care might be diferent than other setings, thus limiting their generalizability [51,52].…”

Section: Improving Emergency Department Patient Throughputmentioning

confidence: 99%

Overcrowding in the Emergency Department and Patient Safety

Jeanmonod¹,

Jeanmonod²

2018

Vignettes in Patient Safety - Volume 2

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Emergency department (ED) overcrowding is a recognized problem worldwide. This chapter reviews the scope of the problem, manifestations, repercussions, and potential solutions to this problem.Keywords: emergency department overcrowding, emergency department safety, emergency department systems, emergency department patient care, emergency department throughput, emergency department output A 68-year-old Case vignete

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“…16,17 18,19 Although these measures may help reduce patient wait times, it often results in unnecessary tests being ordered. 11,20,21 For economic reasons, it is prudent to limit such requests for unnecessary tests, in turn reducing unnecessary hospital stays and admissions. 6 This study was subject to certain limitations due to its retrospective nature and the method of data collection using patient records.…”

Section: Discussionmentioning

confidence: 99%

Troponin Testing in the Emergency Department: Real world experience

Almaskari

Al-Makhdami

Al-Lawati

et al. 2018

Sultan Qaboos Univ Med J

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abstract:Objectives: The aim of this study was to examine patterns of troponin testing in the emergency department of a large tertiary care hospital in Oman and to determine its effect on patient management, including length of hospital stay (LOS). Methods: This retrospective study analysed the medical records of all adult patients undergoing troponin testing in the emergency department of the Sultan Qaboos University Hospital, Muscat, Oman, during the month of July 2015. Patients who presented with an ST-elevation myocardial infarction were excluded. Results: A total of 4,845 patients attended the emergency department during the study period; of these, troponin tests were ordered for 588 patients. The majority of the patients had negative troponin test results (81.3%). Chest pain, palpitations and breathlessness were the most common presenting complaints for those with positive troponin results. However, 41.8% of patients did not have any cardiac symptoms. Individuals with positive troponin tests had a significantly longer LOS compared to those with negative tests (mean: three versus one day; P = 0.001). In total, only 28.2% of those with positive troponin test results had final diagnoses associated with a cardiac condition, such as heart failure, an acute coronary syndrome (ACS), atrial fibrillation or other types of arrhythmia. Conclusion: A positive troponin test was associated with increased LOS; however, only a small proportion of these patients had a final diagnosis associated with a cardiac condition. Guidelines should be provided to ensure that troponin testing is performed only in cases where an ACS is suspected.

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Impact of a Triage Liaison Physician on Emergency Department Overcrowding and Throughput: A Randomized Controlled Trial

Abstract: A TLP improved important outcomes in an overcrowded ED and could improve delivery of emergency medical care in similar tertiary care EDs.

Cited by 107 publications

References 21 publications

Hospitalist‐led medicine emergency department team: Associations with throughput, timeliness of patient care, and satisfaction

Hospitalist‐led medicine emergency department team: Associations with throughput, timeliness of patient care, and satisfaction

Overcrowding in the Emergency Department and Patient Safety

Troponin Testing in the Emergency Department: Real world experience

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