Performance comparison of four triage-based patient flow interventions in the emergency department

He, Yunfei; Lei, Ting; Kremer, Gül E.

doi:10.1504/ijcent.2014.065058

Cited by 5 publications

(4 citation statements)

References 27 publications

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“…Ruohonen et al [ 38 ] used a simulation model to evaluate a team triage method (in their study, the triage team comprised a nurse and a doctor, in addition to a receptionist). He et al [ 39 ] also proposed a simulation approach to examine different triage strategies.…”

Section: Practical Approaches To Managing Ed Queueingmentioning

confidence: 99%

Queueing Problems in Emergency Departments: A Review of Practical Approaches and Research Methodologies

Elalouf

Wachtel

2021

Oper. Res. Forum

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Problems related to patient scheduling and queueing in emergency departments are gaining increasing attention in theory, in the fields of operations research and emergency and healthcare services, and in practice. This paper aims to provide an extensive review of studies addressing queueing-related problems explicitly related to emergency departments. We have reviewed 229 articles and books spanning seven decades and have sought to organize the information they contain in a manner that is accessible and useful to researchers seeking to gain knowledge on specific aspects of such problems. We begin by presenting a historical overview of applications of queueing theory to healthcare-related problems. We subsequently elaborate on managerial approaches used to enhance efficiency in emergency departments. These approaches include bed management, fast-track, dynamic resource allocation, grouping/prioritization of patients, and triage approaches. Finally, we discuss scientific methodologies used to analyze and optimize these approaches: algorithms, priority models, queueing models, simulation, and statistical approaches.

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Section: Practical Approaches To Managing Ed Queueingmentioning

confidence: 99%

Queueing Problems in Emergency Departments: A Review of Practical Approaches and Research Methodologies

Elalouf

Wachtel

2021

Oper. Res. Forum

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“…He, et al, [19] compared several scheduling strategies that are often discussed in the literature, including the fast track approach, first-in-first-out (FIFO) with priority, and physician and/or team triage. The authors concluded that adoption of triage physician and triage team strategies can enhance the overall performance of the ED.…”

Section: Literature Reviewmentioning

confidence: 99%

Addressing overcrowding in an emergency department: an approach for identifying and treating influential factors and a real-life application

Wachtel

Elalouf

2020

Isr J Health Policy Res

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Background Overcrowding in hospital emergency departments that arises from long length-of-stay is an unfortunate common occurrence. While some factors affecting length-of-stay are well known, there may be additional factors that have not yet been properly addressed. This research offers a method for emergency department managers to use available data from their departments to identify new factors that significantly influence emergency departments crowding and patient length-of-stay. Methods We propose an algorithm that can assist emergency department managers in determining which of these factors to address, given budgetary constraints. We implemented it in a case study which takes into account factors that are known to be influential, e.g., reason for arrival, occupancy in the emergency department, and arrival time, as well as factors that are explored for the first time in this paper, such as patient heart rate, the number of accompanying escorts, and the number of tests assigned to patients (e.g., blood tests and urinalysis). Results All the implemented and new factors are shown to have a significant influence on the length-of-stay and crowding. We also obtained additional support for our results by interviewing emergency departments physicians and nurses from various hospitals. Conclusions It is expected that, by taking all the above factors into consideration, emergency departments efficiency can be improved. The algorithm constructed here allows the choice of the most cost-effective factors to be improved, subject to a given budget. We have been able to derive practical recommendations that emergency departments managers might use to limit crowding and patient length-of-stay.

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“…Therefore, the utilization of the triage system in the emergency department to prioritize the patients was proposed as a suitable solution for this problem. [3]…”

Section: Introductionmentioning

confidence: 99%

Responsibility-evading performance: The experiences of healthcare staff about triage in emergency departments: A qualitative study

Sherafat

Vaezi

Vafaeenasab

et al. 2019

Iranian J Nursing Midwifery Res

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Background: Correct triage is one of the most important issues in delivering proper healthcare in the emergency department. Despite the availability of various triage guidelines, triage is not still appropriately implemented. Therefore, this study was conducted to investigate the role of different underlying factors in triaging emergency patients through a qualitative approach. Materials and Methods: This study was conducted by conventional content analysis. For this purpose, 30 interviews were conducted with 25 participants. The participants included triage nurses, emergency general physicians, emergency medicine specialists, and expert managers at different position rankings in hospitals and educational and administrative centers in Yazd, selected by purposeful sampling. Data were collected through in-depth and unstructured interviews from April 2017 to January 2018, and then analyzed by inductive content analysis. Results: Four categories of profit triage, exhibitive triage, enigmatic, and tentative performance triage were drawn from the data, collectively comprising the main theme of responsibility-evading performance. Conclusions: The dominant approach to the triage in the emergency departments in a central city of Iran is responsibility evasion; however, the triage is performed tentatively, especially in critical cases. To achieve a better implementation of triage, consideration of the underlying factors and prevention of their involvement in triage decision-making is necessary.

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Performance comparison of four triage-based patient flow interventions in the emergency department

Cited by 5 publications

References 27 publications

Queueing Problems in Emergency Departments: A Review of Practical Approaches and Research Methodologies

Queueing Problems in Emergency Departments: A Review of Practical Approaches and Research Methodologies

Addressing overcrowding in an emergency department: an approach for identifying and treating influential factors and a real-life application

Responsibility-evading performance: The experiences of healthcare staff about triage in emergency departments: A qualitative study

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