Comparing the Effect of Conventional and Team Triage Methods on Emergency Department Performance Indicators

Zhila Yousefi, Kavous Shahsavarinia, Mohammad Reza Narimani, Hossein Feizollahzadeh
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Abstract

Background. Effective triage is a viable solution to improve performance indicators in the emergency department. This study aimed to compare the effect of conventional triage and team triage methods on the performance indicators of emergency department. Methods. In this descriptive cross-sectional research, all 749 patients referred to the emergency department of Tabriz Sina Hospital were triaged using conventional and team methods for two consecutive weeks in July 2020. A researcher-made checklist was used to collect emergency performance indicators. The data were extracted from patient records and recorded in the checklist. Data analysis was performed using descriptive statistics, Chi-square and Mann-Whitney tests in the SPSS.19 software. Results. Among the patients, 86.9% in the triage group using the conventional method (52.7% female) and 86.7% in the group using the team method (52% female) were older than 40 years. The results showed that in the team triage group, the number of temporarily hospitalized patients was significantly higher and the frequency of self-responsible exit was lower compared to the conventional method (P < 0.05). In addition, the waiting time for patients triaged with the team method was shorter, and the difference in values was significant for all three triage levels (P < 0.05). Conclusion. According to our results, team triage had a more positive effect on improving emergency performance indicators compared to the conventional method. Therefore, it is recommended to consider this method in hospital emergency departments to provide better services and increase patient satisfaction.
比较传统与团队分诊方法对急诊科绩效指标的影响
背景。有效的分诊是提高急诊科绩效指标的可行方案。本研究旨在比较传统分诊方法与团队分诊方法对急诊科绩效指标的影响。方法。在这项描述性横断面研究中,于2020年7月连续两周使用常规和团队方法对大不里士新浪医院急诊科的所有749名患者进行分类。使用研究人员制作的检查表收集应急绩效指标。数据从患者病历中提取并记录在检查表中。在SPSS.19软件中采用描述性统计、卡方检验和Mann-Whitney检验进行数据分析。结果。其中,常规分诊组年龄≥40岁占86.9%(女性占52.7%),团队分诊组年龄≥40岁占86.7%(女性占52%)。结果显示,团队分诊组临时住院人数明显高于常规分诊组,自行负责退场次数明显低于常规分诊组(P <0.05)。此外,采用团队分诊方法的患者等待时间更短,且三个分诊级别的数值差异均显著(P <0.05)。结论。根据我们的研究结果,与传统方法相比,团队分诊对提高应急绩效指标有更积极的影响。因此,建议在医院急诊科考虑这种方法,以提供更好的服务,提高患者满意度。
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16 weeks
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