Use of multi-disciplinary team for effective triage of nonurgent patients from the emergency department

Panagiota V. Caralis, R. Musialowski, R. Betancourt, M. Bolero, B. Eiser, R. Rodriguez, F. Tan, R. Vega

Research output: Contribution to journalArticle

Abstract

Overcrowding in ERs is significant.Use of ERs by pts for primary care leads to prolonged pt Waits & delays in treating seriously ill pts.A multidisciplinary triage team (DR,RN,Clerk) was developed to assess, Rx minor complaints & divert pts to appropriate Outpt clinics.On Pt.entry to ED, the team registered.initiate of DX procedures & limited physical exam & Rx.Team determined priority needs & assigned pts to appropriate Rx areajncluding Appointments to clinics & Specialty services. In 3 mo 1089 pts were screened,49% were non-emergent & care was arranged at other levels of the health care delivery system :47%-Drop-in clinic, 23%-General Medicine dinics & 30%-specialty clinics.Assessment of team triage system was made comparing 3 mo period prior to & after implementation. # of pts.treated in ED for urgent care prior avg 269 pts/day;post Team the # of true emergent care pts fell to 169.Time from pt sign-in to screen went from 17 min to 5 min; Triage system reduced % pts who waited 30 min to be evaluated from 58% to 42%. Follow-up of pts triaged away from ER was reviewed referrals were considered appropriate by clinic Drs; 80% of cases was consistent with triage assessment.90% of pts' were satisfied with new triage system & felt they received RX within a reasonable time.Conclusion: Pts. can be selectively triaged out of ER without significant adverse outcomes & resulting in more effective use of ED resources & personnel.

Original languageEnglish
JournalJournal of Investigative Medicine
Volume44
Issue number3
StatePublished - Dec 1 1996

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Triage
Health care
Medicine
Hospital Emergency Service
Personnel
Delivery of Health Care
Ambulatory Care
Health Status
Primary Health Care
Appointments and Schedules
Referral and Consultation

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

Cite this

Caralis, P. V., Musialowski, R., Betancourt, R., Bolero, M., Eiser, B., Rodriguez, R., ... Vega, R. (1996). Use of multi-disciplinary team for effective triage of nonurgent patients from the emergency department. Journal of Investigative Medicine, 44(3).

Use of multi-disciplinary team for effective triage of nonurgent patients from the emergency department. / Caralis, Panagiota V.; Musialowski, R.; Betancourt, R.; Bolero, M.; Eiser, B.; Rodriguez, R.; Tan, F.; Vega, R.

In: Journal of Investigative Medicine, Vol. 44, No. 3, 01.12.1996.

Research output: Contribution to journalArticle

Caralis, PV, Musialowski, R, Betancourt, R, Bolero, M, Eiser, B, Rodriguez, R, Tan, F & Vega, R 1996, 'Use of multi-disciplinary team for effective triage of nonurgent patients from the emergency department', Journal of Investigative Medicine, vol. 44, no. 3.
Caralis, Panagiota V. ; Musialowski, R. ; Betancourt, R. ; Bolero, M. ; Eiser, B. ; Rodriguez, R. ; Tan, F. ; Vega, R. / Use of multi-disciplinary team for effective triage of nonurgent patients from the emergency department. In: Journal of Investigative Medicine. 1996 ; Vol. 44, No. 3.
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