Impact of a Triage Liaison Physician on the Time to First Medical Evaluation in the Emergency Departement
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Emergencies
- Sponsor
- University Hospital, Geneva
- Enrollment
- 69893
- Locations
- 1
- Primary Endpoint
- Proportion of patients evaluated within SETS objectives
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
Due to an increasing number of patients admitted in emergency departments, many patients cannot be evaluated immediately after their admission. The function of "triage liaison physician" was introduced in Spring 2015. The objective of this study is to evaluate the impact of this new function on patients' flow in the ED.
Detailed Description
Geneva University Hospitals (GUH) emergency department (ED) admits more than 64000 patients every year. These patients are triaged using the Swiss Emergency Triage Scale (SETS), a 4-level triage scale. The SETS imposes time objectives until the first medical evaluation (20 minutes for SETS 2, 2 hours for SETS 3). In 2014, only 60% of level-2 and 63% of level-3 emergencies were evaluated within 20 and 120 minutes respectively. A triage liaison physician was introduced in Spring 2015 with the mission to help triage nurse in their decisions and to evaluate quickly the patients that cannot be immediately installed in an ED evaluation room. The objective of this study is to evaluate the impact of the triage liaison physician on the times to first medical evaluation.
Investigators
Olivier T. Rutschmann
Professor, Chief deputy
University Hospital, Geneva
Eligibility Criteria
Inclusion Criteria
- •admitted in GUH ED
Exclusion Criteria
- •patients triaged to outpatient clinics
Outcomes
Primary Outcomes
Proportion of patients evaluated within SETS objectives
Time Frame: Within 120 minutes after ED triage
Proportion of patients evaluated within time objective as defined by SETS standards.
Secondary Outcomes
- Time to first medical contact(Within 24 hours after ED triage)