Impact of a Triage Liaison Physician on the Time to First Medical Evaluation in the Emergency Departement
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 69,893
- 试验地点
- 1
- 主要终点
- Proportion of patients evaluated within SETS objectives
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 16 Years 至 —(Child, Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •admitted in GUH ED
排除标准
- •patients triaged to outpatient clinics
结局指标
主要结局
Proportion of patients evaluated within SETS objectives
时间窗: Within 120 minutes after ED triage
Proportion of patients evaluated within time objective as defined by SETS standards.
次要结局
- Time to first medical contact(Within 24 hours after ED triage)
研究者
Olivier T. Rutschmann
Professor, Chief deputy
University Hospital, Geneva
