Making an IMPACT on emergency department flow: improving patient processing assisted by consultant at triage

Emergency Medicine Journal : EMJ
J TerrisR Wood

Abstract

To assess whether initial patient consult by senior clinicians reduces numbers of patients waiting to be seen as an indirect measure of waiting time throughout the emergency department (ED). An emergency medicine consultant and a senior ED nurse (G or F grade), known as the IMPACT team, staffed the triage area for four periods of four hours per week, Monday to Friday between 9 am to 5 pm for three months between December 2001 and February 2002 when staffing levels permitted. Patients normally triaged by a nurse in this area instead had an early consultation with the IMPACT team. Data were collected prospectively on all patients seen by the IMPACT team. The number of patients waiting to be seen (for triage, in majors and in minors) was assessed every two hours during the IMPACT sessions and at corresponding times when no IMPACT team was operational. There was an overall reduction in the number of patients waiting to be seen in the department from 18.3 to 5.5 (p<0.0001) at formal two hourly assessments. The largest difference was seen in minors. Of the patients seen at triage by the IMPACT team, 48.9% were discharged home immediately after assessment and treatment. With the IMPACT team present, no patient waited more than four ho...Continue Reading

Associated Clinical Trials

References

Apr 4, 1992·BMJ : British Medical Journal·S GeorgeP Pritty
Dec 1, 1993·Archives of Emergency Medicine·A D Redmond, N Buxton
Apr 1, 1996·Annals of Emergency Medicine·J C BrillmanB J Skipper
Jun 3, 1999·Journal of Accident & Emergency Medicine·M W Cooke, S Jinks
Jul 29, 1999·Annals of Emergency Medicine·C M FernandesO Djurdjev
Oct 3, 2001·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·S N PartoviM J Walsh
Feb 28, 2002·Annals of Emergency Medicine·Richelle J CooperKelly A Hubbell

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Citations

Aug 7, 2012·Internal and Emergency Medicine·Jason ImperatoGary Setnik
May 24, 2007·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Shari Welch
May 22, 2007·Emergency Medicine Journal : EMJ·Andy Mortimore, Simon Cooper
Apr 3, 2007·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jin H HanDominik Aronsky
Jul 28, 2007·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Brian R HolroydBrian H Rowe
Oct 24, 2013·International Emergency Nursing·Simone FrenchJean Williams-Johnson
Jul 23, 2013·Emergency Medicine Journal : EMJ·Susan J CroftSuzanne Mason
Aug 29, 2012·Archives of Physical Medicine and Rehabilitation·Katherine E HardingNicholas F Taylor
May 31, 2011·The Journal of Emergency Medicine·Shari Welch, Lucy Savitz
Mar 20, 2010·Annals of Emergency Medicine·Stephan RussCorey M Slovis
Jul 26, 2015·International Emergency Nursing·Elizabeth ElderJulia Crilly
Jan 27, 2009·The Journal of Emergency Medicine·Jin H HanDominik Aronsky
Sep 13, 2014·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Suzanne MasonEllen J Weber
Mar 15, 2016·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Maria ChristensenMary L Johansen
May 9, 2008·Emergency Medicine Australasia : EMA·Susan IeraciDebra Fox
Dec 8, 2007·Emergency Medicine Australasia : EMA·Guohao YongTracey J Weiland
May 25, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jonathan G RoggDavid F M Brown
Feb 3, 2011·Emergency Medicine Australasia : EMA·Emily J Callander, Deborah J Schofield
Feb 15, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Brian H RoweGrant Innes
Jun 5, 2013·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Andrew MilstenLawrence Linder
Jun 18, 2014·Emergency Medicine Australasia : EMA·Rebecca A DavisTimothy C Green
Jan 5, 2005·Resuscitation·John J M Black, Gareth D Davies
Sep 6, 2005·Pediatric Neurology·Christine O'DellSolomon L Moshé
Jun 27, 2009·Annals of Emergency Medicine·Jennifer L WilerDiana Fite
Oct 21, 2016·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Meri KankaanpääVeli-Pekka Harjola
Apr 30, 2017·Emergency Medicine Australasia : EMA·John A BurkeAlan O'Connor
Dec 8, 2009·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Shari Jule Welch
May 13, 2010·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Shari Welch, Steven Davidson
Aug 30, 2011·Australian Health Review : a Publication of the Australian Hospital Association·Katherine E HardingSandra G Leggat
Jul 19, 2019·The Western Journal of Emergency Medicine·Jeffrey R StowellMurtaza Akhter
Nov 11, 2014·British Journal of Hospital Medicine·Pre JarvisM Baker

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