Physician in Triage Versus Rotational Patient Assignment

The Journal of Emergency Medicine
Stephen J TraubSoroush Saghafian

Abstract

Physician in triage and rotational patient assignment are different front-end processes that are designed to improve patient flow, but there are little or no data comparing them. To compare physician in triage with rotational patient assignment with respect to multiple emergency department (ED) operational metrics. Design-Retrospective cohort review. Patients-Patients seen on 23 days on which we utilized a physician in triage with those patients seen on 23 matched days when we utilized rotational patient assignment. There were 1,869 visits during physician in triage and 1,906 visits during rotational patient assignment. In a simple comparison, rotational patient assignment was associated with a lower median length of stay (LOS) than physician in triage (219 min vs. 233 min; difference of 14 min; 95% confidence interval [CI] 5-27 min). In a multivariate linear regression incorporating multiple confounders, there was a nonsignificant reduction in the geometric mean LOS in rotational patient assignment vs. physician in triage (204 min vs. 217 min; reduction of 6.25%; 95% CI -3.6% to 15.2%). There were no significant differences between groups for left before being seen, left subsequent to being seen, early (within 72 h) returns, e...Continue Reading

References

Nov 1, 1996·The Journal of Emergency Medicine·J M HirshonG D Kelen
Oct 8, 1997·Journal of Accident & Emergency Medicine·F L Lau, K P Leung
Nov 26, 2005·Annals of Emergency Medicine·Pankaj B Patel, David R Vinson
Jul 28, 2007·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Brian R HolroydBrian H Rowe
Jun 27, 2009·Annals of Emergency Medicine·Jennifer L WilerDiana Fite
Jun 18, 2010·The Journal of Emergency Medicine·Benjamin A WhitePaul D Biddinger
Nov 12, 2010·Annals of Emergency Medicine·Shari J WelchUNKNOWN Emergency Department Benchmarking Alliance
Aug 7, 2012·Internal and Emergency Medicine·Jason ImperatoGary Setnik
Jun 12, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·David M NestlerErik P Hess
Mar 15, 2015·The Journal of Emergency Medicine·Stephen J TraubChristopher A Lipinski
Apr 23, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jennifer L WilerSuzanne Stone-Griffith

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Citations

Mar 4, 2021·Applied Clinical Informatics·Vimla L PatelJason S Shapiro
Jan 1, 2019·Journal of Biomedical Informatics·Akshay VankipuramEdward H Shortliffe

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