Senior doctor triage (SDT), a qualitative study of clinicians' views on senior doctors' involvement in triage and early assessment of emergency patients

Emergency Medicine Journal : EMJ
Maysam Ali AbdulwahidSuzanne M Mason

Abstract

Despite the focus during the last decade on introducing interventions such as senior doctor initial assessment or senior doctor triage (SDT) to reduce emergency department (ED) crowding, there has been little attempt to identify the views of emergency healthcare professionals on such interventions. The aim of this study was to gain an understanding of SDT from the perspective of emergency hospital staff. A secondary aim of this study was to develop a definition of SDT based on the interview findings and the available literature on this process. Qualitative semi-structured telephone interviews were conducted with participants of different backgrounds including senior doctors, nurses, paramedics and ED managers. Textual data were analysed using a template analysis approach. 27 participants from 13 EDs across England were interviewed. SDT was viewed as a safety mechanism and a measure to control patient flow. The most prominent positive aspect was the ability to initiate early investigations and treatment. Various shortcomings of SDT were described such as the lack of standardisation of the process and its cost implications. Participants identified a number of barriers to this process including insufficient resources and exit bloc...Continue Reading

References

Apr 4, 1992·BMJ : British Medical Journal·S GeorgeP Pritty
Jan 1, 1970·The American Journal of Nursing·R R Slater
Feb 2, 2006·Qualitative Health Research·Tracy FarmerJohn Eyles
Jan 27, 2009·The Journal of Emergency Medicine·Jin H HanDominik Aronsky
Aug 3, 2013·Clinical Medicine : Journal of the Royal College of Physicians of London·R FieldingD Sandeman
Oct 24, 2013·International Emergency Nursing·Simone FrenchJean Williams-Johnson
Jun 25, 2014·Pediatrics·Andrew N HashikawaMatthew M Davis
Jun 23, 2015·Emergency Medicine Australasia : EMA·April L WrightAnthony F Brown
Jul 29, 2016·BMJ Quality & Safety·Sara Adi Kreindler

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