کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2609383 1403455 2016 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Pivot Nursing: An Alternative to Traditional ED Triage
ترجمه فارسی عنوان
پرستاری محور: یک جایگزین برای تریاژ ED سنتی
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پرستاری و مشاغل بهداشتی امداد اورژانس
چکیده انگلیسی

ProblemA 7.2% increase in patient volume from 130,700 to 140,800 in 2012 prompted St Joseph's Regional Medical Center Emergency Department to review existing triage processes to decrease turnaround time. "Pivot triage" is a new, efficient intake process that entails use of 4 rather than 8 determinants to identify acuity levels. The purpose of this performance improvement project was to create alternatives to traditional triage to decrease ED length of stay and door-to-physician time.MethodsAfter education, the pivot process was implemented using 4 determinants established by a multidisciplinary team. The pivot process was slowly implemented for 6 hours over a 1-week period to work out processing issues. Arrival time, door-to-physician time, and departure time from the emergency department were elements used to calculate the patient's turnaround time. Length of ED stay was collected monthly beginning in the fourth quarter of 2011. Comparisons were made after Pivot implementation in the fourth quarter of 2012.ResultsDespite the increasing volume, the mean door-to-physician time decreased from 71 to 40 minutes, a 43.7% reduction. The overall turnaround time decreased from 220 to 181 minutes, representing approximately a 17.7% reduction. The percentage of patients who left without being seen decreased from 2.5% to 1.0%. The pivot process improved patient flow in the emergency department, reducing time spent by the patient in the department.Implications for PracticeThe pivot process is a viable alternative to traditional triage. Nurses are able to accurately pivot patients with a reduced amount of information.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Emergency Nursing - Volume 42, Issue 5, September 2016, Pages 395–399
نویسندگان
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