scholarly journals Influence of the Manchester triage system on waiting time, treatment time, length of stay and patient satisfaction; a before and after study

2013 ◽  
Vol 31 (1) ◽  
pp. 13-18 ◽  
Author(s):  
Marja N Storm-Versloot ◽  
Hester Vermeulen ◽  
Nienke van Lammeren ◽  
Jan SK Luitse ◽  
J Carel Goslings
Keyword(s):  
Patient Satisfaction ◽  
Length Of Stay ◽  
Waiting Time ◽  
Treatment Time ◽  
Triage System ◽  
Manchester Triage System ◽  
Time Length ◽  
Time Treatment ◽  
Before And After ◽  
Before And After Study

scholarly journals The Long-Term Effect of an Independent Capacity Protocol on Emergency Department Length of Stay: A before and after Study

2015 ◽  
Vol 56 (5) ◽  
pp. 1428 ◽  
Author(s):  
Won Chul Cha ◽  
Kyoung Jun Song ◽  
Jin Sung Cho ◽  
Adam J. Singer ◽  
Sang Do Shin
Keyword(s):  
Emergency Department ◽  
Length Of Stay ◽  
Term Effect ◽  
Long Term Effect ◽  
Before And After ◽  
Before And After Study

scholarly journals THE EFFECT OF A BOARDING RESTRICTION PROTOCOL ON EMERGENCY DEPARTMENT CROWDING

2021 ◽  
Author(s):  
Ji Hwan Lee ◽  
Ji Hoon Kim ◽  
Incheol Park ◽  
Hyun Sim Lee ◽  
Joon Min Park ◽  
...  
Keyword(s):  
Emergency Department ◽  
Length Of Stay ◽  
Primary Outcome ◽  
Treatment Time ◽  
Patient Flow ◽  
Hospital Beds ◽  
Before And After ◽  
Day Of The Week ◽  
Ed Crowding ◽  
Post Period

ABSTRACT Background Access block due to a lack of hospital beds causes emergency department (ED) crowding. We initiated the boarding restriction protocol that limits ED length of stay (LOS) for patients awaiting hospitalization to 24 hours from arrival. This study aimed to determine the effect of the protocol on ED crowding. Method This was a pre-post comparative study to compare ED crowding before and after protocol implementation. The primary outcome was the red stage fraction with more than 71 occupying patients in the ED (severe crowding level). LOS in the ED, treatment time and boarding time were compared. Additionally, the pattern of boarding patients staying in the ED according to the day of the week was confirmed. Results Analysis of the number of occupying patients in the ED, measured at 10-minute intervals, indicated a decrease from 65.0 (51.0-79.0) to 55.0 (43.0-65.0) in the pre- and post-periods, respectively (p<0.0001). The red stage fraction decreased from 38.9% to 15.1% of the pre- and post-periods, respectively (p<0.0001). The proportion beyond the goal of this protocol of 24 hours decreased from 7.6% to 4.0% (p<0.0001). The ED LOS of all patients was similar: 238.2 (134.0-465.2) and 238.3 (136.9-451.2) minutes in the pre- and post-periods, respectively. In admitted patients, ED LOS decreased from 770.7 (421.4-1587.1) to 630.2 (398.0-1156.8) minutes (p<0.0001); treatment time increased from 319.6 (198.5-482.8) to 344.7 (213.4-519.5) minutes (p<0.0001); and boarding time decreased from 298.9 (109.5-1149.0) to 204.1 (98.7-545.7) minutes (p<0.0001). In the pre-period, boarding patients accumulated in the ED on weekdays, with the accumulation resolved on Fridays; this pattern was alleviated in the post-period. Conclusions The protocol effectively resolved excessive ED crowding by alleviating the accumulation of boarding patients in the ED on weekdays. Additional studies should be conducted on changes this protocol brings to patient flow hospital-wide.

Daily rounds on inpatient oncology floor by inpatient hospitalist oncologist and reduced length of stay.

2014 ◽  
Vol 32 (30_suppl) ◽  
pp. 228-228
Author(s):  
Sabeen Fatima Mekan ◽  
Dan Loen ◽  
George Raptis ◽  
Daniel R. Budman
Keyword(s):  
Patient Satisfaction ◽  
Length Of Stay ◽  
Readmission Rate ◽  
Positive Impact ◽  
Primary Diagnosis ◽  
Inpatient Mortality ◽  
Before And After ◽  
Almost All ◽  
Number Of Discharges ◽  
The Impact

228 Background: Hospitalist services have expanded recently resulting in improved patient care and reduced length of stay compared with traditional inpatient services. Methods: We implemented an inpatient oncology hospitalist service with consistent daily rounding by the same team on all patients on the oncology floor in July 2012 and compared the impact on inpatient length of stay (LOS), inpatient mortality, cost saving, 30 day readmission rate and patient satisfaction scores before and after. Data was collected from hospital administration from patient medical and billing records. Results: The changes had an immediate effect on LOS which reduced from 7.30 days to 6.38 days over the next 6 months and further trended down to 6.20 over the next 11 months. Total number of discharges increased from 839 from Jan-Jun 2012 to 947 in Jan-Jun 2013. Decrease in LOS occurred in almost all groups including patients with and without cancer. However, the greatest reduction occurred in patients who were admitted with primary diagnosis related to complications of their cancer from 11.2 days to 9.0 days from Jan-Jun 2012 to Jan-Jun 2013. Inpatient mortality decreased from 37 to 30 from Jan-Jun 2012 to Jan-Jun 2013 and discharges to hospice increased from 42 to 65 patients. The 30 day readmission rate increased slightly from 196 to 222 patients. The most common admission diagnoses remained relatively constant. The payer mix of the patients, administrative structure and staffing on the floor remained unchanged during this time period. Patient satisfaction measured by the overall Press-Ganey scores remained unchanged. Conclusions: Daily consistent rounding of inpatient hospitalist service had a significant positive impact on all patients especially patients admitted with oncologic diagnoses. It also resulted in decrease in inpatient mortality and increased the number of discharges to hospice without significant increase in readmission rate.

Using the Manchester triage system for refusing nonurgent patients in the emergency department: A 30-day outcome study

2016 ◽  
Vol 14 (5) ◽  
pp. 365 ◽  
Author(s):  
Roger Daglius Dias, MD, MBA, PhD ◽  
Izabel Cristina Rios, MD, PhD ◽  
Carlos Luis Benites Canhada, MSc ◽  
Maria Dolores Galinanes Otero Fernandes, BSW ◽  
Leila Suemi Harima Letaif, MD, MBA ◽  
...  
Keyword(s):  
Emergency Department ◽  
Patient Satisfaction ◽  
Health Services ◽  
University Hospital ◽  
Public Healthcare ◽  
Triage System ◽  
Manchester Triage System ◽  
Telephone Interviews ◽  
Hierarchic System

Objective: To evaluate the long-term outcomes and satisfaction of nonurgent patients who seek care in the emergency department (ED) and are diverted to primary health services (PHS). Methods: Data were collected from 264 nonurgent patients diverted from the ED of a tertiary public university hospital in São Paulo, Brazil. The nonurgent patient definition was performed by Manchester triage system version II (MTS-II) associated to medical interview in the triage service. Satisfaction levels were evaluated by telephone interviews. The outcomes were assessed within 30 days after the ED visit. Results: Based on the MTS-II, 56.4 percent of the diverted patients were classified as green, 34.3 percent as blue, and 9.3 percent as white. Only one patient required a hospital admission and no deaths were registered within 30 days after ED diversion. After diversion, the majority of patients searched for PHS (62.7 percent), 14.4 percent sought out other EDs, and 22.9 percent did not seek out any other health services. Regarding patient satisfaction, 61.9 percent evaluated the triage team as fair, good, or very good. Conclusions: Our study suggests that diverting nonurgent patients from the ED to PHS may be carried out in a hierarchic system like the Brazilian public healthcare system. The MTS-II can be a useful triage system to support physician in the diverting process. In addition, patient satisfaction with the refusing was reasonable. Future studies should be designed to evaluate patient safety outcomes in a larger sample and in different healthcare systems.

Sign in / Sign up

Export Citation Format

Share Document