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Title: Multidisciplinary assessment at triage: a new way forward.
Austin Authors: Richardson, Joanna R;Braitberg, George;Yeoh, Michael J 
Affiliation: Department of Emergency Medicine, Austin Health, Heidelberg, Victoria, Australia
Issue Date: 1-Feb-2004
Publication information: Emergency Medicine Australasia : EMA; 16(1): 41-6
Abstract: To evaluate a dual doctor and nurse triage system at a tertiary referral hospital.Data were compared between periods of multidisciplinary triage and periods of standard triage. Data comparison was also made between rostered multidisciplinary triage shifts and non-multidisciplinary triage shifts. Staff satisfaction with the process was assessed.The percentage of patients seen within Australasian Triage Scale performance indicator thresholds increased from 75% to 81% in Category 2 patients (P = 0.12) and 56% to 78% in Category 3 patients (P < 0.0001). There was a reduction of 50% in the number of patients who left prior to being seen by a doctor (P = 0.024). Surveys showed high staff satisfaction with the process.We feel that multidisciplinary triage performs a useful function in our department enabling us to reduce waiting times. The process is widely accepted amongst the staff and it ensures a senior doctor assesses most patients. It reduces the number of patients leaving prior to being seen by a doctor and it provides one way of getting around access block and a physically small department.
Gov't Doc #: 15239754
Type: Journal Article
Subjects: Attitude of Health Personnel
Cooperative Behavior
Emergency & administration
Emergency & administration
Emergency Service, Hospital.organization & administration
Health Services Research
Hospitals, Urban.organization & administration
Interior Design and Furnishings.standards
Job Satisfaction
Medical Staff, & administration.psychology
Nurse's Role
Nursing Staff, & administration.psychology
Patient Care Team.organization & administration
Physician-Nurse Relations
Program Evaluation
Quality Indicators, Health Care.standards
Referral and Consultation
Time Factors
Total Quality Management.organization & administration
Triage.organization & administration
Waiting Lists
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