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Int Emerg Nurs. 2016 Nov;29:32-37. doi: 10.1016/j.ienj.2015.10.005. Epub 2016 Jan 12.

Emergency department triage performance timing. A regional multicenter descriptive study in Italy.

Author information

1
Emergency and Trauma Intensive Care Unit, Azienda Ospedaliero Universitaria Careggi, Largo Brambilla 3, 50134 Florence, Italy. Electronic address: stebam@hotmail.it.
2
Emergency Department, Azienda Ospedaliero Universitaria Careggi, Largo Brambilla 3, 50134 Florence, Italy.
3
Intensive Care Unit, Azienda Ospedaliera di Perugia, Piazzale Menghini, 1 - 06156 Sant'Andrea delle Fratte, Perugia, Italy.
4
Emergency Department, Ospedale Santa Maria Nuova, ASF, piazza Santa Maria Nuova n.1 50122, Florence, Italy.
5
Emergency Department, Stabilimento Ospedaliero Nottola - AUSL 7 di Siena, piazzale Rosselli, 26 - 53100, Siena, Italy.
6
Emergency Department, Ospedale Santa Maria Annunziata, ASF, Ponte a Niccheri, 58, Via dell'Antella, 50012 - Bagno a Ripoli, Florence, Italy.
7
Emergency Department, Ospedale Unico della Versilia, USL 12 Viareggio, via Aurelia sud 312 55041 - Lido di Camaiore, Lucca, Italy.
8
Emergency Department, Ospedale della Misericordia, ASL 9 Via Cimabue 152, 58100 Grosseto, Italy.
9
Emergency Department, Azienda Universitaria Ospedaliera Senese Le Scotte, viale Bracci 14, 53100 Siena, Italy.
10
Emergency Department, Presidio Ospedaliero S. Luca, AUSL 2 Lucca, Via Guglielmo Lippi Francesconi, 55100 Lucca, Italy.
11
Emergency Department, Ospedale San Jacopo, AUSL 3 di Pistoia, via Ciliegiole 97, 51100 Pistoia, Italy.
12
Emergency Department, Alta Valdelsa, AUSL 7 Poggibonsi, Siena, 53036 Siena, Italy.
13
Emergency Department, Ospedale Nuovo del Mugello, ASF, Viale Resistenza, 60 - 50032 Borgo San Lorenzo, Florence, Italy.

Abstract

OBJECTIVES:

We explored the time employed by nurses to perform the ED triage process in the clinical setting. Moreover, we assessed the influences on triage timing performance exerted by variables related to nurses, local EDs' features, and by interruptions.

METHODS:

This is a multicenter prospective descriptive-explorative study performed in 11 EDs of the Tuscany region (Italy), using a 5 tier triage system. The sample was made up of 1/3 of nurses working in each ED. Sampling was performed by a stratified proportional randomization (length of service classes: <5 years; 5-10 years; >10 years). Triage nurses were observed during their triage work-shift.

RESULTS:

In 2014, 120 nurses were observed, during 1114 triage processes. The timings of triage phases were: waiting time to triage, median 2.55 min (IQR 1.28-5.03 min; range 0.1-56.25 min); triage duration, median 2.58 min (IQR 1.36-4.35 min; range 0.07-50 min). 400 interruptions were recorded (35.9%). In 9.9% there were 2 interruptions at least. There were significant differences in the medians of triage duration among the years of nurses' triage experience (P < 0.001). The presence of interruption was significantly associated with the increasing of the time intervals in all the triage phases (P < 0.0001). Finally, we recorded significant differences in all the triage time phases between the EDs.

CONCLUSION:

We found that the nurses triage time performances are similar to other triage systems in the world.

KEYWORDS:

Emergency department; Nurses; Performance; Standard; Timing; Triage

PMID:
26796287
DOI:
10.1016/j.ienj.2015.10.005
[Indexed for MEDLINE]

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