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Heslin SM, Francis A, Cloney R, et al. Team triage increases discharges and decreases time to discharge without increasing test ordering. J Am Coll Emerg Physicians Open. 2021;2(1):e12311doi: 10.1002/emp2.12311.
Heslin, S. M., Francis, A., Cloney, R., Polizzo, G. M., Scott, K., King, C., Viccellio, P., Rowe, A. L., & Morley, E. J. (2021). Team triage increases discharges and decreases time to discharge without increasing test ordering. Journal of the American College of Emergency Physicians open, 2(1), e12311. https://doi.org/10.1002/emp2.12311
Heslin, Samita M, et al. "Team triage increases discharges and decreases time to discharge without increasing test ordering." Journal of the American College of Emergency Physicians open vol. 2,1 (2021): e12311. doi: https://doi.org/10.1002/emp2.12311
Heslin SM, Francis A, Cloney R, Polizzo GM, Scott K, King C, Viccellio P, Rowe AL, Morley EJ. Team triage increases discharges and decreases time to discharge without increasing test ordering. J Am Coll Emerg Physicians Open. 2021 Feb 11;2(1):e12311. doi: 10.1002/emp2.12311. eCollection 2021 Feb. PMID: 33615308; PMCID: PMC7877865.
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J Am Coll Emerg Physicians Open. 2021 Feb 11;2(1):e12311. doi: 10.1002/emp2.12311. eCollection 2021 Feb.

Team triage increases discharges and decreases time to discharge without increasing test ordering.

Journal of the American College of Emergency Physicians open

Samita M Heslin, Arie Francis, Richard Cloney, Gina Marie Polizzo, Karen Scott, Candice King, Peter Viccellio, Alison L Rowe, Eric J Morley

Affiliations

  1. Department of Emergency Medicine Renaissance School of Medicine at Stony Brook University Stony Brook New York USA.

PMID: 33615308 PMCID: PMC7877865 DOI: 10.1002/emp2.12311

Abstract

OBJECTIVES: Emergency department (ED) crowding is detrimental to patients and staff. During traditional triage, nurses evaluate patients and identify their level of emergency. During team triage, physicians and/or nurse practitioners (NPs) and physician assistants (PAs) place orders, laboratory results, intravenous lines (IVs), and imaging in triage. Team triage improves access to testing and decreases length of stay. However, ordering practices in team triage may lead to overtesting.

METHODS: This is a retrospective review of patients seen before and after a team triage process was established. Percentage of patients receiving testing and the diagnostic yields of troponins, lactates, international normalized ratios (INRs), blood cultures, glomerular filtration rates (GFR), and head computed tomography (CT) images were studied.

RESULTS: A total of 704 traditionally triaged patients and 862 team triaged patients met inclusion criteria. Comparing traditional versus team triaged patients, the proportion of patients discharged was 0.44 versus 0.53 (

CONCLUSION: Compared with traditional triage, the team triage process increased discharges and decreased time to discharge, but did not lead to increased testing or decreased diagnostic yield.

© 2021 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of the American College of Emergency Physicians.

Conflict of interest statement

The authors declare no conflict of interest.

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