Access to health care is an ongoing problem nationally. Emergency Departments (EDs) are inundated with patients seeking medical attention. The supply and demand, for access to care, has overwhelmed EDs throughout the nation. Government regulations are forcing EDs to reassess efficiency. Many EDs are implementing a redesign intervention to decrease door-to-provider times, improve triage efficiency, decrease patient length of stay (LOS) and cost. The purpose of this study is to complete a retrospective chart review of the traditional triage process and door-to-provider times in the ED Fast Track at Peterson Regional Medical Center, one ED in Texas. This is one quality improvement process to better understand the time associated with traditional triage in this hospital. The goal of the study outcome is to demonstrate that traditional triage and door-to-provider times are above the national average on non-emergent patients, thus a need for change in the triage process. Regrettably, the null hypotheses for this CSP was rejected due to variables that were not known until data collection occurred. This manuscript will discuss these unexpected results in depth and make recommendations for the organization and future studies to ensure that data collected at PRMC is consistent with national benchmarks. Thus, evidence based practice will be ensured.
|Advisor:||Abbott, Patricia D.|
|Commitee:||Hanisch, Tyke, Schine, Patric|
|Department:||Marybelle and S. Paul Musco School of Nursing and Health Professions|
|School Location:||United States -- California|
|Source:||DAI-B 77/03(E), Dissertation Abstracts International|
|Subjects:||Nursing, Health care management|
|Keywords:||Door-to-provider, Emergency departments, Overcrowding, Rapid triage, Texas, Traditional triage, Triage redesign|
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