Quality Improvement of Patient Triage at Emergency Departments
Keywords:
patient triage, quality improvement, emergency departmentAbstract
Patient triage at emergency department is a system for categorizing patient based on priority to be treated. Patient triage must be accurate to ensure safety of patient and appropriate use of limited resources. Nurses, who are responsible for patient triage at emergency department, have a crucial role for patient triage quality improvement. The Plan-Do-Study-Act cycle is a widely used quality improvement tool in health care system. This review article provides examples of applying the Plan-Do-Study-Act cycle for patient triage quality improvement in four hospitals. Lessons learned from the provided examples are also discussed.
References
Bollegala, N., Patel, K., Mosko, J. D., Bernstein, M., Brahmania, M., Liu, L., Steinhart, A. H., et al. (2016). Quality improvement primer series: The plan-do-study-act cycle and data display. Clinical Gastroenterology and Hepatology, 14, 1230-1233.
Brosinski, C. M., Riddell, A. J., & Valdez, S. (2017). Improving triage accuracy: A staff development approach. Clinical Nurse Specialist, May/June, 145-148.
Chartbunchachai, W. & Chotkhom, P. (2013). Patients using emergency medical system service and patients visiting emergency room of hospitals affiliated with Office of the Permanent Secretary, fiscal year 2011. Khon Kaen: Trauma Center & Critical Care, Khon Kaen Hospital. (in Thai)
Crowl, A., Sharma, A., Sorge, L., & Sorensen, T. (2015). Accelerating quality improvement within your organization: Applying the model for improvement. Journal of the American Pharmacists Association, 55, e364-e367.
Institute of Medicine. (2001). Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academies Press.
Kraysubun, C. (2018). Guideline for ER service delivery. Nonthaburi: Department of Medical Services. (in Thai)
Lemtrakul, W. (2014). Effectiveness of implementing the Emergency Severity Index for patient triage, Kokha hospital, Lampang province. Unpublished master’s thesis. Chiang Mai University: Chiang Mai. (in Thai)
Larthum, K., & Pearkao, C. (2017). A study of quality of emergency patient triage at Srinagarind Hospital. The National and International Graduate Research Conference 2017, Khon Kaen University, March 10, 2017. (in Thai)
Leis, J., & Shojania, K. G. (2017). A primer on PDSA: Executing plan-do-study-act cycles in practice, not just in name. BMJ Quality & Safety, 26, 572-577.
Nakakul, N. (2014). Effectiveness of implementing the Emergency Severity Index for patient triage, Lampang hospital. Unpublished master’s thesis. Chiang Mai University: Chiang Mai. (in Thai)
National Institute of Emergency Medicine. (2015). Guidelines to follow the rules, criteria and procedures to sort and prioritize emergency care at the emergency room, according to the Emergency Medical Board. 3rd ed. Nonthaburi: National Institute of Emergency Medicine. (in Thai)
Matcha, K. (2014). Effectiveness of implementing the Emergency Severity Index for patient triage, Lampang hospital. Unpublished master’s thesis. Chiang Mai University: Chiang Mai. (in Thai)
Moen, R. D., & Norman, C. L. (2010). Circling back: Clearing up myths about the Deming cycle and seeing how it keeps revolving. Quality Progress, November, 23-28.
Pimdee, E., Prompinit, S., Mitsungnuen, T., & Pugoen, P. (2015). Inter-rater reliability of triage of patients among outpatient department, accident and emergency department nurses and emergency physicians in Srinagarind Hospital. Srinagarind Medical Journal, 30(6), 587-591. (in Thai)
Stanfield, L. M. (2015). Clinical decision making in triage: An integrative review. Journal of Emergency Nursing, 41, 396-403.
Suwannasuan, W., Thungjaroenkul, P., & Chitpakdee, B. (2016). Quality improvement of nursing documentation in Nakornping Hospital, Chiang Mai province. Nursing Journal, 43, 128-136. (in Thai)
Wachiradilok, P., Sirisamutr, T., Chaiyasit, S., & Sethasathien, A. (2016). A nationwide survey of Thailand emergency departments triage systems. Thai Journal of Nursing Council, 31(2), 96-108. (in Thai)
Wandee, N. (2014) Effectiveness of implementing the Emergency Severity Index for patient triage, Wiang Chiang Rung Hospital, Chiang Rai Province. Unpublished master’s thesis. Chiang Mai University: Chiang Mai. (in Thai)
Yuksen C. (2012). Research on ESI Triage. Documentation of training criteria and procedures separate the emergency: National Institute of Emergency Medicine. (in Thai)
Brosinski, C. M., Riddell, A. J., & Valdez, S. (2017). Improving triage accuracy: A staff development approach. Clinical Nurse Specialist, May/June, 145-148.
Chartbunchachai, W. & Chotkhom, P. (2013). Patients using emergency medical system service and patients visiting emergency room of hospitals affiliated with Office of the Permanent Secretary, fiscal year 2011. Khon Kaen: Trauma Center & Critical Care, Khon Kaen Hospital. (in Thai)
Crowl, A., Sharma, A., Sorge, L., & Sorensen, T. (2015). Accelerating quality improvement within your organization: Applying the model for improvement. Journal of the American Pharmacists Association, 55, e364-e367.
Institute of Medicine. (2001). Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academies Press.
Kraysubun, C. (2018). Guideline for ER service delivery. Nonthaburi: Department of Medical Services. (in Thai)
Lemtrakul, W. (2014). Effectiveness of implementing the Emergency Severity Index for patient triage, Kokha hospital, Lampang province. Unpublished master’s thesis. Chiang Mai University: Chiang Mai. (in Thai)
Larthum, K., & Pearkao, C. (2017). A study of quality of emergency patient triage at Srinagarind Hospital. The National and International Graduate Research Conference 2017, Khon Kaen University, March 10, 2017. (in Thai)
Leis, J., & Shojania, K. G. (2017). A primer on PDSA: Executing plan-do-study-act cycles in practice, not just in name. BMJ Quality & Safety, 26, 572-577.
Nakakul, N. (2014). Effectiveness of implementing the Emergency Severity Index for patient triage, Lampang hospital. Unpublished master’s thesis. Chiang Mai University: Chiang Mai. (in Thai)
National Institute of Emergency Medicine. (2015). Guidelines to follow the rules, criteria and procedures to sort and prioritize emergency care at the emergency room, according to the Emergency Medical Board. 3rd ed. Nonthaburi: National Institute of Emergency Medicine. (in Thai)
Matcha, K. (2014). Effectiveness of implementing the Emergency Severity Index for patient triage, Lampang hospital. Unpublished master’s thesis. Chiang Mai University: Chiang Mai. (in Thai)
Moen, R. D., & Norman, C. L. (2010). Circling back: Clearing up myths about the Deming cycle and seeing how it keeps revolving. Quality Progress, November, 23-28.
Pimdee, E., Prompinit, S., Mitsungnuen, T., & Pugoen, P. (2015). Inter-rater reliability of triage of patients among outpatient department, accident and emergency department nurses and emergency physicians in Srinagarind Hospital. Srinagarind Medical Journal, 30(6), 587-591. (in Thai)
Stanfield, L. M. (2015). Clinical decision making in triage: An integrative review. Journal of Emergency Nursing, 41, 396-403.
Suwannasuan, W., Thungjaroenkul, P., & Chitpakdee, B. (2016). Quality improvement of nursing documentation in Nakornping Hospital, Chiang Mai province. Nursing Journal, 43, 128-136. (in Thai)
Wachiradilok, P., Sirisamutr, T., Chaiyasit, S., & Sethasathien, A. (2016). A nationwide survey of Thailand emergency departments triage systems. Thai Journal of Nursing Council, 31(2), 96-108. (in Thai)
Wandee, N. (2014) Effectiveness of implementing the Emergency Severity Index for patient triage, Wiang Chiang Rung Hospital, Chiang Rai Province. Unpublished master’s thesis. Chiang Mai University: Chiang Mai. (in Thai)
Yuksen C. (2012). Research on ESI Triage. Documentation of training criteria and procedures separate the emergency: National Institute of Emergency Medicine. (in Thai)
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Published
2018-09-30
How to Cite
วังศรีคูณ ส. (2018). Quality Improvement of Patient Triage at Emergency Departments. Nursing Journal CMU, 45(3), 158–169. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/149351
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