Influence of the Manchester triage system on waiting time, treatment time, length of stay and patient satisfaction; a before and after study

Emergency Medicine Journal

Volumn 31, Issue 1, 2014, Pages 13-18

  Storm Versloot, Marja N ^a   Vermeulen, Hester ^a,b   Van Lammeren, Nienke ^c   Luitse, Jan S K ^a   Goslings, J Carel ^a  

^a ACADEMIC MEDICAL CENTER   (Netherlands)

^b Amsterdam School of Health Professions   (Netherlands)

^c Medical Centre Alkmaar   (Netherlands)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; AGED; AMBULANCE; ARTICLE; EMERGENCY CARE; EMERGENCY HEALTH SERVICE; EMERGENCY WARD; FEMALE; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MIDDLE AGED; PATIENT REFERRAL; PATIENT SATISFACTION; PRIORITY JOURNAL; PROSPECTIVE STUDY; TREATMENT DURATION; YOUNG ADULT;

EMERGENCY DEPARTMENT; QUALITY ASSURANCE; TRIAGE;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; FEMALE; HOSPITAL DEPARTMENTS; HUMANS; INFORMED CONSENT; LENGTH OF STAY; MALE; MIDDLE AGED; PATIENT SATISFACTION; QUALITY OF HEALTH CARE; QUESTIONNAIRES; TIME FACTORS; TRIAGE;

EID: 84891877419     PISSN: 14720205     EISSN: 14720213     Source Type: Journal    
DOI: 10.1136/emermed-2012-201099     Document Type: Article

References (30)

1. Hoot NR, Aronsky D. Systematic review of emergency department crowding: causes, effects, and solutions. Ann Emerg Med 2008;52:126-36.
2. Collis J. Adverse effects of overcrowding on patient experience and care. Emerg Nurse 2010;18:34-9.
3. Sprivulis PC, Da Silva JA, Jacobs IG, et al. The association between hospital overcrowding and mortality among patients admitted via Western Australian emergency departments. Med J Aust 2006;184:208-12.
4. Bernstein SL, Aronsky D, Duseja R, et al. Society for Academic Emergency Medicine, Emergency Department Crowding Task Force. The effect of emergency department crowding on clinically oriented outcomes. Acad Emerg Med 2009;16:1-10.
5. Fernandes CB, Groth SJ, Johnson LA, et al. A uniform triage scale in emergency medicine. Am Coll Emerg Phys 1999. www.acep.org/WorkArea/ DownloadAsset.aspx?id=34332 (accessed 2 Jan 2012).
6. Taylor C, Benger JR. Patient satisfaction in emergency medicine. Emerg Med J 2004;21:528-32.
7. Moore JD, Saywell RM, Thakker N, et al. An analysis of patient compliance with nurse recommendations from an after-hours call center. Am J Manag Care 2002;8:343-51.
8. Brown AD, Sandoval GA, Levinton C, et al. Developing an efficient model to select emergency department patient satisfaction improvement strategies. Ann Emerg Med 2005;46:3-10.
9. Cooke T, Watt D, Wertzler W, et al. Patient expectations of emergency department care: phase II - across-sectional survey. CJEM 2006;8:148-57.
10. Hill P, Kirsch T, DeRugerriero K, et al. Impact of emergency department triage and prebed provider evaluation on walk-out rate, ambulance diversion and patient satisfaction. Acad Emerg Med 2007;14(issue 1):S149.
11. Storm-Versloot MN, Ubbink DT, Chin a Choi V, et al. Observer agreement of the Manchester Triage System and the emergency severity index: a simulation study. Emerg Med J 2009;26:556-60.
12. Storm-Versloot MN, Ubbink DT, Kappelhof J, et al. Comparison of an informally structured triage system, the emergency severity index, and the Manchester Triage System to distinguish patient priority in the emergency department. Acad Emerg Med 2011;18:822-9.
13. Mackway-Jones K. Emergency triage: Manchester Triage Group. London: BMJ Publishing Group, 1997.
14. Boudreaux ED, Ary RD, Mandry CV, et al. Determinants of patient satisfaction in a large municipal ED: the role of demographic variables, visit characteristics, and patient perceptions. Am J Emerg Med 2000;18:394-400.
15. Thompson DA, Yarnold PR, Williams DR, et al. Effects of actual waiting time, perceived waiting time, information delivery and expressive quality on patient satisfaction in the emergency department. Ann Emerg Med 1996;28:657-65.
16. Streiner DL, Norman GR. Correction for multiple testing: is there a resolution? Chest 2011;140:16-18.
17. Soremekun OA, Takayesu JK, Bohan SJ. Framework for analyzing wait times and other factors that impact patient satisfaction in the emergency department. J Emerg Med 2011;41:686-92.
18. Institute of Medicine. The future of emergency care in the United States health system. 2006. http://www.iom.edu/Activities/Quality/emergencycare.aspx (accessed 2Jan 2012).
19. Oredsson S, Jonsson H, Rognes J, et al. A systematic review of triage-related interventions to improve patient flow in emergency departments. Scand J Trauma Resusc Emerg Med 2011;19:43.
20. Harding KE, Taylor NF, Leggat SG. Do triage systems in healthcare improve patient flow? A systematic review of the literature. Aust Health Rev 2011;35:371-83.
21. Murrell KL, Offerman SR, Kauffman MB. Applying lean: implementation of a rapid triage and treatment system. West J Emerg Med 2011;12:184-91.
22. Ng D, Vail G, Thomas S, et al. Applying the lean principles of the Toyota production system to reduce wait times in the emergency department. CJEM 2010;12:50-7.
23. Rosmulder RW, Krabbendam JJ, Kerkhoff AH, et al. 'Advanced triage' improves patient flow in the emergency department without affecting the quality of care. Ned Tijdschr Geneeskd 2010;154:A1109.
24. Boeke AJ, van Randwijck-Jacobze ME, de Lange-Klerk EM, et al. Effectiveness of GPs in accident and emergency departments. Br J Gen Pract 2010;60:e378-84.
25. Fan E, Laupacis A, Pronovost PJ, et al. How to use an article about quality improvement. JAMA 2010;304:2279-87.
26. Santuzzi NR, Brodnik MS, Rinehart-Thompson L, et al. Patient satisfaction: how do qualitative comments relate to quantitative scores on a satisfaction survey? Qual Manag Health Care 2009;18:3-18.
27. Castle NG, Brown J, Hepner KA, et al. Review of the literature on survey instruments used to collect data on hospital patients' perceptions of care. Health Serv Res 2005;40:1996-2017.
28. Kleefstra SM, Kool RB, Veldkamp CM, et al. A core questionnaire for the assessment of patient satisfaction in academic hospitals in The Netherlands: development and first results in a nationwide study. Qual Sad Health Care 2010;19:e24.
29. Kington M, Short AE. What do consumers want to know in the emergency department? Int J Nurs Pract 2010;16:406-11.
30. Gribble RK, Haupt C. Quantitative and qualitative differences between handout and mailed patient satisfaction surveys. Med Care 2005;43:276-81.