Richardson Joanna R, Braitberg George, Yeoh Michael J
Department of Emergency Medicine, Austin Health, Melbourne, Victoria, Australia.
Emerg Med Australas. 2004 Feb;16(1):41-6. doi: 10.1111/j.1742-6723.2004.00541.x.
To evaluate a dual doctor and nurse triage system at a tertiary referral hospital.
Data were compared between periods of multidisciplinary triage and periods of standard triage. Data comparison was also made between rostered multidisciplinary triage shifts and non-multidisciplinary triage shifts. Staff satisfaction with the process was assessed.
The percentage of patients seen within Australasian Triage Scale performance indicator thresholds increased from 75% to 81% in Category 2 patients (P = 0.12) and 56% to 78% in Category 3 patients (P < 0.0001). There was a reduction of 50% in the number of patients who left prior to being seen by a doctor (P = 0.024). Surveys showed high staff satisfaction with the process.
We feel that multidisciplinary triage performs a useful function in our department enabling us to reduce waiting times. The process is widely accepted amongst the staff and it ensures a senior doctor assesses most patients. It reduces the number of patients leaving prior to being seen by a doctor and it provides one way of getting around access block and a physically small department.
评估一家三级转诊医院的医生和护士双重分诊系统。
对多学科分诊期间和标准分诊期间的数据进行比较。还对排班的多学科分诊班次和非多学科分诊班次的数据进行了比较。评估了工作人员对该流程的满意度。
在澳大利亚分诊量表绩效指标阈值内就诊的患者百分比，2类患者从75%增至81%（P = 0.12），3类患者从56%增至78%（P < 0.0001）。在见到医生之前离开的患者数量减少了50%（P = 0.024）。调查显示工作人员对该流程满意度较高。
我们认为多学科分诊在我们科室发挥了有益作用，使我们能够减少等待时间。该流程在工作人员中得到广泛认可，并且确保大多数患者由一名资深医生进行评估。它减少了在见到医生之前离开的患者数量，并且提供了一种解决就诊阻碍和科室空间狭小问题的方法。
