医生快速初始评估分诊（TRIAD）可改善急诊科的等待时间和处理时间。
Triage rapid initial assessment by doctor (TRIAD) improves waiting time and processing time of the emergency department.
作者信息
Choi Y F, Wong T W, Lau C C
机构信息
Accident and Emergency Department, Pamela Youde Nethersole Eastern Hospital, Hong Kong.
出版信息
Emerg Med J. 2006 Apr;23(4):262-5; discussion 262-5. doi: 10.1136/emj.2005.025254.
AIM
To evaluate the effect of triage rapid initial assessment by doctor (TRIAD) on waiting time and processing time of an emergency department (ED) without extra staff.
METHOD
A senior emergency doctor was put into triage instead of a consultation cubicle for seven shifts of 9 hours each. All the patients were assessed and necessary interventions started at the time of triage. Waiting time and processing time of various categories of patients were compared with a control group that was sampled during the week before the trial period.
RESULTS
In total, there were 1310 cases in the trial period and 1355 controls. Over a quarter (27%) of the patients received triage doctor interventions. The average waiting time was reduced by 38% and the average processing time by 23%. Patients without triage intervention also had a 24% shorter waiting time because of overall improvement in efficiency. Trauma patients and patients needing radiography particularly benefited from the new system. The waiting time and processing time of category 4 and 5 patients improved significantly as a result of more efficient processing of more urgent cases.
CONCLUSION
The waiting time and processing time of the ED were greatly reduced by TRIAD without extra manpower.
目的
评估医生分诊快速初始评估（TRIAD）对无需额外工作人员的急诊科等待时间和处理时间的影响。
方法
安排一名资深急诊医生进行分诊，而非在会诊室工作，共进行七个班次，每班9小时。对所有患者进行评估，并在分诊时开始必要的干预措施。将各类患者的等待时间和处理时间与试验期前一周抽取的对照组进行比较。
结果
试验期共有1310例病例，对照组有1355例。超过四分之一（27%）的患者接受了分诊医生的干预。平均等待时间缩短了38%，平均处理时间缩短了23%。由于整体效率提高，未接受分诊干预的患者等待时间也缩短了24%。创伤患者和需要进行放射检查的患者尤其受益于新系统。由于更紧急病例得到更高效处理，4级和5级患者的等待时间和处理时间显著改善。
结论
TRIAD在不增加人力的情况下，极大地缩短了急诊科的等待时间和处理时间。
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