Mallett J, Woolwich C
Department of Public Health, St Mary's Hospital, London, England.
J Adv Nurs. 1990 Dec;15(12):1443-51. doi: 10.1111/j.1365-2648.1990.tb01787.x.
This study was carried out to investigate the effect of triage on attenders' waiting times in an accident and emergency (A & E) department. The A & E department comprised three separate areas: the A & E unit, dressing clinic and review clinic. Data on all A & E attenders were collected by the nursing staff over a period of 1 week using a data collection form. The waiting times for the attenders to be seen by a doctor in 1988 were longer than in 1986. This may partly reflect the lower number of people using A & E in 1986, while the current practice of an initial triage assessment may slow the patients' access to a doctor. This latter finding is a cause for concern, since the receptionist is the main triage assessor at night. However, the time the attender spent waiting to be clinically assessed by a health care professional (nurse) was shorter in 1988 than when performed by a health care professional (doctor) in 1986. This indicated that nurse triage enabled a shorter waiting time between arrival and assessment of the A & E unit attender.
本研究旨在调查分诊对事故与急救（A&E）科室就诊者等待时间的影响。该A&E科室由三个独立区域组成：A&E单元、换药诊所和复诊诊所。护理人员在1周时间内使用数据收集表收集了所有A&E就诊者的数据。1988年就诊者等待医生诊治的时间比1986年更长。这可能部分反映出1986年使用A&E服务的人数较少，而目前进行初始分诊评估的做法可能会减缓患者看医生的速度。后一个发现令人担忧，因为夜间接待员是主要的分诊评估人员。然而，1988年就诊者等待医护人员（护士）进行临床评估的时间比1986年由医护人员（医生）进行评估的时间短。这表明护士分诊能够缩短A&E单元就诊者从到达至接受评估之间的等待时间。
