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首页> 外文期刊>Canadian Journal of Emergency Medicine >A determination of emergency department pre-triage times in patients not arriving by ambulance compared to widely used guideline recommendations
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A determination of emergency department pre-triage times in patients not arriving by ambulance compared to widely used guideline recommendations

机译：与广泛使用的指南建议相比，确定不是通过救护车到达的患者的急诊科预诊时间

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Objectives Emergency department (ED) lengths of stay are measured from the time of patient registration or triage. The time that patients wait in line prior to registration and triage has not been well described. We sought to characterize pre-triage wait times and compare them to recommended physician response times, as per the Canadian Triage and Acuity Scale (CTAS). Methods This observational study documented the time that consenting patients entered the ED and the time that they were formally registered and triaged. Participants’ CTAS scores were collected from the electronic record. Patients arriving to the ED by ambulance were excluded. Results A total of 536 participants were timed over 13 separate intervals. Of these, 11 left without being triaged. Participants who scored either CTAS 1 or 2 (n=53) waited a median time of 3.1 (interquartile range [IQR]: 0.43, 11.1) minutes. Patients triaged as CTAS 3 (n=187) waited a median of 11.4 (IQR: 1.6, 24.9) minutes, CTAS 4 (n=139) a median of 16.6 (IQR: 6.0, 29.7) minutes, and CTAS 5 (n=146) a median of 17.5 (IQR: 6.8, 37.3) minutes. Of patients subsequently categorized as CTAS 1 or 2, 20.8% waited longer than the recommended time-to-physician of 15 minutes to be triaged. Conclusions All urban EDs closely follow patients’ wait times, often stratified according to triage category, which are assumed to be time-stamped upon a patient’s arrival in the ED. We note that pre-triage times exceed the CTAS recommended time-to-physician in a possibly significant proportion of patients. EDs should consider documenting times to treatment from the moment of patient arrival rather than registration.
机译：目的急诊科（ED）的住院时间从患者登记或分诊开始计算。患者在登记和分诊之前排队等候的时间尚未得到很好的描述。我们试图根据加拿大分诊和敏锐度表（CTAS）来表征分诊前的等待时间，并将其与推荐的医生响应时间进行比较。方法这项观察性研究记录了同意患者进入ED的时间以及他们正式登记和分类的时间。从电子记录中收集参与者的CTAS分数。通过救护车到达急诊室的患者被排除在外。结果共有536名参与者在13个单独的时间间隔中计时。其中，有11个没有经过分类。得分为CTAS 1或2（n = 53）的参与者等待中位时间为3.1（四分位间距[IQR]：0.43，11.1）分钟。被分类为CTAS 3（n = 187）的患者等待中位数11.4（IQR：1.6，24.9）分钟，CTAS 4（n = 139）等待中位数16.6（IQR：6.0，29.7）分钟，CTAS 5（n = 146）中位数为17.5（IQR：6.8，37.3）分钟。随后被分类为CTAS 1或2的患者中，有20.8％的患者比推荐的15分钟内科医师就诊时间更长。结论所有城市急诊室都严格按照患者的等待时间进行分类，通常按照分类分类进行分类，这些时间假定是患者到达急诊室后加上时间标记。我们注意到，在可能很大比例的患者中，预诊时间超过了CTAS建议的医师诊治时间。急诊科应考虑记录从患者到达之日起至治疗的时间，而不是登记。

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