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Title	Effectiveness of placing a mid-level provider in triage as an intervention to improve patient flow in the emergency department
Author	Burlingame, Penney A.
Date	2009
Affiliation/College	College of Health Professions
Extent	77 leaves : ill.; 29 cm
Source	WX 215 B961 2009
Subject.MeSH	Emergency Service Hospital--trends Triage--trends Triage--methods Patient Satisfaction Health Care Quality and Evaluation Academic Dissertations--South Carolina Academic Dissertations
Collection	MUSC Theses and Dissertations
Contributing Institution	Waring Historical Library (MUSC)
Rights	Copyright is held by the author.
Language	English
Type	Text
Format	application/pdf
Media Type	Manuscripts
Resource Identifier	mtd2009_burlingame_pa
Abstract	With increasing scrutiny on the condition of the nation's emergency services and emphasis on patient satisfaction and pay for performance, Emergency Departments (EDs) are examining ways to improve public perceptions of satisfaction and quality. A reduction in ED wait times and left without being seen (LWBS) volumes can have a significant impact on patient satisfaction scores. The purpose of this study is to determine ifplacement of a mid-level provider in triage to perform medical screening exams (MSEs) will reduce ED wait times, increase efficient patient flow, and increase patient and staff satisfaction. For one hundred sixty nine days, a nurse practitioner was placed in triage to perform MSEs in the ED during peak times at Onslow Memorial Hospital. Twelve standardized days were determined to evaluate average arrival to disposition times. Patient and staff satisfaction surveys were conducted. Mid-level provider placement in triage will reduce ED wait times and improve patient satisfaction. The most significant benefit is seen in the efficient patient flow of lesser acuity patients.

Effectiveness of placing a mid-level provider in triage as an intervention to improve patient flow in the emergency department

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