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Role of Provider-at-Triage on ED Efficiency and Quality of Care

NCT02703701 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 439

Last updated 2019-09-23

No results posted yet for this study

Summary

The United States spends over $8,000 per capita annually on health care and its health care system is more expensive than other developed countries. Even with high per capita costs and a high proportion of physician specialists, the US lags in health care performance from patients' perspectives.

The hospital emergency department (ED) is often the portal of entry for patients seeking health care services and is therefore an ideal setting for initiatives to improve efficiency of care delivery and patient satisfaction. Reduction in wait times, enhanced information delivery and ED staff service quality all have a positive influence on patient perception of health care quality and satisfaction.

Prior studies have attempted to increase patient satisfaction by improving staff communication and courtesy, implementing a patient satisfaction team in triage, and delivering information to patients in a timely manner. Another strategy to increase the efficiency of ED operations is adding a physician to triage to perform brief medical screenings and initiate necessary patient testing and treatment. This contrasts to usual practice in which physicians evaluate patients only following registration and nurse assessment of illness or injury severity.

Conditions

  • Patient Satisfaction With Emergency Department Efficiency

Interventions

BEHAVIORAL

Physician at triage

A physician embedded at triage

OTHER

Usual Care

No physician at triage

Sponsors & Collaborators

  • University of Florida

    lead OTHER

Principal Investigators

  • Brandon Allen, MD · Univeristy of Florida

Eligibility

Min Age
18 Years
Max Age
110 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2015-10-31
Primary Completion
2016-03-31
Completion
2016-03-31

Countries

  • United States

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT02703701 on ClinicalTrials.gov