Going with the Flow: Implementing Provider-in-Triage without a Dedicated Provider-References

References

Pdf Summary

The document presents a collection of references that focus on various approaches and interventions to improve throughput and reduce crowding in emergency departments (EDs), with a particular emphasis on the role of a provider-in-triage (PIT) model.<br /><br />The sources cited explore the impact and effectiveness of PIT and split flow models in emergency settings. Benabbas et al. (2020) conducted a systematic review and meta-analysis to assess the influence of triage liaison providers on ED throughput, finding significant positive impacts. Bish, McCormick, and Otegbeye (2016) discuss the “Ready-JET-Go” initiative, highlighting how split flow can accelerate ED processes. Grant et al. (2020) also perform a systematic review on various throughput interventions aimed at reducing ED crowding.<br /><br />The Lean Enterprise Institute explains the principles of lean methodology, which can be applied to optimize ED workflows and processes. Love et al. (2012) evaluate the effectiveness of having a provider in triage, suggesting improvements in ED operations. McGrath et al. (2015) analyze the results of a flexible care area on throughput measures within an academic ED. <br /><br />Napoli et al. (2020) address the challenges posed by boarding and its adverse effects on ED efficiency, noting that the addition of a provider in triage alone may not fully mitigate these challenges. Pierce and Gormley (2016) further investigate if split flow and PIT models effectively reduce the length of stay for discharged patients.<br /><br />Shah, Leno, and Sinert (2020) assess the impact of PIT in a safety-net hospital setting, and Spencer et al. (2019) explore how healthcare providers in triage can improve outcomes. Finally, the Emergency Severity Index (ESI) handbook by Wolf et al. (2023) offers guidance on triage and patient prioritization to help manage ED flow effectively.<br /><br />Overall, the document underscores the importance of strategic interventions, including the PIT model, to enhance ED efficiency and patient care outcomes.

Keywords

emergency departments

provider-in-triage

PIT model

split flow

throughput interventions

ED crowding

lean methodology

triage liaison providers

boarding challenges

Emergency Severity Index