MEDLINE Journals

    Emergency department triage: a program assessment using the tools of continuous quality improvement.


    Cook S, Sinclair D 


    J Emerg Med 1997 Nov-Dec; 15(6) :889-94.


    An assessment was undertaken in the emergency department of a busy tertiary care center to illustrate the role of continuous quality improvement in the evaluation of an emergency triage program that utilizes the emergency medical attendant to provide triage. An evaluation team interviewed triage staff, charge nurses, internal customers, risk management, and the patient representative. A detailed review of staff job descriptions, organization charts, orientation manual, and physical facilities was conducted. A chart audit was completed on 100 triage notes. Direct observation was undertaken on nine occasions. An evaluation of the data gathered was performed using the tools of continuous quality improvement, and resulted in specific recommendations being made to improve the process of care. It was concluded that emergency medical attendants function very well in an emergency medicine triage system and the tools of continuous quality improvement can be applied to a clinical service to improve the quality of care.


    Clinical Competence
    Emergency Service, Hospital
    Patient Acceptance of Health Care
    Quality of Health Care
    Total Quality Management



    Pub Type(s)

    Journal Article

    PubMed ID


    Content Manager
    Related Content

    Improving quality while managing costs in emergency medicine.

    Improving vital sign documentation at triage: an emergency department quality improvement project.

    Use of an ER audit to build recommendations for improving quality of care. Part I: Initial audit and recommendations.

    Identification of seniors at risk: process evaluation of a screening and referral program for patients aged > or =75 in a community hospital emergency department.

    Improving emergency department door-to-electrocardiogram time in ST segment elevation myocardial infarction.

    Report of an audit of nurse triage in an accident and emergency department.

    ['Advanced triage' improves patient flow in the emergency department without affecting the quality of care].

    Emergency department mental health triage consultancy service: a qualitative evaluation.