Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: A systematic review of triage-related interventions to improve patient flow in emergency departments | Oredsson et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2011 19 43 http content 19 1 43 SCANDINAVIAN JOURNAL OF Et emergency medicine REVIEW Open Access A systematic review of triage-related interventions to improve patient flow in emergency departments c Ỉ S V I I r vs 11_I J I -s I vs Tier vs vs 2 I vs Dz Vi j ir3 I irr I I -J4 I I -f- I r I I E f Lv r svsr i vs vs54 Z vs lSS EI J rcsrN n vvi7 Sven Oredsson HdKan Jonsson Jon Rognes Lars Lino Katarina E Goransson Anna Ehrenberg Kjell Asplund8 Maaret Castrén9 and Nasim FarrohKnia10 Abstract Background Overcrowding in emergency departments is a worldwide problem. A systematic literature review was undertaken to scientifically explore which interventions improve patient flow in emergency departments. Methods A systematic literature search for flow processes in emergency departments was followed by assessment of relevance and methodological quality of each individual study fulfilling the inclusion criteria. Studies were excluded if they did not present data on waiting time length of stay patients leaving the emergency department without being seen or other flow parameters based on a nonselected material of patients. Only studies with a control group either in a randomized controlled trial or in an observational study with historical controls were included. For each intervention the level of scientific evidence was rated according to the GRADE system launched by a WHO-supported working group. Results The interventions were grouped into streaming fast track team triage point-of-care testing performing laboratory analysis in the emergency department and nurse-requested x-ray. Thirty-three studies including over 800 000 patients in total were included. Scientific evidence on the effect of fast track on waiting time length of stay and left without being seen was moderately strong. The effect of team triage on left without being seen was relatively strong but the evidence for all .
