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Author Rudd, J.
Title From triage to treatment: An exploration of patient flow systems in emergency departments Type
Year 2005 Publication Abbreviated Journal (up) ResearchArchive@Victoria
Volume Issue Pages
Keywords Emergency nursing; Hospitals; Risk management; Patient safety
Abstract To find an effective approach to managing or reducing waiting times for lower triage category patients processed through one particular metropolitan emergency department, an extensive search of the literature revealed several different patient flow processes. These approaches are discussed, in relation to suitability for the particular emergency department. The history of triage, including how and why it evolved, plus the realities of triage today are explored. Included are case examples of two patients on a journey through the department the way it is presently, and how it could be if particular approaches are introduced. Extending nursing practice by introducing nurse-initiated x-rays at triage and the introduction of a separate stream for minor category patients in a dedicated ambulatory care area is one approach that could improve waiting times for these patients. There would be the added advantage of improving triage compliance figures for category three patients. The additional costs involved in such a process could be offset by improved efficiency in terms of waiting times, improved triage compliance figures, happier patients and clinical staff, and an emptier waiting room.
Call Number NRSNZNO @ research @ Serial 1209
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Author Horsburgh, M.; Goodyear-Smith, F.; Yallop, J.
Title Nursing initiatives in primary care: An approach to risk reduction for cardiovascular disease and diabetes Type Journal Article
Year 2008 Publication New Zealand Family Physician Abbreviated Journal (up) The Royal New Zealand College of General Practitioners website
Volume 35 Issue 3 Pages 176-182
Keywords Cardiovascular diseases; Diabetes Type 2; Risk factors; Nursing models
Abstract The authors evaluated a nurse-led cardiovascular disease and diabetes (CVD) management project. The Ministry of Health funded the project to implement models of nurse service delivery, with care pathways for risk reduction of CVD and diabetes based on national guidelines, with quality assurance, audit and nurse leadership. The paper presents the components required to implement and sustain a nurse CVD risk assessment and management service, which were identified and clarified through the action research process.
Call Number NRSNZNO @ research @ 527 Serial 513
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