Peer response

Please respond to peer’s post below. Post must be substantive, ASK QUESTIONS, and also add to the discussion in a meaningful way.

TALLY’S POST: PICOT: Will ER nurses (P) trained in a new triage system (I), opposite to the current practices in patient registration and discharge (C), be able to decrease the arrival-to-provider time by 30% (O) over the next six months (T)?

The health care setting experiences overcrowding due to several reasons, including the lack of personnel, space, and improper system of registration and discharge. Yarmohammadian et al. (2017) recognized that ER overcrowding could be solved by introducing a more flexible and adaptable triage system that would allow treating the most urgent problems of patients at once, discharge them in time, and distribute resources more productively. Wachtel & Elalouf(2020) revealed that the triage system in ER could decrease overcrowding if nurses are trained in using it in advance. This is a quality improvement task that requires improving the systems within the structure of the facility. If an increase inpersonnel or space of the hospital is not available, the installation of triage could be a viable solution. In this PICOT, the stakeholders are nurses, as they are responsible for registering and discharging the patients.

Wachtel, G., & Elalouf, A. (2020). Addressing overcrowding in an emergency department: an approach for identifying and treating influential factors and a real-life application. Israel Journal of health policy research, 9(1), 37. https://doi.org/10.1186/s13584-020-00390-5 (Links to an external site.)

Yarmohammadian, M. H., Rezaei, F., Haghshenas, A., & Tavakoli, N. (2017). Overcrowding in emergency departments: A review of strategies to decrease future challenges. Journal of research in medical sciences, 22, 23. https://doi.org/10.4103/1735-1995.200277 (Links to an external site.)

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