Journal of emergency nursing : JEN : official publication of the Emergency Department Nurses Association
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Crowding in emergency departments is a multifaceted problem. We hypothesized that implementing an on-call "Flexible Care Area" (FCA), utilizing multiple front-end throughput solutions, would reduce ED length of stay (LOS). ⋯ Implementing upfront throughput solutions through use of the FCA correlated with reduced ED LOS for all ESI level 3 and 4 patients, not just those who were seen in the FCA.
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Triage is the process whereby persons presenting to the emergency department are quickly assessed by a nurse and their need for care and service is prioritized. Research examining the care of persons presenting to emergency departments with psychiatric and mental health problems has shown that triage has often been cited as the most problematic aspect of the encounter. Three questions guided this investigation: Where do the decisions that triage nurses make fall on the intuitive versus analytic dimensions of decision making for mental health presentations in the emergency department, and does this differ according to comfort or familiarity with the type of mental health/illness presentation? How do "decision aids" (i.e., structured triage scales) help in the decision-making process? To what extent do other factors, such as attitudes, influence triage nurses' decision making? ⋯ Findings support the preference for using the intuitive mode of decision making with only tacit reliance on the decision aid.