Influence of the Manchester triage system on waiting time, treatment time, length of stay and patient satisfaction; a before and after study

摘要: Objectives To compare waiting time, treatment length of stay (LOS), patient satisfaction and distribution times over levels urgency before after the implementation Manchester Triage system (MTS) at an emergency department (ED). Methods Before study, by means timeline measurements questionnaires on in two consecutive series (n=1808). Questionnaires covered aspects provision information, opportunity given to explain problems, time sorting out problem. After MTS, patients were triaged between 12:00 22:00. Subanalysis was performed triaging non-triaging; levels. Results Waiting did not decrease however, LOS significantly longer. Total differ. implementation, better distributed Furthermore, scored lower information their feeling that problem had been sorted better. No significant differences found non-triaged patients. Although significant, seemed more satisfied than higher Conclusions Implementing MTS its own is sufficient improve efficiency quality EDs. More complex interventions including process redesigning targets various groups ED should be evaluated future using rigorous research designs for improvement