Abstract
Recently, emergency departments across the continent have become crowded with patients requiring non-urgent care. To alleviate this situation at The Hospital for Sick Children in Toronto, receptionists in the emergency department direct patients requiring urgent care to the emergency room and those requiring non-urgent care to a screening clinic (triage). During a two-month period, 13,551 patients visited the emergency department. The triage receptionist sent 8368 patients to the emergency room and 5183 to the screening clinic. About 45% of patients visiting the emergency room had suffered accidents and injuries, and 19% had respiratory illness; 15% of patient visits resulted in admission to hospital. In contrast to this, 49% of patients sent to the screening clinic had respiratory illness and 18% had infective disease; less than 1% of patients needed hospitalization.
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Selected References
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- BERGMAN A. B., HAGGERTY R. J. The emergency clinic. A study of its role in a teaching hospital. Am J Dis Child. 1962 Jul;104:36–44. [PubMed] [Google Scholar]
- Baltzan M. A. The new role of the hospital emergency department. Can Med Assoc J. 1972 Feb 5;106(3):249–256. [PMC free article] [PubMed] [Google Scholar]
- Robinson G. C., Klonoff H. Hospital emergency services for children and adolescents: a one-year review at the Vancouver General Hospital. Can Med Assoc J. 1967 May 13;96(19):1304–1308. [PMC free article] [PubMed] [Google Scholar]
- Weinerman E. R., Ratner R. S., Robbins A., Lavenhar M. A. Yale studies in ambulatory medical care. V. Determinants of use of hospital emergency services. Am J Public Health Nations Health. 1966 Jul;56(7):1037–1056. doi: 10.2105/ajph.56.7.1037. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wingert W. A., Friedman D. B., Larson W. R. The demographical and ecological characteristics of a large urban pediatric outpatient population and implications for improving community pedatric care. Am J Public Health Nations Health. 1968 May;58(5):859–876. doi: 10.2105/ajph.58.5.859. [DOI] [PMC free article] [PubMed] [Google Scholar]