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Efficacy of Different Triage Protocols in Reducing Waiting Times in Emergency Settings: A Randomized Controlled Trial

P. R. S. Balu, A. Syed, Tejashwini Kotian, Hemanth Satya Subhash Padala, Surendra Gupta, Rahul V. C. Tiwari, Saloni Kamboj

Journal of Pharmacy and Bioallied Sciences, 2025

6 citations

Abstract

ABSTRACT Introduction: Prolonged waiting times in emergency departments (EDs) can result in adverse outcomes for patients. Implementing efficient triage protocols is critical in reducing these delays. This study evaluates the efficacy of different triage protocols in decreasing waiting times in emergency settings. Methods: A randomized controlled trial (RCT) was conducted to compare three triage protocols (Manchester Triage System, Nurse-Initiated Triage, and Digital Triage Systems). The primary outcome was the reduction in waiting times. Secondary outcomes included patient throughput and satisfaction. Results: A statistically significant reduction in waiting times was observed in the Nurse-Initiated Triage group compared to the Manchester Triage system (P < 0.05). The Digital Triage System showed the highest patient throughput but lower satisfaction scores. Conclusion: Nurse-Initiated Triage protocols can effectively reduce waiting times in ED settings. Digital Triage Systems while improving efficiency may need to address patient satisfaction concerns.

How strong is the evidence?

Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 2 of 5 (High · randomized trial). Randomized trials of a reasonable size are the strongest single-study design.

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