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{
    "pk": 11668,
    "title": "The Effect of Point-of-Care Testing at Triage: An Observational Study in a Teaching Hospital in Saudi Arabia",
    "subtitle": null,
    "abstract": "Introduction: \nProlonged waiting times during episodes of emergency department (ED) crowding are associated with poor outcomes. Point-of-care testing (POCT) at ED triage prior to physician evaluation may help identify critically ill patients. We studied the impact of ED POCT in a single ED with a high degree of crowding for patients with high-risk complaints who were triaged as non-critically ill. \nMethods: \nWe conducted the study from April–July 2017 at King Abdulaziz University (KAU) Hospital in Jeddah, Saudi Arabia. Patients with one of seven complaints received triage POCT. The primary outcome was whether POCT results at triage resulted in immediate transfer of the patient from the waiting room into the ED. Secondary outcomes were whether the triage nurse felt that the POCT results were useful, and whether triage POCT changed triage acuity. We used simple descriptive statistics to summarize the data. \nResults:\n A total of 94 patients were enrolled and received i-STAT® POCT. The most common symptoms and triage protocols were for chest pain (42%), abdominal pain (31%), and shortness of breath (22%). In 11 cases (12%), care was changed as a result of triage POCT. In 12 cases (13%), triage level was changed. The triage nurse found POCT helpful in 93% of cases.\nConclusion:\n In this ED, triage POCT was a helpful adjunct at ED triage and resulted in immediate care (transfer to an ED room) in one in eight cases. Therefore, POCT at triage may be a useful adjunct to improve patient safety, particularly in crowded EDs.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "triage"
        },
        {
            "word": "safety"
        },
        {
            "word": "Quality, Point of Care"
        },
        {
            "word": "emergency department"
        }
    ],
    "section": "International Medicine",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/7js193kc",
    "frozenauthors": [
        {
            "first_name": "Jameel",
            "middle_name": "",
            "last_name": "Abualenain",
            "name_suffix": "",
            "institution": "King Abdulaziz University, Department of Emergency Medicine, Jeddah, Saudi Arabia King Abdulaziz University Hospital, Department of Emergency Medicine Jeddah, Saudi Arabia\nGeorge Washington University, Center for Healthcare Innovation & Policy Research, Washington, District of Columbia",
            "department": "None"
        },
        {
            "first_name": "Ahd",
            "middle_name": "",
            "last_name": "Almarzouki",
            "name_suffix": "",
            "institution": "King Abdulaziz University, Department of Emergency Medicine, Jeddah, Saudi Arabia",
            "department": "None"
        },
        {
            "first_name": "Rawan",
            "middle_name": "",
            "last_name": "Saimaldaher",
            "name_suffix": "",
            "institution": "King Abdulaziz University, Department of Emergency Medicine, Jeddah, Saudi Arabia",
            "department": "None"
        },
        {
            "first_name": "Mark",
            "middle_name": "S.",
            "last_name": "Zocchi",
            "name_suffix": "",
            "institution": "George Washington University, Center for Healthcare Innovation & Policy Research, Washington, District of Columbia",
            "department": "None"
        },
        {
            "first_name": "Jesse",
            "middle_name": "M.",
            "last_name": "Pines",
            "name_suffix": "",
            "institution": "George Washington University, Department of Emergency Medicine, Washington, District of Columbia\nGeorge Washington University, Center for Healthcare Innovation & Policy Research, Washington, District of Columbia",
            "department": "None"
        }
    ],
    "date_submitted": "2018-03-08T16:00:24Z",
    "date_accepted": "2018-03-08T16:00:24Z",
    "date_published": "2018-07-26T20:45:17Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/11668/galley/6275/download/"
        }
    ]
}