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Recommended Citation
Morton E, Makina S, Gutierrez E. Smart Triage: Leveraging Technology for Remote Patient Evaluation. Technological Innovations in Care Redesign and Delivery poster presented at Transforming Practice: The Intersection of Technology and Nursing Excellence; Advocate Health Nursing Research and Professional Development Conference 2025; November 12, 2025; Virtual.
Presentation Notes
Technological Innovations in Care Redesign and Delivery poster presented at Transforming Practice: The Intersection of Technology and Nursing Excellence; Advocate Health Nursing Research and Professional Development Conference 2025; November 12, 2025; Virtual.
Abstract
Background: Overcrowding by large volumes of patients and high levels of boarding in the Emergency Department (ED) has created long waiting times, increased door to provider times, and high Left Without Being Seen (LWBS) rates. The need to initiate care quickly and efficiently to patients waiting for a room to open is paramount to decrease length of stay and LWBS (Fleming, 2022). In traditional triage, the nurse performs the triage assessment and orders limited standard medical orders.
Local Problem: Advocate Christ Medical Center (ACMC) ED is a large, Level 1 Trauma Center in Illinois. In 2023, we had an average of 11.5% LWBS and 80 minutes from arrival to provider.
Method: We partnered with our Advanced Practice Nurse (APN) and developed a process where the APN beams in on an iPad once the triage nurse completes their triage process. An APN performs a Medical Screening Exam and places orders prior to the patient returning to the waiting room. Daily review of EPIC’s SYS ED Yesterday’s Dashboard for data is done.
Results/Conclusion: Data shows tele triage saves an average of 14 minutes/patient in room to depart times. In 2024, we triaged approximately 15,100 patients, which equates to 211,288 minutes, or 146.7 days, of room time saved. The process has shown a reduction in door to provider times, length of stay, and LWBS.
Implications for Practice: Tele triage has proven to improve patient and teammate satisfaction. By partnering with the APNs, this process helps decrease door to provider times and allows patients to get their testing started right away.
Document Type
Poster
Publication Date
11-12-2025
Smart Triage: Leveraging Technology for Remote Patient Evaluation
Background: Overcrowding by large volumes of patients and high levels of boarding in the Emergency Department (ED) has created long waiting times, increased door to provider times, and high Left Without Being Seen (LWBS) rates. The need to initiate care quickly and efficiently to patients waiting for a room to open is paramount to decrease length of stay and LWBS (Fleming, 2022). In traditional triage, the nurse performs the triage assessment and orders limited standard medical orders.
Local Problem: Advocate Christ Medical Center (ACMC) ED is a large, Level 1 Trauma Center in Illinois. In 2023, we had an average of 11.5% LWBS and 80 minutes from arrival to provider.
Method: We partnered with our Advanced Practice Nurse (APN) and developed a process where the APN beams in on an iPad once the triage nurse completes their triage process. An APN performs a Medical Screening Exam and places orders prior to the patient returning to the waiting room. Daily review of EPIC’s SYS ED Yesterday’s Dashboard for data is done.
Results/Conclusion: Data shows tele triage saves an average of 14 minutes/patient in room to depart times. In 2024, we triaged approximately 15,100 patients, which equates to 211,288 minutes, or 146.7 days, of room time saved. The process has shown a reduction in door to provider times, length of stay, and LWBS.
Implications for Practice: Tele triage has proven to improve patient and teammate satisfaction. By partnering with the APNs, this process helps decrease door to provider times and allows patients to get their testing started right away.
Affiliations
Christ Medical Center