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Retrospective Chart Review of the Triage Algorithm for Psychiatric Screening (TAPS) for Patients Who Present to Emergency Departments With Psychiatric Chief Complaints.

Publication ,  Journal Article
Schieferle Uhlenbrock, J; Hudson, J; Prewitt, J; Thompson, JA; Pereira, K
Published in: Journal of emergency nursing
September 2018

There is a growing number of mental health illnesses (MHIs) in the nation and no standardization of the medical screening examination (MSE) in the emergency department. Many health care organizations are at the tipping point of discarding a battery of laboratory workups. A triage tool-specific to psychiatric chief complaints and cost effective-is needed for the emergency department.A nonexperimental, retrospective overlay of the Triage Algorithm for Psychiatric Screening (TAPS) onto previous psychiatric patients' records was performed to determine the sensitivity and specificity of the TAPS in ruling out acute medical illness. The laboratory test results, length of stay (LOS), and cost of treatment for all psychiatric patients were examined to determine if there was a correlation with their TAPS scores or if the use of the TAPS would have resulted in efficient care and cost savings.This study shows the TAPS tool can be used reliably to rule out acute medical illness in patients with psychiatric chief complaints in a community hospital setting with an on-site inpatient psychiatric unit. The TAPS tool appropriately identified low-acuity patients without significant medical illness (TAPS of 0). As such, the TAPS tool could be used in selected settings to expedite psychiatric care and reduce unnecessary laboratory testing.The results of this project represent a valuable step forward in improving the triage of adult patients who present to the emergency department with psychiatric chief complaints. A reproducible study of the TAPS method was the next practice step in determining feasibility. Use of the TAPS tool can be a method to decease costs and ED crowding. For research and quality improvement projects in the future, addiction chief complaints should be treated as a separate category from psychiatric or medical complaints, as they meet the criteria of both.

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Published In

Journal of emergency nursing

DOI

EISSN

1527-2966

ISSN

0099-1767

Publication Date

September 2018

Volume

44

Issue

5

Start / End Page

459 / 465

Related Subject Headings

  • Unnecessary Procedures
  • Triage
  • Retrospective Studies
  • Nursing
  • Middle Aged
  • Mental Disorders
  • Mass Screening
  • Male
  • Humans
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Schieferle Uhlenbrock, J., Hudson, J., Prewitt, J., Thompson, J. A., & Pereira, K. (2018). Retrospective Chart Review of the Triage Algorithm for Psychiatric Screening (TAPS) for Patients Who Present to Emergency Departments With Psychiatric Chief Complaints. Journal of Emergency Nursing, 44(5), 459–465. https://doi.org/10.1016/j.jen.2017.12.008
Schieferle Uhlenbrock, Jennifer, John Hudson, Judy Prewitt, Julie A. Thompson, and Katherine Pereira. “Retrospective Chart Review of the Triage Algorithm for Psychiatric Screening (TAPS) for Patients Who Present to Emergency Departments With Psychiatric Chief Complaints.Journal of Emergency Nursing 44, no. 5 (September 2018): 459–65. https://doi.org/10.1016/j.jen.2017.12.008.
Schieferle Uhlenbrock J, Hudson J, Prewitt J, Thompson JA, Pereira K. Retrospective Chart Review of the Triage Algorithm for Psychiatric Screening (TAPS) for Patients Who Present to Emergency Departments With Psychiatric Chief Complaints. Journal of emergency nursing. 2018 Sep;44(5):459–65.
Schieferle Uhlenbrock, Jennifer, et al. “Retrospective Chart Review of the Triage Algorithm for Psychiatric Screening (TAPS) for Patients Who Present to Emergency Departments With Psychiatric Chief Complaints.Journal of Emergency Nursing, vol. 44, no. 5, Sept. 2018, pp. 459–65. Epmc, doi:10.1016/j.jen.2017.12.008.
Schieferle Uhlenbrock J, Hudson J, Prewitt J, Thompson JA, Pereira K. Retrospective Chart Review of the Triage Algorithm for Psychiatric Screening (TAPS) for Patients Who Present to Emergency Departments With Psychiatric Chief Complaints. Journal of emergency nursing. 2018 Sep;44(5):459–465.
Journal cover image

Published In

Journal of emergency nursing

DOI

EISSN

1527-2966

ISSN

0099-1767

Publication Date

September 2018

Volume

44

Issue

5

Start / End Page

459 / 465

Related Subject Headings

  • Unnecessary Procedures
  • Triage
  • Retrospective Studies
  • Nursing
  • Middle Aged
  • Mental Disorders
  • Mass Screening
  • Male
  • Humans
  • Female