Barriers to Rapid Triage in the Emergency Department: A Qualitative Study of Healthcare Providers' Perspectives

Background: While specialized trauma care in the triage unit can greatly enhance the chances of survival for injured patients, obstacles to rapid triage remain a significant challenge. Identifying these barriers is crucial for effective clinical decision-making and for improving positive outcomes. This study aims to share the experiences of physicians and nurses concerning the challenges they face in achieving rapid triage. Methods: A qualitative study was carried out with twenty physicians and nurses working in the triage unit of Poursina Hospital in northern Iran in 2021, using semi-structured interviews. The experiences were analyzed through content analysis. Credibility, reliability, and validity were applied to ensure data accuracy and trustworthiness. Sampling continued until data saturation. Results: Analysis of interviews with 20 healthcare professionals revealed five main barriers to rapid triage in the emergency department: challenges related to triage staff (including inadequate training, experience, and staffing), limitations in physical space and equipment, workflow disruptions (such as software inefficiencies and administrative burdens), lack of coordination and oversight (including weak communication with prehospital services), and patient-related factors (such as aggression and incomplete histories). These findings highlight the complex interplay of human, structural, and systemic issues that hinder timely and accurate triage and suggest the need for comprehensive organizational and educational interventions. Conclusion: The results of this study highlight the systemic barriers to rapid triage. To address these challenges, a coordinated effort is necessary, which includes structural investments, workforce development, improved interdepartmental communication, and policy reform. It is essential to resolve any deficiencies and monitoring problems and to take appropriate actions.