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November 19, 2025Nursing and Health Sciences

The Effect of a Nursing Triage Protocol for Minor Orthopedic Trauma in an Emergency Department: A Randomized Controlled Trial

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Authors

SBSanne BombeekRLRinaldo LauwersTZTom C.R.V. Van Zundert

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Overview

Randomized controlled trial reduced flow time to x-ray in non-urgent orthopedic injuries, indicating improved emergency department efficiency.

Key Points

  • To evaluate the effect of a nursing triage protocol on patients with minor orthopedic trauma in an emergency setting.
  • Conducted a randomized controlled trial with 220 adults presenting with non-urgent orthopedic distal limb injuries.
  • Nurses initiated physical examinations and x-ray requests in the intervention group while physicians handled them in the control group.
  • Measured flow times from registration to x-ray request and discharge between the two groups.
  • Intervention group experienced significantly lower flow time from registration to x-ray request.
  • Usual care group had lower flow time from x-ray request to discharge.
  • No significant difference found in total length of stay or patient satisfaction between groups.

Cite This Study

Bombeek et al. (2025) studied this question.

synapsesocial.com/papers/6924f091c0ce034ddc35097chttps://doi.org/10.1111/nhs.70261
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Role of The Triage Nurse Deployment in Reducing Triage Time in Emergency Department2025
  2. 2Observational Study on the impact of Nursing Department on Emergency Patients2024
  3. 3462 Improving trauma fast track for faster care and lower mortality2024
  4. 4The impact of a disparity-reduction intervention on outcomes of patients with acute coronary syndrome in the emergency department: a clinical trial2025
  5. 5Do Patients with Chest Pain Benefit from Installing Triage System in Emergency Department?2018 · 6 citations