The Emergency Department (ED) treats over 100 million patients a year and all will go through the triage process. With this magnitude of patients, it is important to make all the processes of the ED efficient and integrated. One of the problem areas in the ED is the space allotted for the Triage process.
The Triage space is not functionally designed to efficiently meet the needs of patient volume, acuity adaptability, clinician responsibility, and maintain regulatory requirements. These problems arise because the space was created and the process was forced into the space. The current space results in inefficient workflow, poor space utilization, inaccessible equipment, a lack of procedural integration, and a lengthy triage process.
The impact of these problems cause a bottleneck in the entire ED process which makes the patients unsatisfied and the staff inefficient. The solution to these problems is very simple. The TRIAR (tree-air) - the triage chair will solve these problems. The TRIAR is a one-stop chair, which integrates all the needed equipment and performs the immediate measurements a nurse conducts during Triage. The TRIAR weighs, takes blood pressure, pulse, measures temperature, allows for oxygen storage, reclines for EKG, holds IV bags, provides access for blood samples, is easily cleaned, and mobile. The TRIAR will allow the patient to sit in one area for the entire triage process.
There were several challenges creating the Triar. These challenges varied from equipment problems to construction issues. Despite the problems a working prototype has been developed. In the future, the Triar will be interoperable with the hospitals electronic medical record (EMR), operate wirelessly, continuously monitor the patient's vitals, and travel with the patient through the entire ED visit.
The Triar will solve the problems of Triage. Triar will be a one-stop chair that will solve the inefficiency, poor workflow, lack of integration, and reduce the space need for Triage. The Triar accommodates the triage process and not the triage space.