{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T09:39:14Z","timestamp":1771666754454,"version":"3.50.1"},"reference-count":19,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2012,11,20]],"date-time":"2012-11-20T00:00:00Z","timestamp":1353369600000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Academic Emergency Medicine"],"published-print":{"date-parts":[[2012,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Overcapacity issues plague emergency departments (<jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>s). Studies suggest that triage liaison providers (<jats:styled-content style=\"fixed-case\">TLP<\/jats:styled-content>s) may shorten patient length of stay (<jats:styled-content style=\"fixed-case\">LOS<\/jats:styled-content>) and reduce the proportion of patients who leave without being seen (<jats:styled-content style=\"fixed-case\">LWBS<\/jats:styled-content>), but these results are not universal. Previous studies used physicians as <jats:styled-content style=\"fixed-case\">TLP<\/jats:styled-content>s. We evaluated whether a physician assistant (<jats:styled-content style=\"fixed-case\">PA<\/jats:styled-content>), acting as a <jats:styled-content style=\"fixed-case\">TLP<\/jats:styled-content>, would shorten <jats:styled-content style=\"fixed-case\">LOS<\/jats:styled-content> and decrease <jats:styled-content style=\"fixed-case\">LWBS<\/jats:styled-content> rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The authors used an observational cohort controlled before\u2010and\u2010after study design with predefined outcome measures, comparing 8\u00a0pilot\u00a0days to 8\u00a0control\u00a0days. The <jats:styled-content style=\"fixed-case\">TLP<\/jats:styled-content> evaluated all Emergency Severity Index (<jats:styled-content style=\"fixed-case\">ESI<\/jats:styled-content>) level 3, 4, and 5 patients, excluding pediatric and behavioral health patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 353 patients were included on pilot\u00a0days and 371 on control\u00a0days. <jats:styled-content style=\"fixed-case\">LOS<\/jats:styled-content> was shorter on pilot\u00a0days than control\u00a0days (median\u00a0[interquartile range {<jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content>}]\u00a0=\u00a0229 [168 to 303] minutes vs. 270 [187 to 372] minutes, p\u00a0&lt;\u00a00.001). Waiting room times were similar between pilot and control\u00a0days (median\u00a0[<jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content>]\u00a0=\u00a069 [20 to 119] minutes vs. 70 [19 to 137] minutes, p\u00a0=\u00a00.408), but treatment room times were shorter (median\u00a0[<jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content>]\u00a0=\u00a0151 [92 to 223] minutes vs. 187 [110 to 254] minutes, p\u00a0&lt;\u00a00.001). Finally, a lower proportion of patients <jats:styled-content style=\"fixed-case\">LWBS<\/jats:styled-content> on pilot\u00a0days (1.4% vs. 9.7%, p\u00a0&lt;\u00a00.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The addition of a <jats:styled-content style=\"fixed-case\">PA<\/jats:styled-content> as a <jats:styled-content style=\"fixed-case\">TLP<\/jats:styled-content> was associated with a 41\u2010minute decrease in median total <jats:styled-content style=\"fixed-case\">LOS<\/jats:styled-content> and a lower proportion of patients who <jats:styled-content style=\"fixed-case\">LWBS<\/jats:styled-content>. The decrease in total <jats:styled-content style=\"fixed-case\">LOS<\/jats:styled-content> is likely attributable to the addition of the <jats:styled-content style=\"fixed-case\">TLP<\/jats:styled-content>, with patients having shorter duration in treatment rooms on pilot\u00a0days compared to control\u00a0days.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acem.12010","type":"journal-article","created":{"date-parts":[[2012,11,20]],"date-time":"2012-11-20T22:22:39Z","timestamp":1353450159000},"page":"1235-1241","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Effect of a Physician Assistant as Triage Liaison Provider on Patient Throughput in an Academic Emergency Department"],"prefix":"10.1111","volume":"19","author":[{"given":"David M.","family":"Nestler","sequence":"first","affiliation":[{"name":"From the Department of Emergency Medicine Division of Emergency Medicine Research"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alesia R.","family":"Fratzke","sequence":"additional","affiliation":[{"name":"From the Department of Emergency Medicine Division of Emergency Medicine Research"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher J.","family":"Church","sequence":"additional","affiliation":[{"name":"From the Department of Emergency Medicine Division of Emergency Medicine Research"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lori","family":"Scanlan\u2010Hanson","sequence":"additional","affiliation":[{"name":"From the Department of Emergency Medicine Division of Emergency Medicine Research"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annie T.","family":"Sadosty","sequence":"additional","affiliation":[{"name":"From the Department of Emergency Medicine Division of Emergency Medicine Research"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael P.","family":"Halasy","sequence":"additional","affiliation":[{"name":"From the Department of Emergency Medicine Division of Emergency Medicine Research"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janet L.","family":"Finley","sequence":"additional","affiliation":[{"name":"From the Department of Emergency Medicine Division of Emergency Medicine Research"},{"name":"The Department of Nursing"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andy","family":"Boggust","sequence":"additional","affiliation":[{"name":"From the Department of Emergency Medicine Division of Emergency Medicine Research"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erik P.","family":"Hess","sequence":"additional","affiliation":[{"name":"From the Department of Emergency Medicine Division of Emergency Medicine Research"},{"name":"The Knowledge and Evaluation Research Unit Mayo Clinic College of Medicine Rochester MN"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,11,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2009.05.021"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2008.00295.x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2007.07.008"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(00)70105-3"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2008.10.006"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.7205\/MILMED.173.10.999"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1197\/j.aem.2007.04.018"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2005.025254"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2005.06.013"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aaen.2003.08.005"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2001.tb01099.x"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0b013e318226c7b2"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2010.02.006"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2002.003665"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1442-2026.1999.00017.x"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2010.00984.x"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2010.00953.x"},{"key":"e_1_2_8_19_1","first-page":"13","article-title":"The psychology of waiting lines","volume":"1","author":"Maister DH","year":"1985","journal-title":"Service Encounter."},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2010.07.026"}],"container-title":["Academic Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Facem.12010","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/acem.12010","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T01:13:17Z","timestamp":1698714797000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/acem.12010"}},"subtitle":[],"editor":[{"given":"Sandra","family":"Schneider","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2012,11]]},"references-count":19,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2012,11]]}},"alternative-id":["10.1111\/acem.12010"],"URL":"https:\/\/doi.org\/10.1111\/acem.12010","archive":["Portico"],"relation":{},"ISSN":["1069-6563","1553-2712"],"issn-type":[{"value":"1069-6563","type":"print"},{"value":"1553-2712","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,11]]},"assertion":[{"value":"2012-03-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2012-07-11","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2012-11-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}