Interestingly, although the number of patients who were treated in the PER in the CPETS group was less than that in the control group, there were actually more pediatric patients treated in our hospital during the CPETS study period (275,378 patients, January 2014-July 2014), when the CPETS was in place, than during the control period (243,536 patients, January 2013-July 2013).
sup] A higher triage rate, such as we found with the CPETS versus in the control period, represents more patients being treated in accordance with their needs.
sup] In the present study, the improved triage accuracy combined with the lower emergency rate indicate that our PER had likely been over-triaging patients and that the CPETS reduced over-triage incidents.
As implemented in our PER, the CPETS provides clear computer-administered guidance to triage nurses, leading them to check patient variables item by item, resulting in a more comprehensive assessment, regardless of the triage nurse's experience.
sup] In the interest of minimizing delay, CPETS assessments are conducted from Level 1 downward.
There are several aspects of our CPETS procedures that we believe have contributed to an overall improvement in PER care and patient satisfaction.