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The effect of a separate stream for minor injuries on accident and emergency department waiting times
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  • Published on:
    Fast Track streams may worsen workload.

    Dear Editor

    The authors have done well to show that allocating staff resources to a Fast Track stream can shorten waiting times without adversely affecting higher-acuity care. However, the duration of the study may have been too short to detect a secondary effect of worsening workload in the medium and long term.

    Emergency Departments (EDs) provide a highly attractive option for patients in the community:...

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    Conflict of Interest:
    None declared.
  • Published on:
    Improving waiting times.

    Dear Editor

    I was interested to read the article on the effect of separate streaming for minor injuries by Cooke et al as we have recently introduced a similar system with similar results. In our department all ambulatory attendees are seen on arrival by a doctor and a nurse or a nurse and a nurse practitioner together. Patients who need simple advise or treatment are seen, treated and discharged from two room...

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    Conflict of Interest:
    None declared.