Nurse triage may reduce workload in accident department

doi:10.1136/bmj.311.7019.1575

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G Prasad Rao,
A Hughes

Director of primary care in ophthalmology Nurse practitioner St Paul's Eye Unit, Royal Liverpool University Hospital, Liverpool L7 8XP

EDITOR,--We read the editorial by Andrew B Bindman1 and the two articles by Jeremy Dale and colleagues2 3 on triage in accident and emergency departments with interest. With the ever increasing number of patients presenting to accident and emergency departments, a stricter triage system and, perhaps, a new approach to deal with the problems are needed. As Bindman suggests, there can be no gold standard for determining the appropriateness of visits, and accurate triage guidelines are impossible to develop. …