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Several existing problems precipitated the creation of the triage system implemented by Kathryn Angell in an effort to deliver improved medical care. The main problem was a lack of coordination in service delivery. This lack of coordination caused excessive wait times on the order of anywhere from 23 to 40 minutes to see a nurse, 40 to 50 minutes to see a doctor, and as long as 55 minutes to get a prescription filled. The practice of all nurses being involved initially in seeing all patients caused duplication of efforts, including repeating questions and examinations, and resulted in procedural bottlenecks. Additionally, there were inconsistent levels of service and extreme variation in treatment because of the different experience and skill levels of the nurses. The overall view by patients was that the clinic was inefficient and impersonal.
The triage system was introduced in September 1979 to overcome these problems. One of the immediate changes was to establish a......

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Approximate Word Count: 1125
Approximate Pages: 5 (250 words per double-spaced page)

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