It has two components, Triage assessment and waiting list. Every staff working in ED has been given a login ID and password for logging in. After logging, in the windows shows two options: triage assessment and waiting patient work list. For triage assessment, the triage staff would click on the “TRIAGE ASSESSMENT” icon which opens up a new window asking for the

patient details like medical record number, vitals, presenting complaints etc. After entry, this information is saved in the computer and can be retrieved later for analysis. This software also helps the staff in identifying abnormal vital signs like heart rate, Inhibitors,research,lifescience,medical blood pressure and oxygen saturation according to the age of the patients by blinking vitals in red. This way, it assists the staff in triaging the patients correctly. This study had been approved by the Ethical

Review Committee (ERC) of Aga Khan University. After filling all these information, the patient triage category triage assessment number and the bed is assigned if available. Inhibitors,research,lifescience,medical In case Inhibitors,research,lifescience,medical of non-availability of bed and the patient is not life threatening or critical, then the patient is transferred to the waiting area and this information can be reviewed by the staff later on by clicking “waiting patient list”. In this way the staff completes the triage process for patients. ED staff can review bed statistics any time by using the same software. When a bed becomes available in the ED or the defined waiting time is completed, the patient is called again for reassessment or allocation of bed. At this point they are asked to go to the Rucaparib solubility dmso registration desk and were registered with their medical record number for patients who had visited Inhibitors,research,lifescience,medical the AKUH previously

Inhibitors,research,lifescience,medical as well. If that patient is visiting for the first time than a new medical record number is allocated. When patient is assigned a bed in the ED, after waiting than this time is measured as waiting time before getting a bed. When a bed is made available than the name of the patient is called for three times by triage staff at 2 minutes interval and if a patient does not reply , they are labeled as “left without being seen” and that time is noted as their waiting time. Return visits are recorded if the patient after leaving the emergency department comes back within 48 hours of visit. The return visits are Thalidomide usually tracked down through the medical record number. Data collection All patients who were triaged in the Emergency Department of AKUH from April 1, 2010 to December 31, 2010, are included in the study. This time period was chosen to ensure consistency of results as we implemented a defined triage policy so to exclude any bias time period from Jan –March. We used an electronic ED record system to extract clinical data of all patients who were triaged in the AKUH-ED.