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"Triage Scale"

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https://read.qxmd.com/read/30709389/performance-characteristics-of-a-local-triage-tool-and-internationally-validated-tools-among-under-fives-presenting-to-an-urban-emergency-department-in-tanzania
#1
Nafsa R Marombwa, Hendry R Sawe, Upendo George, Said S Kilindimo, Nanyori J Lucumay, Kilalo M Mjema, Juma A Mfinanga, Ellen J Weber
BACKGROUND: A number of region-specific validated triage systems exist; however very little is known about their performance in resource limited settings. We compare the local triage tool and internationally validated tools among under-fives presenting to an urban emergency department in Tanzania. METHODOLOGY: Prospective descriptive study of consecutive under-fives seen at Muhimbili National Hospital (MNH), ED between November 2017 to April 2018. Patients were triaged according to Local Triage System (LTS), and the information collected were used to assign acuities in the other triage scales: Canadian Triage and Acuity Scale (CTAS), Australasian Triage Scale (ATS), Manchester Triage Scale (MTS) and South African Triage Scale (SATS)...
February 1, 2019: BMC Pediatrics
https://read.qxmd.com/read/30630838/reliability-of-triage-systems-for-paediatric-emergency-care-a-systematic-review
#2
Maria Clara Magalhães-Barbosa, Jaqueline Rodrigues Robaina, Arnaldo Prata-Barbosa, Claudia de Souza Lopes
OBJECTIVE: To present a systematic review on the reliability of triage systems for paediatric emergency care. METHODS: A search of MEDLINE, Cochrane Library, Latin American and Caribbean Health Sciences Literature, Scientific Electronic Library Online, Nursing Database Index and Spanish Health Sciences Bibliographic Index for articles in English, French, Portuguese or Spanish was conducted to identify reliability studies of five-level triage systems for patients aged 0-18 years published up to April 2018...
January 10, 2019: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/30584576/regression-to-middle-effect-may-threaten-validity-of-triage-scales-a-letter-to-editor
#3
Amir Mirhaghi, Mohsen Ebrahimi
No abstract text is available yet for this article.
2018: Emergency (Tehran, Iran)
https://read.qxmd.com/read/30552626/pitfalls-in-the-triage-and-evaluation-of-patients-with-suspected-acute-ethanol-intoxication-in-an-emergency-department
#4
Sarah Dugas, Thierry Favrod-Coune, Pierre-Alexandre Poletti, Tibor Huwyler, Hélène Richard-Lepouriel, Josette Simon, François P Sarasin, Olivier T Rutschmann
Acute ethanol intoxication (AEI) is frequent in emergency departments (EDs). These patients are at risk of mistriage, and to leave the ED without being seen. This study's objective was to describe the process and performance of triage and trajectory for patients with suspected AEI. Retrospective, observational study on adults admitted with a suspected AEI within 1 year at the ED of an urban teaching hospital. Data on the triage process, patients' characteristics, and their ED stay were extracted from electronic patient records...
December 14, 2018: Internal and Emergency Medicine
https://read.qxmd.com/read/30550579/impact-of-a-patient-flow-physician-coordinator-on-waiting-times-and-length-of-stay-in-an-emergency-department-a-before-after-cohort-study
#5
Marta Morais Oliveira, Christophe Marti, Majd Ramlawi, François P Sarasin, Olivier Grosgurin, Pierre-Alexandre Poletti, Frédéric Rouyer, Olivier T Rutschmann
OBJECTIVE: Overcrowding is common in most emergency departments (ED). Despite the use of validated triage systems, some patients are at risk of delayed medical evaluation. The objective of this study was to assess the impact of a patient-flow physician coordinator (PFPC) on the proportion of patients offered medical evaluation within time limits imposed by the Swiss Emergency Triage Scale (SETS) and on patient flow within the emergency department of a teaching urban hospital. METHODS: In this before-after retrospective cohort study, we compared the proportions of patients who received their first medical contact within SETS-imposed time limits, mean waiting times before first medical consultation, mean length of stay, and number of patients who left without being seen by a physician, between two periods before and after introducing a PFPC...
2018: PloS One
https://read.qxmd.com/read/30534518/validity-of-the-south-african-triage-scale-in-a-rural-district-hospital
#6
Gareth D Meyer, Tabitha Nadishani Meyer, Charles Benjamin Gaunt
Introduction: The implementation of a triage system is a vital step in improving the functioning and patient flow of the emergency centre in a rural district hospital. The South African Triage Scale (SATS) is a well validated and reliable tool used widely in South Africa and other low- and middle-income countries. This study aims to assess the validity of the SATS in a rural district hospital context. Methods: This is a cross-sectional study. All patients presenting to the Zithulele Hospital emergency centre from 1 October 2015 to 31 December 2015 were triaged using the SATS system, routinely collected data was used to determine the correlation between assigned acuity and outcome to determine rates of under- and over-triage...
December 2018: African Journal of Emergency Medicine Revue Africaine de la Médecine D'urgence
https://read.qxmd.com/read/30470513/triage-performance-in-emergency-medicine-a-systematic-review
#7
Jeremiah S Hinson, Diego A Martinez, Stephanie Cabral, Kevin George, Madeleine Whalen, Bhakti Hansoti, Scott Levin
STUDY OBJECTIVE: Rapid growth in emergency department (ED) triage literature has been accompanied by diversity in study design, methodology, and outcome assessment. We aim to synthesize existing ED triage literature by using a framework that enables performance comparisons and benchmarking across triage systems, with respect to clinical outcomes and reliability. METHODS: PubMed, EMBASE, Scopus, and Web of Science were systematically searched for studies of adult ED triage systems through 2016...
November 20, 2018: Annals of Emergency Medicine
https://read.qxmd.com/read/30456132/a-quality-improvement-study-of-the-emergency-centre-triage-in-a-tertiary-teaching-hospital-in-northern-ethiopia
#8
Rehab Abdelwahab, Hannah Yang, Hareya Gebremedhin Teka
Introduction: An effective emergency triage system should prioritize both trauma and non-trauma patients according to level of acuity, while also addressing local disease burden and resource availability. In March 2012, an adapted version of the South African Triage Scale was introduced in the emergency centre (EC) of Ayder Comprehensive Specialized Hospital in northern Ethiopia. Methods: This quality improvement study was conducted to evaluate the implementation of nurse-led emergency triage in a large Ethiopian teaching hospital using the Donabedian model...
December 2017: African Journal of Emergency Medicine Revue Africaine de la Médecine D'urgence
https://read.qxmd.com/read/30410545/validation-of-a-modified-triage-scale-in-a-norwegian-pediatric-emergency-department
#9
Mette Engan, Asle Hirth, Håvard Trønnes
Objective: Triage is a tool developed to identify patients who need immediate care and those who can safely wait. The aim of this study was to assess the validity and interrater reliability of a modified version of the pediatric South African triage scale (pSATS) in a single-center tertiary pediatric emergency department in Norway. Methods: This prospective, observational study included all patients with medical conditions, referred to the pediatric emergency department of a tertiary hospital in Norway from September 1, 2015, to November 17, 2015...
2018: International Journal of Pediatrics
https://read.qxmd.com/read/30256320/what-do-we-know-about-pediatric-palliative-care-patients-consulting-to-the-pediatric-emergency-department
#10
Nathalie Gaucher, Nago Humbert, France Gauvin
OBJECTIVES: The objective of this study was to describe the characteristics of pediatric palliative care (PPC) patients presenting to a pediatric emergency department (ED) and these patients' ED visits. METHODS: This retrospective chart review was conducted from April 1, 2007, to March 31, 2012, in a tertiary care pediatric university-affiliated hospital. Eligible patients had initial PPC consultations during the study period; all ED visits by these patients were included...
September 25, 2018: Pediatric Emergency Care
https://read.qxmd.com/read/30216677/should-freestanding-emergency-departments-be-considered-in-australia
#11
Waruna de Alwis
The concept of freestanding EDs is a popular operational model of emergency care in the USA. This model has been described as an emergency physician-created innovative solution in resolving ongoing overcrowding issues in EDs. A decentralised community-based emergency care model may be a solution to meet the increasing demand for emergency and unscheduled acute care in Australia. It may also help to reduce the number of acute hospital admissions through EDs. The aim of freestanding EDs should be to manage and discharge a cohort of patients, mainly in Australasian Triage Scale 3 and 4 categories, currently seen in hospital-based EDs...
September 14, 2018: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/30196798/from-insertion-to-removal-a-multicenter-survival-analysis-of-an-admitted-cohort-with-peripheral-intravenous-catheters-inserted-in-the-emergency-department
#12
Peter J Carr, James C R Rippey, Marie L Cooke, Niall S Higgins, Michelle Trevenen, Aileen Foale, Claire M Rickard
BACKGROUND: Most patients admitted to the hospital via the emergency department (ED) do so with a peripheral intravenous catheter/cannula (PIVC). Many PIVCs develop postinsertion failure (PIF). OBJECTIVE: To determine the independent factors predicting PIF after PIVC insertion in the ED. METHODS: We analyzed data from a prospective clinical cohort study of ED-inserted PIVCs admitted to the hospital wards. Independent predictors of PIF were identified using Cox proportional hazards regression modeling...
October 2018: Infection Control and Hospital Epidemiology
https://read.qxmd.com/read/30004346/describing-key-performance-indicators-for-waiting-times-in-emergency-centres-in-the-western-cape-province-south-africa-between-2013-and-2014
#13
K Cohen, S Bruijns
BACKGROUND: Data measured as key performance indicators (KPIs) are used internationally in emergency medicine to measure and monitor quality of care. The Department of Health in the Western Cape Province, South Africa, introduced time-based KPIs for emergency centres (ECs) in 2012. OBJECTIVES: To describe the most recently processed results of the audits conducted in Western Cape ECs between 2013 and 2014. METHODS: A retrospective, descriptive study was conducted on data collected in the 6-monthly Western Cape EC triage and waiting time audits for 2013 - 2014...
June 26, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://read.qxmd.com/read/29887281/comparison-of-the-emergency-severity-index-versus-the-patient-acuity-category-scale-in-an-emergency-setting
#14
Ru Ying Fong, Wee Sern Sim Glen, Ahmad Khairil Mohamed Jamil, Wilson Wai San Tam, Yanika Kowitlawakul
OBJECTIVES: To compare the reliability, validity and resource utilization of the Emergency Severity Index (ESI) and Patient Acuity Category Scale (PACS) triage scales. METHODS: A descriptive, correlational, and cross-sectional design was used. Twenty-seven triage nurses were recruited to test interrater reliability for 20 patient case scenarios. Subsequently, interrater reliability was tested on 300 actual patients. Construct validity was analyzed using patients' hospital dispositions and resources utilized...
June 7, 2018: International Emergency Nursing
https://read.qxmd.com/read/29782353/implementing-best-practice-into-the-emergency-department-triage-process
#15
Luke Burgess, Kathryn Kynoch, Sonia Hines
BACKGROUND: Triage is the process by which emergency departments (EDs) sort patients presenting for medical treatment. The Australasian Triage Scale, validated to measure urgency, answers the question 'This patient should wait for medical assessment and treatment no longer than…' Multiple patients may present within short time frames, and some will have conditions that have outcomes directly related to timeliness of treatment such as stroke, sepsis and myocardial infarction. The safety of patients within the ED is thus directly related to the triage system...
May 17, 2018: International Journal of Evidence-based Healthcare
https://read.qxmd.com/read/29697806/decreasing-triage-time-effects-of-implementing-a-step-wise-esi-algorithm-in-an-ehr
#16
Stephen Villa, Ellen J Weber, Steven Polevoi, Christopher Fee, Andrew Maruoka, Tina Quon
Objectives: To determine if adapting a widely-used triage scale into a computerized algorithm in an electronic health record (EHR) shortens emergency department (ED) triage time. Design: Before-and-after quasi-experimental study. Setting: Urban, tertiary care hospital ED. Participants: Consecutive adult patient visits between July 2011 and June 2013. Intervention: A step-wise algorithm, based on the Emergency Severity Index (ESI-5) was programmed into the triage module of a commercial EHR...
June 1, 2018: International Journal for Quality in Health Care
https://read.qxmd.com/read/29652816/the-emergency-medical-system-in-greece-opening-aeolus-bag-of-winds
#17
Ourania S Kotsiou, David S Srivastava, Panagiotis Kotsios, Aristomenis K Exadaktylos, Konstantinos I Gourgoulianis
An Emergency Medical Service (EMS) system must encompass a spectrum of care, with dedicated pre-hospital and in-hospital medical facilities. It has to be organised in such a way as to include all necessary services—such as triage accurate initial assessment, prompt resuscitation, efficient management of emergency cases, and transport to definitive care. The global economic downturn has had a direct effect on the health sector and poses additional threats to the healthcare system. Greece is one of the hardest-hit countries...
April 13, 2018: International Journal of Environmental Research and Public Health
https://read.qxmd.com/read/29549171/inter-rater-and-intrarater-reliability-of-the-south-african-triage-scale-in-low-resource-settings-of-haiti-and-afghanistan
#18
Mohammed Dalwai, Katie Tayler-Smith, Michèle Twomey, Masood Nasim, Abdul Qayum Popal, Waliul Haq Haqdost, Olivia Gayraud, Sophia Cheréstal, Lee Wallis, Pola Valles
OBJECTIVE: The South African Triage Scale (SATS) has demonstrated good validity in the EDs of Médecins Sans Frontières (MSF)-supported sites in Afghanistan and Haiti; however, corresponding reliability in these settings has not yet been reported on. This study set out to assess the inter-rater and intrarater reliability of the SATS in four MSF-supported EDs in Afghanistan and Haiti (two trauma-only EDs and two mixed (including both medical and trauma cases) EDs). METHODS: Under classroom conditions between December 2013 and February 2014, ED nurses at each site assigned triage ratings to a set of context-specific vignettes (written case reports of ED patients)...
June 2018: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/29540611/ambulance-clinical-triage-for-acute-stroke-treatment-paramedic-triage-algorithm-for-large-vessel-occlusion
#19
Henry Zhao, Lauren Pesavento, Skye Coote, Edrich Rodrigues, Patrick Salvaris, Karen Smith, Stephen Bernard, Michael Stephenson, Leonid Churilov, Nawaf Yassi, Stephen M Davis, Bruce C V Campbell
BACKGROUND AND PURPOSE: Clinical triage scales for prehospital recognition of large vessel occlusion (LVO) are limited by low specificity when applied by paramedics. We created the 3-step ambulance clinical triage for acute stroke treatment (ACT-FAST) as the first algorithmic LVO identification tool, designed to improve specificity by recognizing only severe clinical syndromes and optimizing paramedic usability and reliability. METHODS: The ACT-FAST algorithm consists of (1) unilateral arm drift to stretcher <10 seconds, (2) severe language deficit (if right arm is weak) or gaze deviation/hemineglect assessed by simple shoulder tap test (if left arm is weak), and (3) eligibility and stroke mimic screen...
April 2018: Stroke; a Journal of Cerebral Circulation
https://read.qxmd.com/read/29535086/validity-of-the-japan-acuity-and-triage-scale-in-adults-a-cohort-study
#20
Akira Kuriyama, Tetsunori Ikegami, Toshie Kaihara, Toshio Fukuoka, Takeo Nakayama
OBJECTIVE: The Japan Acuity and Triage Scale (JTAS) was developed based on Canadian Triage and Acuity Scale in 2012 and has been implemented in many Japanese EDs. We assessed the validity of JTAS by examining the association between JTAS triage levels and throughput and clinical outcomes in adult patients. METHODS: We conducted a retrospective analysis of prospectively collected clinical data in the ED of a Japanese tertiary-care hospital. We included self-presenting patients who were ≥16 years of age and triaged between June 2013 and May 2014...
June 2018: Emergency Medicine Journal: EMJ
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