Efficiency of Using Pediatrics Emergency Services and Triage Evaluation

Desoky, Sherif El; Mashat, Suleiman; Bana, Suliman; Alama, Mohamed Nabil; Dhabab, Nawaf; Malibari, Ghassan M.; Halwani, Manal Ahmed; Albanna, Amr S.; Kari, Jameela A.

doi:10.1097/pec.0000000000000754

Cited by 4 publications

(7 citation statements)

References 14 publications

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“…The admission rates reported in this study after the triage course correlate well with some of the pooled admission rates calculated after a multicenter study that included twelve Canadian Pediatric Emergency Departments [13]. The pooled rates reported by them were 61%, 30%, 10%, 2% and 0.9% for levels 1 – 5, respectively which especially agrees with our results for the lower triage levels [1], [3], [9], whilst triage levels 1 and 2 were within anticipated CTAS level admission rates of 70 – 90%, 40 – 70%, 20 – 40%, 10 – 20% and 0 – 10% respectively [10]. This contrasts with the admission rates reported according to the patient encounter sheets before the triage course, which emphasised the beneficial effect of the training the PEM staff received.…”

Section: Discussionsupporting

confidence: 90%

“…Our patients’ characteristics were found to follow a normal distribution curve, which is expected. We found a mean age of 5.5 years, although El-Desoky et al, [9] who performed a study in a nearby hospital and found that the toddler age group had the highest number of patients. A possible explanation for this is the fact that our hospital had many sickle cell patients making up approximately 20% of our pediatric population (according to an internal census).…”

Section: Discussionmentioning

confidence: 53%

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Effectiveness of a Training Course on Accuracy of Triaging of Pediatric Patients

Azzam¹,

Elngar²,

Gobarah³

2019

Open Access Maced J Med Sci

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BACKGROUND:In the context of a new but busy Pediatric Emergency Department, the risk of missing patients who need more emergent care can be reduced by timely and accurate triaging. In the emergency department of King Fahad Armed Forces Hospital, the Canadian Triage and Acuity Scale had already been implemented, including the pediatric version (PaedCTAS). However, a common observation remained that critical patients did not always receive priority with subsequent delays in management. To improve this accuracy, a training course was administered to health care professionals responsible for triaging of pediatric patients.AIM:To determine the effectiveness of a training course on accuracy of triaging of Pediatric Patients.METHODS:A triage training course was conducted over two months, with patient encounter sheets reviewed before the course for 6 months and after the course for 12 months. Accuracy was calculated by comparing it to level as determined by two pediatric emergency physicians. Also, admission rates were used as a surrogate marker to also determine accuracy.RESULTS:A total of 31 053 patient sheets were reviewed. There was a considerable improvement in the correct determination of all triage levels, with accuracy ranging from 56.5% to 78.3% before the course, and reaching from 79.1% to 90.8% after the course with a statistically significant difference. Triaging errors still present were mainly in the form of down-triage.CONCLUSION:Our training course in triage has a significant impact on the accuracy of triaging of ill pediatric patients. Further improvement can be obtained by repeated courses and direct feedback with debriefing sessions on challenges to triage level determination.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 53%

Effectiveness of a Training Course on Accuracy of Triaging of Pediatric Patients

Azzam¹,

Elngar²,

Gobarah³

2019

Open Access Maced J Med Sci

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“…[9][10][11][12][13] In the wake of a global pandemic, as institutions continue to endure increased stress on existing healthcare and staffing resources, experience-driven efforts should primarily focus on these metrics. 16,17 We did find univariate associations between ESI scores and KPI, an association that was lost in the multivariate model. It is likely that this association is lost because of the inherent interaction between ESI and time to provider and total length of stay.…”

Section: Discussionmentioning

confidence: 75%

“… 9 – 13 In the wake of a global pandemic, as institutions continue to endure increased stress on existing healthcare and staffing resources, experience-driven efforts should primarily focus on these metrics. 16 , 17 …”

Section: Discussionmentioning

confidence: 99%

The Association of Emergency Severity Index Score and Patient and Family Experience in a Pediatric Emergency Department

Vukovic

Krentz

Gauthier

et al. 2023

Journal of Patient Experience

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The study aim was to determine the relationship between a patient's Emergency Severity Index (ESI) score and their or their family's response to the key performance indicator (KPI) question on the post-visit patient and family experience (PFE) survey. Retrospective review of patients presenting to the Pediatric Emergency Department between July 1, 2021, and June 30, 2022, who completed the KPI question on an associated post-visit survey. We performed univariate analyses on all candidate variables; multivariable linear regression identified independent predictors of KPI on the PFE survey. A total of 8136 patients were included in the study. Although ESI score was significantly associated with PFE in univariate analysis, this association was lost in the multivariable model. Independent associations were appreciated with race/ethnicity, time to provider, length of stay, and procedure performance during the visit. Although ESI is not independently associated with PFE in this study, its interaction with factors such as time to provider, length of stay, and procedure performance may be important for emergency department providers creating interventions to impact experience during low acuity visits.

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“… 17 , 24 Two more studies, one conducted in Qatar and the other in Negara, assessed length of stay, the adverse impacts on patient outcome, and their associations with a highly crowded ED, revealing that the major reason for increased length of stay at an ED was overcrowding. 18 , 25 …”

Section: Discussionmentioning

confidence: 99%

Exploring Potential Association Between Emergency Department Crowding Status and Patients’ Length of Stay at a University Hospital in Saudi Arabia

Al-Qahtani¹,

Khubrani²

2021

OAEM

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Background Emergency department (ED) crowding has been described as the most serious problem that endangers the reliability of healthcare system worldwide. The aim of this study was to explore the possible relationship of ED crowding status and length of stay in patient received care. In addition, association between LOS and other variables in relation to crowding status has been explored. Methods This is a retrospective cohort analysis study done by using dataset abstracted from Quadra Med Information System of patients visited emergency department of a tertiary university hospital at Eastern Province of Saudi Arabia during the period of January 1st, 2018 to December 30th, 2018. ED occupancy rates were used to define crowding status (as crowding and overcrowding), while the percentage of patient who spent in ED more than 6 hours was used to define the length of stay in ED. Results There were 53,309 crowded and 57,290 overcrowded presentations in ED. The median length ± interquartile range of the length of stay for low-crowded and high-crowded conditions were 211 ± 606 and 242 ± 659 minutes, respectively. There was a significant association between ED crowding status and length of stay ( p < 0.05). Conclusion The increased patients’ length of stay at ED was associated with crowding status of ED. Therefore, decision-makers at ministry of health should develop and implement measures and interventions to shed light on the causes of crowding, to reduce the crowding at ED, and resolve the problem steamed from such crowding for the purpose of shorten patients’ length of stay at ED.

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Efficiency of Using Pediatrics Emergency Services and Triage Evaluation

Cited by 4 publications

References 14 publications

Effectiveness of a Training Course on Accuracy of Triaging of Pediatric Patients

Effectiveness of a Training Course on Accuracy of Triaging of Pediatric Patients

The Association of Emergency Severity Index Score and Patient and Family Experience in a Pediatric Emergency Department

Exploring Potential Association Between Emergency Department Crowding Status and Patients’ Length of Stay at a University Hospital in Saudi Arabia

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