Analyzing the Usability of the 5-Level Canadian Triage and Acuity Scale By Paramedics in the Prehospital Environment

Smith, Dean; Snyder, Audrey; Hollen, Patricia J.; Anderson, Joel; Caterino, Jeffrey M.

doi:10.1016/j.jen.2015.03.006

Cited by 13 publications

(13 citation statements)

References 14 publications

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“…The data collection tool was a researcher-made questionnaire based on the Canadian Triage and Acuity Scale (CTAS). The CTAS has been used in many studies with acceptable reliability and validity [15][16][17]. The questionnaire has three sections; first section surveys demographic characteristics of the participants (age, gender, marital status, educational level, and work experience in emergency).…”

Section: Methodsmentioning

confidence: 99%

Evaluating the Disaster Triage Knowledge of Nurses Personnel in Public Hospitals of Ilam

Asgari

Omidi

2018

Health Emerg. Disast.

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Background: Educational planning and managing critical situations of accidents and disasters are among the most important issues. Triage, which means the classification of patients and injuries based on specific situations and needs, is one of the important tasks of hospitals at times of disasters. In this study, triage knowledge and practice of nurses working in hospitals affiliated to Ilam University of Medical Sciences are evaluated. Materials and Methods: This is a cross-sectional and analytic study conducted in 2017. The statistical population comprised all nurses working in Ilam Medical Sciences hospitals. Using Cochran's formula, 174 people were sampled and 160 of them completed the study questionnaires and returned them. The main tool of collecting data was a researcher-made questionnaire based on Canadian triage scale. Validity of the questionnaire was assessed by 10 members of the Ilam University of Medical Sciences. The reliability of the questionnaire was between 0.83 and 0.89 using Cronbach α coefficient. The obtained data were analyzed using descriptive and inferential statistics in SPSS. Results:The Mean±SD duration of nurses' working in the emergency department was 5.2±3.4 years, of which 46.2% had an experience of using triage. The Mean±SD score of nurses' knowledge and practice of triage were respectively 10.44±2.11 and 9.22±2.14 out of 15. There was no significant relationship between work experience, gender and age with knowledge and practice of triage, but there was a significant relationship between knowledge and practice of nurses about triage with nursing educational degree. Conclusion:The level of nurses' knowledge and practice of triage in hospitals of Ilam University of Medical Sciences is moderate.

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Section: Methodsmentioning

confidence: 99%

Evaluating the Disaster Triage Knowledge of Nurses Personnel in Public Hospitals of Ilam

Asgari

Omidi

2018

Health Emerg. Disast.

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“…23 Our baseline data collection showed that 34.2% of severely injured patients at our hospital were not effectively triaged to TTA. Undertriage occurs because of inadequate triage scoring systems (despite good interrater reliability), 24,25 undertriage of older patients, 16,23,26 different triage rates based on experience and profession, 15,16 neurosurgical injuries 27,28 and poor compliance with TTA protocols, as we showed in our hospital. 9,[28][29][30] Poor compliance with penetrating trauma criteria throughout our study shows that this injury may also be commonly undertriaged.…”

Section: Discussionmentioning

confidence: 58%

A quality-improvement approach to effective trauma team activation

Verhoeff

Saybel

Fawcett

et al. 2019

cjs

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Background: Appropriate, timely trauma team activation (TTA) can directly affect outcomes for patients with trauma. A review of quality-performance indicators at our Canadian level 1 trauma centre showed a high level of undertriage, with TTA compliance rates less than 60% for major trauma. A quality-improvement project was undertaken, targeting a sustained goal of at least 90% TTA compliance based on Accreditation Canada guidelines. Methods: Quality-improvement action followed a well-defined process. Baseline data collection was performed, and, in keeping with the Donabedian approach, we brought together stakeholders to collectively review and understand the reasons behind poor TTA compliance; and root-cause analysis. This was followed by rapid change cycles that focused on structure and processes with ongoing audits to support and sustain change. Results: Trauma team activation compliance improved from 58.8% to more than 90% over 2 years. Quality indicators showed a statistically significant reduction in the time to computed tomography scanner, time in the acute care region of the emergency department and total time in the emergency department, with improved TTA compliance. Conclusion: Compliance with TTA protocols improved to more than 90% over a 2-year period, which shows the benefit of having a clearly outlined qualityimprovement process. This well-defined quality-improvement method provides a framework for use by other institutions that seek to improve their processes of trauma care, including activation rates. Contexte : Le déploiement rapide et approprié de l'équipe de traumatologie (DÉT) peut avoir une influence directe sur les résultats chez les polytraumatisés. Une revue des indicateurs de qualité/performance dans notre centre de traumatologie canadien de niveau 1 a révélé une lacune importante au plan du triage, et des taux de conformité aux protocoles de DÉT atteignant moins de 60 % pour les traumatismes majeurs. Un projet d'amélioration de la qualité a donc été entrepris avec pour objectif une conformité soutenue d'au moins 90 % aux protocoles de DÉT selon les lignes directrices d'Agrément Canada. Méthodes : Les mesures d'amélioration de la qualité ont suivi un processus bien défini. Une collecte des données de référence a été effectuée, et conformément au modèle de Donabedian, nous avons réuni les différentes parties intéressées pour revoir et comprendre ensemble les raisons de la piètre conformité aux protocoles de DÉT et procéder à leur analyse en profondeur. On a ensuite appliqué des cycles de changements rapides axés sur la structure et les procédés, accompagnés de vérifications en continu pour les appuyer et les maintenir. Résultats : La conformité aux protocoles de déploiement de l'équipe de traumatologie s'est améliorée, passant de 58,8 % à plus de 90 % en l'espace de 2 ans. Les indicateurs de qualité ont montré des réductions statistiquement significatives du délai prétomographie, du temps passé dans la section de soins aigus du service des urgences et du temps total passé aux urgences, de m...

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“…Two recent studies that evaluated usability of CTAS and Emergency Severity Index (ESI) by paramedics in the prehospital setting have shown moderate inter-rater reliability between EMS providers and ED triage nurse,13 36 whereas another study showed that paramedics using CTAS can predict admission comparably to ED nurses using the ESI 35. These studies support the use of a valid five-level triage system in the prehospital setting.…”

Section: Discussionmentioning

confidence: 95%

Comparison of prehospital triage and five-level triage system at the emergency department

Tsai

Huang

et al. 2017

Emerg Med J

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Analyzing the Usability of the 5-Level Canadian Triage and Acuity Scale By Paramedics in the Prehospital Environment

Cited by 13 publications

References 14 publications

Evaluating the Disaster Triage Knowledge of Nurses Personnel in Public Hospitals of Ilam

Evaluating the Disaster Triage Knowledge of Nurses Personnel in Public Hospitals of Ilam

A quality-improvement approach to effective trauma team activation

Comparison of prehospital triage and five-level triage system at the emergency department

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