Application of emergency severity index in pediatric emergency department

Wang, Lei; Zhou, Hong; Zhu, Jing-fang

doi:10.5847/wjem.j.1920-8642.2011.04.006

Cited by 21 publications

(21 citation statements)

References 26 publications

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“…A study conducted among pediatrics injured patients found that 61% of the patients who were considered to have a severe trauma were discharged from the pediatrics center in less than 24 hours (19). On the other hand, under-triage can harm the patient by delaying management and putting the patient at risk of deterioration, especially for the pediatric age group, which might be accompanied by unclear signs of serious illness (18).…”

Section: Methodsmentioning

confidence: 99%

Pediatric Triage Variations Among Nurses, Pediatric and Emergency Residents Using the Canadian Triage and Acuity Scale

Alshaibi

AlBassri

AlQeuflie

et al. 2020

Preprint

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Background Emergency care continues to be a challenge, since patients’ arrival is unscheduled and simultaneous which may fill the Emergency Department with non-urgent patients. Triaging is an integral part of every busy ED. The Canadian Triage and Acuity Scale (CTAS) is considered to be the most accurate and reliable tool for patient assessment worldwide. This study aims to identify the chosen triage level and compare the variation between registered nurses, pediatric and adult emergency residents by using CTAS cases. Methodology This study was conducted at King Abdulaziz Medical City, Saudi Arabia. A prospective self-administered questionnaire was used, and which contains 15 case scenarios with different triage levels. All cases were adopted from a Canadian triage course after receiving permission. Each case provides the patient’s symptoms, clinical signs and mode of arrival to the ED. The participants were instructed to assign a triage level using the following scale: 1=resuscitation, 2=emergent, 3=urgent, 4=less urgent, and 5=non-urgent. A non-random sampling technique was used for this study. Result A total of 151 participants completed the study questionnaire. 73 (48.34%) were nurses and 78 (51.66%) were residents (42 pediatric residents and 36 emergency residents). Each participant was given a score based on the correct answer for the case scenario. A mean score was compared among the nurses, pediatric residents and emergency residents. Since our data were not normally distributed, we used the Kruskal-Wallis test to observe statistical differences between the groups. The Kruskal Wallis Post-Hoc test was performed to see which groups were statistically significant, and it was found that there was a significant difference between nurses and pediatrics residents (P value < 0.001). Moreover, there were no significant differences found between nurses and ER residents (P value > 0.05). Conclusion The triaging system was found to be a very important tool to prioritize patients based on their complaints. The results showed that nurses had the greatest experience in implementing patients on the right triage level. On the other hand, ER and pediatric residents demonstrated a need to develop more knowledge about CTAS and become exposed more to the triaging system during their training.

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Section: Methodsmentioning

confidence: 99%

Pediatric Triage Variations Among Nurses, Pediatric and Emergency Residents Using the Canadian Triage and Acuity Scale

Alshaibi

AlBassri

AlQeuflie

et al. 2020

Preprint

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“…In der Studie von Wang et al [37] wurden die Ersteinschätzungsergebnisse zwischen Pflegekräften und Ärzten verglichen, es zeigte sich ein statistischer Unterschied über alle Dringlichkeitsstufen (p < 0,05). In der isolierten Betrachtung der ESI-Stufen 1-3 zeigte sich allerdings kein signifikanter Unterschied.…”

Section: Emergency Severity Index Für Kinderunclassified

“…Absolut betrachtet trafen die Ersteinschätzungspflegekräfte 588 falsche Entscheidungen (2,68 %), bei Kindern der Stufe 1 gab es jedoch keine falschen Einschätzungen. Fehleinschätzungen waren auf mangelndes Verständnis der Körpertemperatur in den Altersgruppen oder eine falsche Einschätzung der klinischen Ressourcen zurückzuführen [37].…”

Section: Emergency Severity Index Für Kinderunclassified

Ersteinschätzung in der Zentralen Notaufnahme

Gräff¹,

Glien²,

Contzen³

et al. 2018

Notf.med. up2date

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“…Patients in levels 1-3, who require immediate, life-saving intervention without delay are at great risk of deterioration due to time-critical problems. This causes an urgent demand for resources to investigate and treat them and, according to the findings of this study, nurses are able to identify severe paediatric cases [24][25].…”

mentioning

confidence: 99%

“…As can be seen from the aforementioned examples [24][25][26][27][28], mobile-based systems can optimise triage by enabling severe medical cases to be identified quickly for accurate and immediate intervention.…”

mentioning

confidence: 99%

Thailand Medical Mobile Application for Patients Triage Base on Criteria Based Dispatch Protocol

Sutham

Khuwuthyakorn

Thinnukool

2020

Preprint

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Background : Before patients are admitted into the emergency department, it is important to undertake a pre-hospital process, both in terms of treatment performance and a request for resources from an emergency unit. The existing system to triage patients in Thailand is not functioning to its full capacity in either the primary medical system or pre-hospital treatment with shortcomings in the areas of speed, features, and appropriate systems. There is a high possibility of issuing a false Initial Dispatch Code (IDC), which will cause the over- or under-utilisation of emergency resources, such as rescue teams, community hospitals and emergency medical volunteers. Methods : A usability system design, together with a reliability test, was applied to develop an application to optimise the pre-hospital process, specifically to sort patients, using an IDC to improve the request for emergency resources. The triage mobile application was developed on both iOS and Android operating systems to support patient triage based on Criteria Based Dispatch (CBD). The 25 main symptom categories covered by CBD were used to design and develop the application, and 12 emergency medical staff, including doctors and nurses, were asked to test the system in the aspects of triage protocol correction, triage reliability, usability and user satisfaction. Results : The results of testing the proposed triage application were compared with the time used to triage by experienced staff and it was found that, in non-trauma cases, it was faster and more effective to use the application for emergency operations and to correct the IDC code representation. Conclusions : The triage application will be utilised to support the pre-hospital process and to classify patients’ conditions before they are admitted to the Emergency Department (ED). The application is suitable for users who are not medical emergency staff. Patients with non-trauma symptoms may be a suitable group to use the application in terms of time used to identify IDC for their own symptoms. The use of the application can be beneficial for those who wish to self-identify their symptoms before requesting medical services.

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Application of emergency severity index in pediatric emergency department

Abstract: In pediatric emergency rooms, ESI is a suitable tool for identifying severe cases and then immediate interventions can be performed accordingly.

Cited by 21 publications

References 26 publications

Pediatric Triage Variations Among Nurses, Pediatric and Emergency Residents Using the Canadian Triage and Acuity Scale

Pediatric Triage Variations Among Nurses, Pediatric and Emergency Residents Using the Canadian Triage and Acuity Scale

Ersteinschätzung in der Zentralen Notaufnahme

Thailand Medical Mobile Application for Patients Triage Base on Criteria Based Dispatch Protocol

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