Canadian Emergency DepartmentTriage and Acuity Scale: implementation in a tertiary care center in Saudi Arabia

Elkum, Naser; Barrett, Carol Anne; Alomran, Hisham

doi:10.1186/1471-227x-11-3

Cited by 36 publications

(36 citation statements)

References 25 publications

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“…KFSH-RC is another hospital in Saudi Arabia, started to adapt the CTAS system in ED and it's targeted waiting time. A better EDLOS has been achieved with 2.4 hours [12]. Hospital admission rate through KFSH-RC ED was 6.7%, which is in agreement to Alnoor Specialist Hospital admission rate [11] [12].…”

Section: Discussionsupporting

confidence: 62%

Analysis of Waiting Time in Emergency Department of Al-Noor Specialist Hospital, Makkah, Saudi Arabia

Bukhari¹,

Albazli²,

Almaslmani³

et al. 2014

OJEM

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Emergency Department (ED) in Alnoor Hospital is considered the pulsating unit in the hospital by facing a daily challenge through a huge exposure to number of patients round between 500 -700 per day in average. With this busy service in ED, our study emerges to measure the quality of provided services to patients in term of measuring the total length of stay time (LOS) in ED and its influencing factors. This is a prospective study aiming to estimate the average time patients spend in ED of Alnoor Hospital during the month of January (2013). In addition, it inspects factors influencing the LOS. The questionnaire which conducted and filled by emergency team over all patients was consisted of the following data: arrival time to ED, initial time of assessment by nurse, initial time of assessment by doctor, time of arrival to specific area, consultation time, arrival time of consulted specialty, time of laboratory investigation, time of radiological investigation, time of final disposition and time of physical disposition. For the 7604 patient visits analyzed, mean ED LOS was 3.02 hour (SD = 5.03 hour). About half of the patients spent less than 59 minutes (44%), 32.6% spent 1 to 3:59 hour, 15.2% spent 4 to 7:59 hour, and 8.2% of the patients spent more than 8 hours. A priceless such study will offer an opportunity to evaluate the recent ED performance and assist to adapt future optimization strategies to improve the quality of services provided to the patient.

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Section: Discussionsupporting

confidence: 62%

Analysis of Waiting Time in Emergency Department of Al-Noor Specialist Hospital, Makkah, Saudi Arabia

Bukhari¹,

Albazli²,

Almaslmani³

et al. 2014

OJEM

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“…We used the Canadian Triage and Acuity Scale (CTAS) to assess illness acuity [ 7 , 20 ]. The CTAS is a descriptive 5-point triage scale, where level 1 is resuscitation, 2 is emergent, 3 is urgent, 4 is less urgent and 5 is non-urgent.…”

Section: Methodsmentioning

confidence: 99%

The role of illness acuity on the association between frailty and mortality in emergency department patients referred to internal medicine

et al. 2020

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Background we investigated whether two frailty tools predicted mortality among emergency department (ED) patients referred to internal medicine and how the level of illness acuity influenced any association between frailty and mortality. Methods two tools, embedded in a Comprehensive Geriatric Assessment (CGA), were the clinical frailty scale (CFS) and a 57-item deficit accumulation frailty index (FI-CGA). Illness acuity was assessed using the Canadian Triage and Acuity Scale (CTAS). We examined all-cause 30-day and 6-month mortality and time to death. Results in 808 ED patients (mean age ± SD 80.8 ± 8.8, 54.4% female), the mean FI-CGA score was 0.44 ± 0.14, and the CFS was 5.6 ± 1.6. A minority (307; 38%) were classified as having low acuity (CTAS: 1–2). The 30-day mortality rate was 17%; this increased to 34% at 6 months. Compared to well patients with low acuity, the risk of 30-day mortality was 22.5 times (95% CI: 9.35–62.12) higher for severely frail patients with high acuity; 53% of people with very severe frailty (CFS = 8) and high acuity died within 30 days. When acuity was low, the risk for 30-day mortality was significantly higher only among those with very high levels of frailty (CFS 7–9, FI-CGA > 0.5). When acuity was high, even lower levels of frailty (CFS 5–6, FI-CGA 0.4–0.5) were associated with higher 30-day mortality. Conclusions across levels of frailty, higher acuity increased mortality risk. When acuity was low, the risk was significant only when the degree of frailty was high, whereas when acuity was high, even lower levels of frailty were associated with greater mortality risk.

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“…Please place the appropriate triage score (1)(2)(3)(4)(5) and presenting complaint for the following case scenarios.…”

Section: Appendix: Case Scenariosmentioning

confidence: 99%

“…The Canadian Triage and Acuity Scale (CTAS) has been widely implemented in Canadian emergency departments (EDs), as well as internationally, since 1999. [1][2][3][4] It is used for prioritizing the order in which patients should be seen by an emergency physician.…”

Section: Ré Sumémentioning

confidence: 99%

Reliability of the Canadian Triage and Acuity Scale: interrater and intrarater agreement from a community and an academic emergency department

Fernandes

McLeod

Krause

et al. 2013

CJEM

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Objectives: The Canadian Triage and Acuity Scale (CTAS) is a five-level triage tool that is used to help prioritize the order in which emergency department (ED) patients should be seen. The objectives of this study were to determine the interrater and intrarater agreement of the 2008 CTAS guideline revisions by triage nurses and to compare agreement between triage nurses working in a small community ED and an academic ED. Methods: Seventy-eight triage nurses assigned CTAS scores and free-text presenting complaints for 10 paper-based case scenarios. For five scenarios, the CTAS score should have remained unchanged from previous guidelines, whereas the other five scenarios should have been triaged differently based on the 2008 CTAS first-order modifiers. Thirty-three participants repeated the questionnaire 90 days later, and intrarater agreement was measured.

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Canadian Emergency DepartmentTriage and Acuity Scale: implementation in a tertiary care center in Saudi Arabia

Cited by 36 publications

References 25 publications

Analysis of Waiting Time in Emergency Department of Al-Noor Specialist Hospital, Makkah, Saudi Arabia

Analysis of Waiting Time in Emergency Department of Al-Noor Specialist Hospital, Makkah, Saudi Arabia

The role of illness acuity on the association between frailty and mortality in emergency department patients referred to internal medicine

Reliability of the Canadian Triage and Acuity Scale: interrater and intrarater agreement from a community and an academic emergency department

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