Comparing triage evaluation of adult dyspneic patients between emergency nurses and doctors using simulated scenarios

Lim, Beng Leong; Tay, Zhi Rui Eunice; Vasu, Alicia; Wei, Heng

doi:10.1016/j.ienj.2012.06.003

Cited by 9 publications

(8 citation statements)

References 10 publications

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“…Triage in ED is a decision-making process that classifies patients according to their need for emergency treatment and optimises ED resources [ 7 ]. During an epidemic, it is the first contact between the patient and the hospital and can play a crucial role in identifying the risk of infection in patients and limiting the spread of the infection within the hospital and among healthcare workers [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…The concept of pre-triage is well known in disaster medicine [ 8 ]. Its application in various crisis scenarios has been extensively validated, demonstrating a positive impact on patient outcomes [ 9 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…For this reason, Zhang et al proposed ‘following clinical strategies in adult fever clinics’ during the COVID-19 epidemic [ 11 ]. Early clinical assessment and consequent isolation of patients suspected to be carrying the infection could be a strategy to be implemented upon arrival in ED to contain the highly contagious COVID-19 and limit the risk of intra-hospital spread [ 3 , 4 , 12 ]. Recently, strategies have been proposed to limit the spread of infection within healthcare facilities [ 4 ]; the majority focus on attempting to limit hospital transport only to the most severely infected patients and on implementing structural changes within the EDs.…”

Section: Discussionmentioning

confidence: 99%

“…Usually, all patients who require an ED assessment are admitted to triage [ 2 ], to distinguish between patients who need rapid treatment and those who can safely wait [ 2 ]. In the midst of an outbreak, in addition to its normal function of prioritising patients according to the severity of their condition, triage should attempt to distinguish patients who are potentially infected from those who are non-infected [ 3 ]. Studies from China, where the epidemic took hold some months before Italy, have hypothesised that strategies aimed both at regulating patient ED access and separating patients within the hospital could mitigate many problems related to the spread of the pandemic, such as hospital overcrowding, diffusion of the virus within the hospital and infection of healthcare personnel [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

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The COVID-19 epidemic and reorganisation of triage, an observational study

2020

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Recent studies have suggested different organisational strategies, modifying Emergency Departments (EDs) during the COVID-19 epidemic. However, real data on the practical application of these strategies are not yet available. The objective of this study is to evaluate the inclusion of pre-triage during the COVID-19 outbreak. In March 2020, the structure of the ED at Merano General Hospital (Italy) was modified, with the introduction of a pre-triage protocol to divide patients according to the risk of infection. The performance of pre-triage was evaluated for sensitivity, specificity and negative predictive value (NPV). From 4th to 31st March, 2,279 patients were successively evaluated at the pre-triage stage. Of these, 257 were discharged directly from pre-triage by triage out or home quarantine and none has subsequently been hospitalised. Of the 2022 patients admitted to ED, 182 were allocated to an infected area and 1840 to a clean area. The proportion of patients who tested COVID-19 positive was 5% and, of these, 91.1% were allocated to the infected area. The pre-triage protocol demonstrated sensitivity of 91.1%, specificity of 95.3% and NPV of 99.5%. In addition, none of the healthcare workers was infected during the study period. Pre-triage can be a useful tool that, if standardised and associated with a change in the structure of the ED, can limit the spread of infection within the ED, optimise ED resources and protect healthcare workers.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The COVID-19 epidemic and reorganisation of triage, an observational study

2020

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“…Some studies suggested that emergency nurse practitioners as an optimal choice have greater impact on quality measures and financial indices in ED [ 12 , 27 ]. Comparison between the nurse practitioner and general practitioners demonstrated that the nurse practitioner can deal with patients effectively [ 12 , 28 ] and they can be assumed as superb candidates for expanded and extended role [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

The Role Descriptions of Triage Nurse in Emergency Department: A Delphi Study

et al. 2016

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Background. Triage nurses play a pivotal role in the emergency department. However some researchers have attempted to expand triage nurse's role; remarkable discrepancies exist among scholarly communities. The aim was to develop a role description of triage nurse relying on the experts. Methods. A modified Delphi study consisting of 3 rounds was performed from March to October 2014. In the first round, an extensive review of the literature was conducted. Expert selection was conducted through a purposeful sample of 38 emergency medicine experts. Results. Response rates for the second and third rounds were 37% and 58%. Average age of panelists was (38.42 ± 5.94) years. Thirty-nine out of 54 items reached to the final round. Prioritizing had the higher agreement rate and least agreement on triage related interventions. Conclusion. Triage nursing as a relatively new role for nurses needs significant development to be practiced. Comprehensive educational programs and developmental research are required to support diagnostic and therapeutic interventions in triage practice by nurses.

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