Factors Influencing Patient Assignment to Level 2 and Level 3 Within the 5-Level ESI Triage System

Clinical Decision Making in Triage: An Integrative Review

“…[7][8][9]17 Subject sample was also mentioned to be a limitation, including the use of a convenience sample that may not be generalizable on a broad scale, the use of ENA members that might not represent all emergency nurses, and small sample sizes. 7,10,11,13,15,16 Another common limitation of the studies reviewed was the research methodology of using self-reports of data and the nurses' awareness that they were being studied. 7,12,14,17 Gaps in the recent literature center around the studies not being performed in an actual triage setting, where the true interaction between the nurse and patient could be observed and measured.…”

“…7,12,14,17 Gaps in the recent literature center around the studies not being performed in an actual triage setting, where the true interaction between the nurse and patient could be observed and measured. Several researchers concluded that more research was needed on the triage process 8,11,12 and focuses should include demographic data of triage nurses, 9 a real-life prospective, 7 and the context for additional data required for triage and what data these are. 10,14,16 Cooper et al 12 noted a change in patient acuity after vital signs were known, especially if there was a communication barrier.…”

Pre-hospital time intervals in trauma patient transportation by emergency medical service: association with the first 24-hour mortality

“…The researchers (2 residents of emergency Medicine -2 constant persons -in post graduate year [PGY] 3) did not interfere with triage. In our center, a 5-level Emergency Severity Index (ESI) (12)(13)(14) system is used for triage, with only ESI level 1 or 2 patients are transferred to the resuscitation room. Exclusion criteria were age under 16 or above 65, being transported from outside the official territory of the city, presence of severe medical illness potentially affecting the study outcomes, severe and life threatening intoxications, and randomized trauma score (RTS) of more than 10 (15).…”

Association of triage time Shock Index, Modified Shock Index, and Age Shock Index with mortality in Emergency Severity Index level 2 patients

“…This could be done by the assistance of vital sign measurement. Heart Rate (HR) more than 100, Respiratory Rate (RR) more than 20, and blood oxygen saturation (SaO2) less than 92% are the criteria for assigning these patients as level 2 [2][3]. The validity and reliability of the ESI system for triage is studied extensively in different age groups [4][5][6].…”