Modification of the Psychiatric Emergency Patient Acuity Tool Within a Triage System in an Emergency Unit

Pratiwi, Arum; Jadmiko, Arief Wahyudi; M.Kes, Arif Widodo, A.Kep.,

doi:10.1166/asl.2017.10816

Cited by 2 publications

(2 citation statements)

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“…Modified versions of the ETEK ATS have also been implemented in Denmark ( n = 700) and Indonesia ( n = 69; κ = 0.89, 95% CI 0.74–0.93) with positive results (Pratiwi et al . 2017; Sæbye et al . 2017).…”

Section: Resultsmentioning

confidence: 99%

“…In a 2014 experimental, interventional study, a modified scale based closely on the ETEK ATS model, significantly improved safe triaging practices when compared with the MTS (19%, P < 0.001; Tanner et al 2014). Modified versions of the ETEK ATS have also been implemented in Denmark (n = 700) and Indonesia (n = 69; j = 0.89, 95% CI 0.74-0.93) with positive results (Pratiwi et al 2017;Saebye et al 2017).…”

Section: Use Of Mht Tools In Emergency Settingsmentioning

confidence: 99%

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Mental health triage tools: A narrative review

Watson

Tindall

Patrick

et al. 2022

Int J Mental Health Nurs

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Mental Health Triage (MHT) tools may be defined as any clinician administered scale that specifies psychiatric signs or symptoms, proposes a corresponding service response, and determines priority categories based on the level of perceived acuity. Multiple MHT tools are used across different jurisdictions and care settings. This article summarizes the literature on MHT tools, describes the available tools and the supportive evidence, evaluates the impact and clinical applications, and compares their strengths and weaknesses. This review utilized a systematic review process to identify articles examining MHT tools. Several benefits of using MHT tools are described; however, in general, the supportive evidence for their use is lacking. A modified Australasian Triage Scale has the strongest evidence base for use in emergency settings; however, further data are needed to establish improved outcomes. There is limited evidence for the use of MHT tools in ambulatory or primary care settings. No evidence was found supporting any one tool as effective in guiding service responses across the entire clinical spectrum. Future research could focus on developing and evaluating MHT tools that service all levels of illness presentation. Additionally, more robust studies are required to support the use of MHT tools in emergency settings. Finally, there is an impetus for the development and evaluation of MHT tools in ambulatory, community, and primary care settings.

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Section: Resultsmentioning

confidence: 99%

Section: Use Of Mht Tools In Emergency Settingsmentioning

confidence: 99%

Mental health triage tools: A narrative review

Watson

Tindall

Patrick

et al. 2022

Int J Mental Health Nurs

View full text Add to dashboard Cite

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Combination of Antipsychotic Medication and Crisis Intervention on Outcomes of Acute Mental Illness Patients Scale

Pratiwi

Kartiko

Risnawati

et al. 2020

Biomed. Pharmacol. J.

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Background: The Crisis intervention program is very crucial to reduce the violence of emergency and acute mental illness. In the present research, an adjusted violence scale instrument through the implementation of a crisis intervention program that was combined with antipsychotic medicine was proposed for acute mental illness patients. Methods and Material: The Brøset’s violence risk scale instrument was utilized to measure the patients' behavior with intervention; after that, it was refined (mixed method with concurrent embedded strategy) to adapt the measuring scales. Each patient was given a crisis intervention program and received similar antipsychotic medication that comprised of Chlorpromazine 300 mg/day, Haloperidol 15 mg/day, and Trihexyphenidyl 6 mg/day; then, the response was recorded for 7 to 12 days in an acute inpatient psychiatric unit. The instrument was adjusted to satisfy the changes in patients' behaviors throughout an intervention. Then, a trial procedure, verification, and validation were performed on the content of the instrument. Results: The results revealed that a paired-samples t-test comparison of the panic level of 72 patients' violence was t=-7617 and probability 0.000. The proportion of agreement Cohen's kappa (κ) can range from -1 to +1. It means that the kappa (κ) equal to 0.667 represents a moderate agreement. Furthermore, since Probability was very low ( P < 0.05). Conclusions: It can be concluded that there was different levels of patients' violence before and after the crisis intervention. The interrater statistical results confirmed that the majority of nurses had similar perceptions towards items of modified Brøset’s violence risk scales.

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Modification of the Psychiatric Emergency Patient Acuity Tool Within a Triage System in an Emergency Unit

Cited by 2 publications

References 0 publications

Mental health triage tools: A narrative review

Mental health triage tools: A narrative review

Combination of Antipsychotic Medication and Crisis Intervention on Outcomes of Acute Mental Illness Patients Scale

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