Paramedic Application of a Triage Sieve: A Paper-Based Exercise

Cuttance, Glen; Dansie, Kathryn; Rayner, Timothy E.

doi:10.1017/s1049023x16001163

Cited by 14 publications

(19 citation statements)

References 32 publications

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“…However, two participants were upwards relieving into the role and were excluded, having taken part in the previous study as paramedics; 17 data sets were obtained from this sample population. (15), Table 2 shows that the level of underlying triage sieve training was identical between the two groups, although team leaders were more likely to have performed a triage sieve as part of an exercise or in real life. Similarly, team leaders were more likely to know the correct location of the triage pack.…”

Section: Resultsmentioning

confidence: 99%

“…It has been shown that the current field triage accuracy rates for MCI triage may be inappropriate (23) and overstated for MCI triage. Cuttance et al (15) have shown that it is possible to achieve under-and over-triage rates of 2.8% and 7.0% respectively using supportive documentation. Achievement of the aforementioned triage accuracy rates was dependant on the use of supportive documentation (aide-memoir) with the ability to correctly locate the triage pack imperative, as the triage pack contains the most up-todate triage sieve aide-memoir.…”

Section: Discussionmentioning

confidence: 99%

“…This study is a cohort study, using a previously utilised triage sieve questionnaire (15,16), to collect data from two groups of metropolitan-based team leaders: one group without supporting documentation -the control group -and the second group with supportive documentation (in the form of an aide-memoir), the intervention group. This new data will be compared with historical data from a previous study of paramedics using the same triage sieve questionnaire.…”

Section: Methodsmentioning

confidence: 99%

“…The inclusion criteria for enrolment into this study was: team leaders whose team members were enrolled in a previous study project titled 'Paramedic application of a triage sieve: a paper-based exercise' (15). Metropolitan Adelaide is divided into two emergency regions: the northeast and the southwest, and one non-emergency region that covers the entire metropolitan area.…”

Section: Data Collectionmentioning

confidence: 99%

“…Team leaders who met the inclusion criteria were divided into one of the two groups based on their geographical work location. Team leaders were excluded if their team members were not eligible for inclusion in the previous study project (15). On the day of data capture the principal researcher outlined the research project, including the risks and benefits associated with the research project.…”

Section: Data Collectionmentioning

confidence: 99%

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Is There a Triage Sieve Knowledge and Application Gap between Clinical Team Leaders and Their Team Members?

Cuttance

Dansie

Rayner

2019

Australasian Journal of Paramedicine

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IntroductionAmbulance service team leaders may be required to provide organisational leadership at complex incidents, such as a mass-casualty incident involving triage sieve. It may be expected that team leaders have a greater understanding of, and should be able to better apply their skills, than their team members during such an incident. The objective of this study was to determine if team leaders have a higher theoretical knowledge and better triage sieve application skills than their team members.MethodsTeam leaders were allotted into one of two groups: the first (control) group completed a questionnaire without any supporting documentation (ie. aide-memoir), whereas the second (intervention) group completed the same questionnaire, as the control group, but utilising supportive documentation.ResultsThe results show that the team leaders from the control group achieved significantly better results than their team members when completing a questionnaire, without the use of supportive documentation. There was no significant difference between team leaders from the intervention group and their team members when completing the same questionnaire using supportive documentation.ConclusionIt has been shown that the use of printed supportive material in the form of an aide-memoir decreases the knowledge and application gap between team leaders and their team members, and increases triage sieve accuracy. The results from this study reinforces the results from previous studies, showing that supporting documentation should be used to ensure greater triage sieve accuracy rates and thereby reducing under- and over-triage rates.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Data Collectionmentioning

confidence: 99%

Section: Data Collectionmentioning

confidence: 99%

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