The accuracy and consistency of rural, remote and outpost triage nurse decision making in one Western Australia Country Health Service Region

Ekins, Kylie; Morphet, Julia

doi:10.1016/j.aenj.2015.05.002

Cited by 23 publications

(23 citation statements)

References 17 publications

(18 reference statements)

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“…[ 1 ] Another factor affecting this process is the accuracy of triage decisions made. [ 2 ] It is the most important role of triage nurses in the initial assessment to ensure that the patient is in the right place at the right time in the emergency department and that no one is ignored. [ 3 ] Approximately half of the triage assessments are estimated to be erroneous in emergency departments.…”

Section: Introductionmentioning

confidence: 99%

“…[ 4 5 ] Inaccurate or inconsistent triage in emergency departments can lead to poor clinical results, such as prolonged diagnosis and treatment time for patients, improper use of hospital resources, decreased patient and employee satisfaction, and even increased mortality rates. [ 2 5 ] Therefore, triage needs to be fast and should be completed in 2 to 5 min. [ 6 ]…”

Section: Introductionmentioning

confidence: 99%

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Factors affecting the accuracy of nurse triage in tertiary care emergency departments

et al. 2020

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OBJECTIVES: The accuracy and duration of triage is vital in emergency departments. However, patient density, diversity of cases, and time pressure make triage difficult. Triage performed properly and at the right time prevents patients from experiencing any untoward incidents that may occur because of waiting. Therefore, the study aimed to share the data obtained from the Hospital Information Management System (HIMS) regarding the accuracy and duration of nurse triage in an adult emergency department. METHODS: This descriptive and cross-sectional study evaluated the accuracy and duration of triage decisions made by nurses for patients admitted to an adult emergency department between June 15 and July 15, 2019. Statistical analysis was performed using Statistical analysis was performed using SPSS software version 23.00. RESULTS: The study included the data of 7705 adult patients. The accuracy rate of nurse triage was 59.3% ( n = 4566), and the average duration of triage was 1.52 ± 2.10 min. It was observed that the average duration of accurate triage decisions was longer in patients with triage category 3. A statistically significant relationship was determined between the accuracy of nurse triage and the duration of triage, years of seniority of the nurse, and shifts ( P < 0.05). CONCLUSIONS: The accuracy and duration of nurse triage in the hospital where the study was conducted can be evaluated via the HIMS. In order to increase the accuracy of nurse triage in the emergency department, it is necessary to employ experienced and trained nurses, develop computer-based support systems, and increase the number of nurses working in shifts providing care to a large number of patients.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Factors affecting the accuracy of nurse triage in tertiary care emergency departments

et al. 2020

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“…The results of numerous studies have repeatedly expressed that it is vital to improve the competencies of the emergency room personnel. [ 1 2 20 ] The personnel of the emergency room must utilize many cognitive strategies when making a decision. The personnel must especially improve their problem-solving, communication, and decision-making skills.…”

Section: Discussionmentioning

confidence: 99%

“…They must make a decision quickly most of the times even if they do not have sufficient information about the matter in hand. [ 2 ] In addition to the problems which are common among everyone, these employees encounter unique difficulties such as working with numerous employees and individuals on the treatment team in the hospital, the families who are facing a crisis, happy and sad moments of life and death, accidents, disasters, etc. [ 3 ]…”

Section: Introductionmentioning

confidence: 99%

Examining the relationship between critical-thinking skills and decision-making ability of emergency medicine students

Heidari

Ebrahimi

2016

Indian Journal of Critical Care Medicine

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Background and Aims:Critical-thinking ability would enable students to think creatively and make better decisions and makes them make a greater effort to concentrate on situations related to clinical matters and emergencies. This can bridge the gap between the clinical and theoretical training. Therefore, the aim of the present study is to examine the relationship between critical-thinking ability and decision-making skills of the students of Emergency Medicine.Materials and Methods:This descriptive and analytical research was conducted on all the students of medical emergency students (n = 86) in Shahrekord, Iran. The demographic information questionnaire, the California Critical Thinking Skills Test, and a decision-making researcher-made questionnaire were used to collect data. The data were analyzed by SPSS software version 16 using descriptive and analytical statistical tests and Pearson's correlation coefficient.Results:The results of the present study indicate that the total mean score for the critical thinking was 8.32 ± 2.03 and for decision making 8.66 ± 1.89. There is a significant statistical relationship between the critical-thinking score and decision-making score (P < 0.05).Conclusions:Although critical-thinking skills and decision-making ability are essential for medical emergency professional competence, the results of this study show that these skills are poor among the students.

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“…Triage is defined as a rapid process of categorizing patients upon arrival to determine priorities for further evaluation and treatment (Gräff, Goldschmidt, Glien, Bogdanow, Fimmers, & Hoeft, et al, 2014;Saeed, Al-Fayyadh, Alshomar, Zekry, & Alamiri, et al, 2017). Most of the triage systems applied in the ED are based on a five-level triage where this triage system has been conferred to improve the patient care outcomes historically (Andrade-Silva, Takemura, Bellato, Leonhardt, & Kojima, et al, 2019;Ekins & Morphet, 2015). There are variations in the application of triage systems that are tailored to the availability of resources, the economic situation, and the capacity of patients in each EDs in the wide world (Saeed, Al-Fayyadh, Alshomar, Zekry, & Alamiri, et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

The Reliability and Accuracy of International Triage Scale in the Emergency Department (ED): A Literature Review

Rasyid

Kosasih²,

Mirwanti³

2020

JNC

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A large number of patient visits to the Emergency Department (ED) will influence the outcome of the services provided. The triage scale is one method designed to manage patient screening for quality service improvement. Several triage scales are employed internationally in the EDs including the Australasian Triage Scale (ATS), the Manchester Triage System (MTS), the Canadian Triage and Accuracy Scale (CTAS), and the Emergency Severity Index (ESI). Several studies have a concern to identify the reliability of the triage scale, but only a few of them identified the accuracy of the triage scale. The purpose of this literature review was to identify the best reliability and accuracy among ATS, MTS, CTAS, and ESI based on the literature. The literature search was conducted on electronic databases EBSCO and PubMed with keywords including (triage OR emergency department triage) AND reliability AND ((the Canadian Triage and Accuracy Scale OR CTAS) AND (the Australasian Triage Scale OR ATS) AND (the Manchester Triage System OR MTS) AND the Emergency Severity Index OR ESI)). Assessment of articles was composed based on the PRISMA format with criteria including primary research articles containing the reliability and accuracy of the triage scale in English and published between 2009 – 2019. A total of 271 publications were identified and only 10 studies were included in this literature review. The results reveal that ATS has a moderate level of reliability (k = 04 – 0.57) with an accuracy of 46.2% – 58.3%, CTAS has a good level reliability (k = 0.770) with accuracy of 49%, MTS have good to excellent level of reliability (k = 0.61 – 0.95) with accuracy of 49%, and ESI have moderate to excellent level reliability (k = 0.45 – 0.94) with accuracy of 59.6 % – 72.5%. Based on this review, MTS and ESI are the triage scale with the highest reliability and accuracy. Therefore, MTS and ESI are highly recommended in the ED. However, each EDs need to pay attention to the characteristics, culture, and available resources before choosing and implementing an appropriate triage scale.

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The accuracy and consistency of rural, remote and outpost triage nurse decision making in one Western Australia Country Health Service Region

Cited by 23 publications

References 17 publications

Factors affecting the accuracy of nurse triage in tertiary care emergency departments

Factors affecting the accuracy of nurse triage in tertiary care emergency departments

Examining the relationship between critical-thinking skills and decision-making ability of emergency medicine students

The Reliability and Accuracy of International Triage Scale in the Emergency Department (ED): A Literature Review

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