The case for a universal, valid, reliable 5-tier triage acuity scale for US emergency departments

Zimmermann, Polly Gerber

doi:10.1067/men.2001.115284

Cited by 52 publications

(29 citation statements)

References 13 publications

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“…After the initial decision about life-threatening presentation (level 1), level 2 is based on predefined clinical features and the urgency levels 3e5 anticipate different types of resource use. The ESI determines resource use according to standards of (local) practice for the lowest urgency levels [5,15]. The CTAS is based on presumptive diagnoses and key objective data of common problems, which attribute to classify the level of urgency.…”

Section: The Development Of Decision Rules In Major Triage Systemsmentioning

confidence: 99%

Challenges in the validation of triage systems at emergency departments

Moll

2010

Journal of Clinical Epidemiology

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Section: The Development Of Decision Rules In Major Triage Systemsmentioning

confidence: 99%

Challenges in the validation of triage systems at emergency departments

Moll

2010

Journal of Clinical Epidemiology

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“…To fully understand this impact, it is essential to examine the triage decision-making process with the use of these guidelines in the actual critical care setting (Washington et al 2000;Zimmermann 2001;Travers 2002). The goal of the triage nurse is not to reach a diagnosis, but to focus on observing and quickly collecting as much relevant data as necessary and assign a category based on this information (Gerdtz and Bucknall 2001).…”

Section: Triage Decision-makingmentioning

confidence: 99%

Calibrating urgency: triage decision-making in a pediatric emergency department

Patel

Gutnik

Karlin

et al. 2007

Adv in Health Sci Educ

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Triage, the first step in the assessment of emergency department patients, occurs in a highly dynamic environment that functions under constraints of time, physical space, and patient needs that may exceed available resources. Through triage, patients are placed into one of a limited number of categories using a subset of diagnostic information. To facilitate this task and standardize the triage decision process, triage guidelines have been implemented. However, these protocols are interpreted differently by highly experienced (expert) nurses and less experienced (novice) nurses. This study investigates the process of triage; the factors that influence triage decision-making, and how the guidelines are used in the process. Using observations and semi-structured interviews of triage nurses, data was collected in the pediatric emergency department of a large Canadian teaching hospital. Results show that in emergency situations (1) triage decisions were often non-analytic and based on intuition, particularly with increasing expertise, and (2) guidelines were used differently by nurses during the triage process. These results suggest that explicit guideline information becomes internalized and implicitly used in emergency triage practice as nurses gain experience. Implications of these results for nursing education and training, and guideline development for emergency care are discussed.

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“…Currently, triage standards also seek to minimize morbidity, disfigurement, pain, emotional distress, and client dissatisfaction. 8 Furthermore, ED triage includes a variety of illnesses and conditions across a broad continuum, from less urgent to very urgent situations. 7 Triage is an essential function in emergency departments, where many patients may present simultaneously.…”

mentioning

confidence: 99%