The South African triage scale (adult version) provides valid acuity ratings when used by doctors and enrolled nursing assistants

Twomey, Michèle; Wallis, Lee; Thompson, Mary Lou; Myers, Jonathan E.

doi:10.1016/j.afjem.2011.08.014

Cited by 47 publications

(69 citation statements)

References 29 publications

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“…1−3,11 Twomey et al 5 concluded that a range of 10% under-triage and 15% over-triage was acceptable.…”

Section: Resultsmentioning

confidence: 99%

“…3,5 In Table 5 As the SATS colour codes were incorrectly adjusted in more than half of the patients, the researcher expected the outcomes compared to the SATS colour codes to also be inaccurate. This can clearly be seen in Figure 2, where 30% of orange coded patients and only 37% of red coded patients were admitted either to the NDH or referred to secondary or tertiary hospitals.…”

Section: Resultsmentioning

confidence: 99%

“…An orange or red coded patient might either die or be admitted to a specialist hospital. 1,3,5,11,12 From Figure 2 it can be seen that TEWS alone was a better predictor of outcome than SATS when the same outcome criteria were expected for a specific colour code. Sun et al 12 investigated the use of TEWS alone to triage patients in resource-limited countries and found it to be acceptable.…”

Section: Relationship Between Outcomes and Assessment Categorymentioning

confidence: 99%

“…4 The CTS is a valid and reliable triage tool used by emergency department doctors and nurses since 2006. 5 The CTS comprises a physiologically based scoring system, the Triage Early Warning Score (TEWS), and a list of discriminators such as mechanism of injury, hyperglycaemia or abdominal pain, bleeding history, and so forth. 6 The TEWS consists of physiological parameters where a patient is scored on seven parameters and a score of between 0-3 is allocated to each parameter.…”

Section: Introductionmentioning

confidence: 99%

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The effectiveness of the implementation of the Cape Triage Score at the emergency department of the National District Hospital, Bloemfontein

Gordon

Brits

Raubenheimer

2015

South African Family Practice

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Background:The need for an appropriate South African triage system led to the development of the Cape Triage Score (CTS), a system to prioritise emergency departments' workloads. This study evaluated the effectiveness of the CTS at the National District Hospital emergency department, Bloemfontein. Methods: In this retrospective, descriptive, observational study, files of adult patients triaged at the emergency department during February 2013 were randomly selected. Inclusion was subject to the availability of the files. Physiological parameter results were used to calculate the Triage Early Warning Score (TEWS). The side-room investigations and South African Triage Score (SATS) were recorded. Other information gathered included diagnosis, outcome, and times the patient was triaged and seen by the doctor. Results: A total of 396 files were included in the study. Patients, of whom 57.8% were women, were between the ages of 16-89 years. More than half (52%) of side-room investigations were omitted or inappropriate. The adjustment of the TEWS to the SATS was done incorrectly in 52% of cases. The majority of patients (69.9%) were discharged home after treatment, although 88% were SATS orange coded. Over-triage occurred in 8.1% of TEWS and 67.8% of SATS cases. The mean waiting time from triage until patient was seen by the doctor was 2 hours. Conclusions: The TEWS proved to predict outcome better than the SATS. Due to inaccurate triage, only 8% of patients were seen within the recommended waiting times. The CTS has not been effectively implemented at the National District Hospital emergency department.

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“…1−3,11 Twomey et al 5 concluded that a range of 10% under-triage and 15% over-triage was acceptable.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Relationship Between Outcomes and Assessment Categorymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The effectiveness of the implementation of the Cape Triage Score at the emergency department of the National District Hospital, Bloemfontein

Gordon

Brits

Raubenheimer

2015

South African Family Practice

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“…The results showed an under-triage rate of 4.4% and an over-triage rate of 4.3%. In a validation study, [5] the SATS had an average over-triage rate of 15% and an under-triage rate of 10%.…”

Section: Validity Of the Satsmentioning

confidence: 99%

The accuracy of nurse performance of the triage process in a tertiary hospital emergency department in Gauteng Province, South Africa

et al. 2017

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Background. Triage in the emergency department (ED) is necessary to prioritise management according to the severity of a patient's condition. The South African Triage Scale (SATS) is a hospital-based triage tool that has been adopted by numerous EDs countrywide. Many factors can influence the outcome of a patient's triage result, and evaluation of performance is therefore pivotal. Objectives. To determine how often patients were allocated to the correct triage category and the extent to which they were incorrectly promoted or demoted, and to determine the main reasons for errors in a nurse-led triage system. Methods. Triage forms from a tertiary hospital ED in Gauteng Province, South Africa, were collected over a 1-week period and reviewed retrospectively. Results. A total of 1 091 triage forms were reviewed. Triage category allocations were correct 68.3% of the time. Of the incorrect category assignments, 44.4% of patients were promoted and 55.6% demoted. Patients in the green category were most commonly promoted (29.4%) and patients who should have been in orange were most commonly demoted (35.0%). Trauma patients were more likely to be incorrectly promoted and non-trauma patients to be incorrectly demoted. Mistakes were mainly due to discriminator errors (57.8%), followed by numerical miscalculations (21.5%). The leading omitted discriminators were 'abdominal pain' , 'chest pain' and 'shortness of breath' . Conclusions. Mis-triaging using the SATS can be attributed to incorrect or lack of discriminator use, numerical miscalculations and other human errors. Quality control and quality assurance measures must target training in these areas to minimise mis-triage in the ED.

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Pepper soup for the emergency care workers’ soul (a remedy for the annual end of year festive paradigm)

Brysiewicz

Bruijns

Wallis

2011

African Journal of Emergency Medicine

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The South African triage scale (adult version) provides valid acuity ratings when used by doctors and enrolled nursing assistants

Cited by 47 publications

References 29 publications

The effectiveness of the implementation of the Cape Triage Score at the emergency department of the National District Hospital, Bloemfontein

The effectiveness of the implementation of the Cape Triage Score at the emergency department of the National District Hospital, Bloemfontein

The accuracy of nurse performance of the triage process in a tertiary hospital emergency department in Gauteng Province, South Africa

Pepper soup for the emergency care workers’ soul (a remedy for the annual end of year festive paradigm)

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