Triage with the French Emergency Nurses Classification in Hospital scale: reliability and validity

Taboulet, P.; Moreira, Véronique; Haas, Laurent; Porcher, Raphaël; Bragança, Ana Carolina Costa; Fontaine, Jean-Paul; Poncet, Marie-Cecile

doi:10.1097/mej.0b013e328304ae57

Cited by 78 publications

(80 citation statements)

References 29 publications

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“…Triage is usually performed by a triage nurse, who makes a brief assessment of the patient's apparent needs and priority of care, resulting in the patient being placed in a queue. Most countries have adopted a five-level triage and acuity scale, [9][10][11][12] and these triage tools have been shown to estimate a patient's degree of urgency with satisfactory interobserver reliability. [13][14][15] However, to date the presence of a UR is not a variable considered when nurses assign these triage scores.…”

mentioning

confidence: 99%

Unscheduled Return Visits to the Emergency Department: Consequences for Triage

Sauvin

Freund

Saïdi

et al. 2013

Academic Emergency Medicine

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Objectives: The objective was to conduct a survey of unscheduled revisits (URs) to the emergency department (ED) within 8 days of a prior visit, to test the hypothesis that patients making these URs are disproportionately likely to suffer short-term mortality or manifest a need for any admission to the hospital (adverse events [AEs]) at the time of the UR, compared to patients triaged at the same level who did not have an unscheduled ED revisit within 8 days.Methods: This was a 1-year retrospective study of patients with an UR to the ED of an urban, 1,600-bed tertiary care center and teaching hospital. The criteria for inclusion as an UR were: 1) making an emergency visit to our adult ED during 2008, without being admitted to our hospital nor being transferred to another hospital; and 2) subsequently making an UR to the same ED within 8 days following the first one. Patients who were contacted by members of our staff and specifically asked to make return visits to our ED (such as those who returned for wound care follow-up visits), and those who made more than five visits to our ED during 2008, were excluded. AEs were defined as death or hospitalization within 8 days of the second visit.Results: During 2008, there were 946 patients with URs (2% of patients treated and released after the first ED visit), and 931 were analyzed (n = 15 missing values). Associated with the second visit, an AE was noted for 276 (30%) patients. Eight variables were significantly associated with AE: age ! 65 years, previously diagnosed cancer, previously diagnosed cardiac disease, previously diagnosed psychiatric disease, presence of a relative at the time of the UR, arrival with a letter from a general practitioner at the time of the UR, a higher level of severity assigned at triage for the UR than for the first ED visit, and having had blood sample analysis performed during the first visit. The median triage score for the UR was not significantly different from that group's median triage score for the first ED visit, whereas the proportion of admissions to the hospital (29%) or to the intensive care unit (ICU; 2%) was greater overall in the UR group than in the patients making their first ED visit. Conclusions:The authors observed that 2% of patients had an UR. This UR population was at greater risk of AE at the time of their URs compared to their initial visits, but the median triage nurse score was not significantly different between the first visit and the UR. This suggests that the triage score should be systematically upgraded for UR patients.ACADEMIC EMERGENCY MEDICINE 2013; 20:33-39 © 2013 by the Society for Academic Emergency Medicine S hort-term unscheduled revisits (URs) to the emergency department (ED) occur in 2% to 5% of patients.1,2 A UR differentiates a patient as being different from frequent users of the ED 3 and from patients making EDs visit after recently being discharged from the hospital. 4,5 The principal causes of URs to the ED are patient-related factors, illness-related factors, and medical errors. ...

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confidence: 99%

Unscheduled Return Visits to the Emergency Department: Consequences for Triage

Sauvin

Freund

Saïdi

et al. 2013

Academic Emergency Medicine

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“…Since resource use and admission rates are associated with the complexity and severity of a patient's status, these parameters have been used as validity criteria in many studies (Wuerz et al, 2000;Tanabe et al, 2004;Roukema et al, 2006;Taboulet et al, 2009). In concordance with these studies, we used admission-and death rates (both markers for injury severity) and LOS (a marker for resource utilisation) as primary outcome measures to evaluate the validity of the ENP-stream.…”

Section: Validation Of Triage Toolsmentioning

confidence: 99%

Managing patient flow with triage streaming to identify patients for Dutch emergency nurse practitioners

Linden

Lindeboom

Linden

et al. 2012

International Emergency Nursing

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“…This risk classification is a procedure that has been widely used to organize the demand, since it is a dynamic process of identification of patients who need immediate treatment, according to the potential of risk, health problems or suffering degree 8,9 . It is well known that the adult population is at greater risk of developing periodontal disease, while children are at greater risk of developing tooth decay, and, in order to establish individual risk for planning purposes, it can be considered the most significant event for the population group to be examined and classified 6 .…”

Section: Introductionmentioning

confidence: 99%

Relação entre classificações de risco utilizadas para organização da demanda em saúde bucal em município de pequeno porte de São Paulo, Brasil

Neto

Mendes

Wada

et al. 2017

Ciênc. saúde coletiva

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Triage with the French Emergency Nurses Classification in Hospital scale: reliability and validity

Abstract: FRENCH v.2 is a reliable and validated triage tool to predict the complexity/severity of a patient in our emergency department.

Cited by 78 publications

References 29 publications

Unscheduled Return Visits to the Emergency Department: Consequences for Triage

Unscheduled Return Visits to the Emergency Department: Consequences for Triage

Managing patient flow with triage streaming to identify patients for Dutch emergency nurse practitioners

Relação entre classificações de risco utilizadas para organização da demanda em saúde bucal em município de pequeno porte de São Paulo, Brasil

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