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Journal articles on the topic 'Triage assessment'

Author: Grafiati

Published: 4 June 2021

Last updated: 9 February 2022

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1

Tanner, Richard, Eugene Cassidy, and Iomhar O’Sullivan. "Does Using a Standardised Mental Health Triage Assessment Alter Nurses Assessment of Vignettes of People Presenting with Deliberate Self-Harm." Advances in Emergency Medicine 2014 (September 3, 2014): 1–9. http://dx.doi.org/10.1155/2014/492102.

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Background. The Manchester Triage Scale is used in Irish emergency departments. This fails to provide guidance on triaging psychiatric presentations. A Mental Health Triage scale is recommended by the National Institute of Clinical Excellence. Aim. To examine the effectiveness of a Mental Health Triage scale in assessing patients presenting with self-harm. Method. Ten vignettes were created, detailing cases of deliberate self-harm. Nurses (n=49) were given five vignettes and asked to assign each vignette to a triage category, using The Manchester Triage Scale. Each nurse was subsequently asked

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Kenningham, MD, Katherine, Kathryn Koelemay, MD, MPH, and Mary A. King, MD, MPH. "Pediatric disaster triage education and skills assessment: A coalition approach." Journal of Emergency Management 12, no. 2 (2014): 141. http://dx.doi.org/10.5055/jem.2014.0168.

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Objective: This study aims to 1) demonstrate one method of pediatric disaster preparedness education using a regional disaster coalition organized workshop and 2) evaluate factors reflecting the greatest shortfall in pediatric mass casualty incident (MCI) triage skills in a varied population of medical providers in King County,WA.Design: Educational intervention and cross-sectional survey.Setting: Pediatric disaster preparedness conference created de novo and offered by the King County Healthcare Coalition, with didactic sessions and workshops including a scored mock pediatric MCI triage. Part

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Graversen, Dennis Schou, Linda Huibers, Morten Bondo Christensen, et al. "Communication quality in telephone triage conducted by general practitioners, nurses or physicians: a quasi-experimental study using the AQTT to assess audio-recorded telephone calls to out-of-hours primary care in Denmark." BMJ Open 10, no. 3 (2020): e033528. http://dx.doi.org/10.1136/bmjopen-2019-033528.

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ObjectivesTo compare the quality of communication in out-of-hours (OOH) telephone triage conducted by general practitioners (GPs), nurses using a computerised decision support system and physicians with different medical specialities, and to explore the association between communication quality and efficiency, length of call and the accuracy of telephone triage.DesignNatural quasi-experimental cross-sectional study.SettingTwo Danish OOH services using different telephone triage models: a GP cooperative and the medical helpline 1813.Participants1294 audio-recorded randomly selected OOH telephon

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Neal, Daniel J., Joseph A. Barbera, and John R. Harrald. "-PLUS Prehospital Mass-Casualty Triage: A Strategy for Addressing Unusual Injury Mechanisms." Prehospital and Disaster Medicine 25, no. 3 (2010): 227–36. http://dx.doi.org/10.1017/s1049023x00008086.

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AbstractIntroduction:Simple Triage and Rapid Treatment (START) and more recently developed prehospital casualty triage algorithms are widely used, in part because they are easy to teach and learn, and can be performed rapidly. Every rapid triage protocol has inherent, significant limitations: (1) no mechanism of injury (MOI) considerations; (2) limited assessment points; and (3) no refinement in truly mass-casualty situations where transport of “minor” or “moderate” patients may be delayed.Hypothesis:When rapid initial triage protocols are utilized, a significant triage deficiency (“under-tria

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Brutschin, Vanessa, Monika Kogej, Sylvia Schacher, Moritz Berger, and Ingo Gräff. "The presentational flow chart “unwell adult” of the Manchester Triage System—Curse or blessing?" PLOS ONE 16, no. 6 (2021): e0252730. http://dx.doi.org/10.1371/journal.pone.0252730.

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Background The presentational flow chart “unwell adult” of the Manchester Triage System (MTS) occupies a special role in this triage system, defined as the nonspecific presentation of an emergency patient. Current scientific studies show that a considerable proportion of emergency room patients present with so-called "nonspecific complaints". The aim of the present study is to investigate in detail the initial assessment of emergency patients triaged according to the presentational flow chart "unwell adult". Methods Monocentric, retrospective observational study. Results Data on 14,636 emergen

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Bajka, Anahita, Maximilian Robert Justus Wiest, Timothy Hamann, Mario Damiano Toro, and Sandrine Anne Zweifel. "Assessment of Patients’ Confidence Regarding a New Triage Concept in a Medical Retina Clinic during the First COVID-19 Outbreak." International Journal of Environmental Research and Public Health 18, no. 11 (2021): 5846. http://dx.doi.org/10.3390/ijerph18115846.

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Background: During the first COVID-19 pandemic outbreak, a new triage concept had to be implemented for patients with retinal diseases having a scheduled appointment at the medical retina clinic. In this study, we aimed to assess patients’ confidence in this triage concept and patients’ satisfaction regarding the received treatment during the outbreak. Methods: This retrospective study included all patients with a diagnosed retinal disease, triaged into three priority groups based on their condition’s urgency during lockdown. After restrictions were eased, a subset of previously triaged patien

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Astuti, Zulmah, Misbah Nurjannah, and Dwi Widyastuti. "Studi Fenomenologi:Peran perawat Dalam Penetapan Level Triase." Care : Jurnal Ilmiah Ilmu Kesehatan 6, no. 2 (2018): 131. http://dx.doi.org/10.33366/cr.v6i2.887.

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Triase adalah proses pengumpulan informasi dari pasien, mengkategorikan dan memprioritaskan kondisi pasien dan merupakan bagian dari upaya manajemen patient safety di rumah sakit khususnya di Instalasi gawat darurat. Model triase yang banyak di gunakan di Dunia termasuk di Indonesia adalah triase lima level yang menempatkan pasien pada lima prioritas yaitu Resucitation, Emergent, Urgent, Nonurgent, Referred. Triase secara otonomi dilakukan oleh perawat yang teregistrasi dan telah mengikuti pelatihan khusus triase. di Indonesia, triase lima level telah digunakan di Rumah sakit umum dan evaluasi

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Lin, Daren, and Andrew Worster. "Predictors of admission to hospital of patients triaged as nonurgent using the Canadian Triage and Acuity Scale." CJEM 15, no. 06 (2013): 353–58. http://dx.doi.org/10.2310/8000.2013.130842.

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ABSTRACTObjectives:To identify factors known prior to triage that might have predicted hospital admission for patients triaged by the Canadian Triage Acuity Scale (CTAS) as level 5 (CTAS 5, nonurgent) and to determine whether inappropriate triage occurred in the admitted CTAS 5 patients.Methods:We reviewed the triage records of patients triaged as CTAS 5 at the emergency departments (EDs) of three tertiary care hospitals between April 2002 and September 2009. Two triage nurses unaware of the study objective independently assigned the CTAS level in 20% of randomly selected CTAS 5 patients who w

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Jones, Norman, and N. Greenberg. "The use of Threshold Assessment Grid triage (TAG-triage) in mental health assessment." Journal of the Royal Army Medical Corps 161, Suppl 1 (2015): i46—i51. http://dx.doi.org/10.1136/jramc-2015-000447.

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Tremble, Kathryn, Maria J. Monroy-Iglesias, Sabine Martin, et al. "Development and outcomes of a virtual triage pathway for cancer diagnosis in vague symptom patients." Journal of Clinical Oncology 39, no. 28_suppl (2021): 326. http://dx.doi.org/10.1200/jco.2020.39.28_suppl.326.

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326 Background: At the Rapid Access Diagnostic Unit at Guy’s Hospital London, we review patients with vague symptoms that are concerning for malignancy. As part of our response to the COVID-19 pandemic, we developed a virtual triage pathway with the aim to reduce face-to-face appointments and prioritise resources towards patients with an underlying cancer diagnosis. Methods: Patients were triaged by clinicians based on a telephone consultation with the patient and history and blood tests provided in the referral. Those triaged as high risk were either directly booked for investigation (“straig

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Gratton, Robert J., Neila Bazaracai, Ian Cameron, et al. "Acuity Assessment in Obstetrical Triage." Journal of Obstetrics and Gynaecology Canada 38, no. 2 (2016): 125–33. http://dx.doi.org/10.1016/j.jogc.2015.12.010.

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Johnson, Kimberly D., Gordon L. Gillespie, and Kimberly Vance. "The Triage Interruptions Assessment Tool." Advanced Emergency Nursing Journal 38, no. 4 (2016): 308–19. http://dx.doi.org/10.1097/tme.0000000000000121.

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13

Foley, Andi L. "The “Grand Slam” Triage Assessment." Journal of Emergency Nursing 35, no. 1 (2009): 76–77. http://dx.doi.org/10.1016/j.jen.2008.09.018.

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Morris, Rachel S., Basil S. Karam, Patrick B. Murphy, et al. "Field-Triage, Hospital-Triage and Triage-Assessment: A Literature Review of the Current Phases of Adult Trauma Triage." Journal of Trauma and Acute Care Surgery 90, no. 6 (2021): e138-e145. http://dx.doi.org/10.1097/ta.0000000000003125.

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Genisca, Alicia E., Esther M. Sampayo, Joy M. Mackey, Lisa Johnson, and Heather L. Crouse. "Assessment of Attitudes Toward the Emergency Triage System in Belize." Global Pediatric Health 7 (January 2020): 2333794X2091158. http://dx.doi.org/10.1177/2333794x20911581.

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Objective. Triage in resource-limited settings (RLS) improves outcomes. Emergency Triage Assessment and Treatment (ETAT) is a simple triage algorithm that improves assessment and initial management of children in RLS. In Belize, pediatric triage varies with setting, from a 5-level Emergency Severity Index (ESI) used at the National Referral Hospital to a lack of triage at government health centers (GHC). Most data on ETAT implementation are in settings where no triage system existed; data on how to integrate ETAT into existing, heterogeneous triage systems are lacking. The aim of this study is

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Verma, Aikta, David J. Gladstone, Jiming Fang, Jordan Chenkin, Sandra E. Black, and P. Richard Verbeek. "Effect of online medical control on prehospital Code Stroke triage." CJEM 12, no. 02 (2010): 103–10. http://dx.doi.org/10.1017/s1481803500012124.

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ABSTRACT Objective: Prehospital Code Stroke triage has the potential to overwhelm stroke centres by falsely identifying patients as eligible for fibrinolysis. We sought to determine whether online medical control (whereby paramedics contact the medical control physician before a Code Stroke triage is assigned) reduced the proportion of false-positive Code Stroke patients. Methods: Following the introduction of a protocol for prehospital Code Stroke triage in an urban centre, online medical control alternated with off-line medical control (whereby paramedics implement Code Stroke triage indepen

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Kovacs, M., and S. Campbell. "LO31: Triage drift: Variation in application of the Canadian Triage Acuity Scale between triage nurses compared to triage paramedics in response to overcrowding pressures in an emergency department." CJEM 22, S1 (2020): S18. http://dx.doi.org/10.1017/cem.2020.87.

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Introduction: CTAS is a validated five-level triage score utilized in EDs across Canada and internationally. Moderate interrater reliability between prehospital paramedic and triage nurse application of CTAS during clinical practice has been found. This study is the first assessment of the variation in distribution of CTAS scores with increasing departmental pressure as measured by the NEDOCs scale comparing triage allocations made by triage nurses with those made by triage paramedics. Methods: We conducted a retrospective, observational cohort study of EDIS data of all patients triaged in the

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Engan, Mette, Asle Hirth, and Håvard Trønnes. "Validation of a Modified Triage Scale in a Norwegian Pediatric Emergency Department." International Journal of Pediatrics 2018 (October 15, 2018): 1–8. http://dx.doi.org/10.1155/2018/4676758.

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Objective. Triage is a tool developed to identify patients who need immediate care and those who can safely wait. The aim of this study was to assess the validity and interrater reliability of a modified version of the pediatric South African triage scale (pSATS) in a single-center tertiary pediatric emergency department in Norway. Methods. This prospective, observational study included all patients with medical conditions, referred to the pediatric emergency department of a tertiary hospital in Norway from September 1, 2015, to November 17, 2015. Their assigned triage priority was compared wi

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Gamal, Mohamed E. El. "Assessment of Triage Performance and Quality." Prehospital and Disaster Medicine 32, S1 (2017): S32. http://dx.doi.org/10.1017/s1049023x17001017.

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Thompson, Tonya, Kendall Stanford, Rhonda Dick, and James Graham. "Triage Assessment in Pediatric Emergency Departments." Pediatric Emergency Care 26, no. 8 (2010): 544–48. http://dx.doi.org/10.1097/pec.0b013e3181ea718e.

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21

Marsden, Janet. "Triage assessment in the ophthalmic unit." International Journal of Ophthalmic Practice 1, no. 2 (2010): 96–99. http://dx.doi.org/10.12968/ijop.2010.1.2.96.

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Jayashree, M., and Sunit C. Singhi. "Initial Assessment and Triage in ER." Indian Journal of Pediatrics 78, no. 9 (2011): 1100–1108. http://dx.doi.org/10.1007/s12098-011-0411-3.

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23

Aoyu, Wang, Lin Run, Chen Yaqi, Tao Mengjiao, and Hu Hai. "Comparison of the Effects of Sacco and START Triage Methods in the Death Risk Assessment of Mass Trauma Patients after Earthquake." Prehospital and Disaster Medicine 34, s1 (2019): s109—s110. http://dx.doi.org/10.1017/s1049023x19002309.

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Introduction:Compared with traditional START Triage Method, the Sacco Triage Method is a new way to access death risk in disaster scenes. However, due to the difficulties in disaster medical research, there is still no evidence to prove which one is more effective.Aim:To assess and compare the value of START Triage Method and Sacco Triage Method in the death risk assessment of transport and the one-month death risk assessment of the earthquake mass trauma patients.Methods:A retrospective analysis was conducted on 1,612 patients who were transferred to the West China Hospital by assigning to di

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Hodge, Stacie, Sebastian Helliar, Hamish Ian Macdonald, and Paul Mackey. "Using an original triage and on call management tool aids identification and assessment of the acutely unwell surgical patient." BMJ Open Quality 7, no. 2 (2018): e000235. http://dx.doi.org/10.1136/bmjoq-2017-000235.

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Until now, there have been no published surgical triage tools. We have developed the first such tool with a tiered escalation policy, aiming to improve identification and management of critically unwell patients. The existing sheet which is used to track new referrals and admissions to the surgical assessment unit was reviewed. The sheet was updated and a traffic light triage tool generated using National Early Warning Scores (NEWS), sepsis criteria and user discretion. A tiered escalation policy to guide urgency of assessment was introduced and education sessions for all staff undertaken, to

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Alanati, Khaled, Sean Byrnes, James Evans, David Campbell, and Ellen Wall. "110 The benefits of a clinical triage tool in acute stroke." Journal of Neurology, Neurosurgery & Psychiatry 90, e7 (2019): A35.3—A36. http://dx.doi.org/10.1136/jnnp-2019-anzan.97.

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IntroductionThe advances in management of ischemic stroke and the extended treatment window have greatly increased the demand for acute stroke assessment. There is a need for fast and accurate triage both to identify candidates for acute stroke assessment and to minimize cost and time expended on unnecessary assessments and investigations.We examined the potential benefit of a web-based triage tool designed to be used in the emergency department to identify patients suitable for hyperacute treatment based on the current standard of care.MethodsWe performed a retrospective analysis of Electroni

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Johnson, Kimberly D., Gordon L. Gillespie, and Kimberly Vance. "2342." Journal of Clinical and Translational Science 1, S1 (2017): 74. http://dx.doi.org/10.1017/cts.2017.263.

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OBJECTIVES/SPECIFIC AIMS: The aim of this study was to determining how interruptions affect the triage process. METHODS/STUDY POPULATION: Prospective, observational study, where 118 triage interviews were observed. RESULTS/ANTICIPATED RESULTS: In total, 57% of triage interviews were interrupted. The most common interruption was by other nurses; however, 7% of the interruptions were by the triage nurse themselves. When an interruption occurred during the triage process, 67% of the time the triage nurse would stop the triage assessment and attend to the interrupter. In the interrupted interviews

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&NA;. "TELEPHONE TRIAGE." Nursing 29, no. 3 (1999): 73–87. http://dx.doi.org/10.1097/00152193-199903000-00026.

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TENN, A. F. "E.D. TRIAGE." Nursing 21, no. 9 (1991): 12–15. http://dx.doi.org/10.1097/00152193-199109000-00005.

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Kranz, Haley. "Improving Triage." Clinical Nurse Specialist 31, no. 6 (2017): 297. http://dx.doi.org/10.1097/nur.0000000000000338.

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Lee, James S., and Jeffrey M. Franc. "Impact of a Two-step Emergency Department Triage Model with START, then CTAS, on Patient Flow During a Simulated Mass-casualty Incident." Prehospital and Disaster Medicine 30, no. 4 (2015): 390–96. http://dx.doi.org/10.1017/s1049023x15004835.

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AbstractIntroductionA high influx of patients during a mass-casualty incident (MCI) may disrupt patient flow in an already overcrowded emergency department (ED) that is functioning beyond its operating capacity. This pilot study examined the impact of a two-step ED triage model using Simple Triage and Rapid Treatment (START) for pre-triage, followed by triage with the Canadian Triage and Acuity Scale (CTAS), on patient flow during a MCI simulation exercise.Hypothesis/ProblemIt was hypothesized that there would be no difference in time intervals nor patient volumes at each patient-flow mileston

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Grigg, Margaret, Helen Herrman, Carol Harvey, and Ruth Endacott. "Factors influencing triage decisions in mental health services." Australian Health Review 31, no. 2 (2007): 239. http://dx.doi.org/10.1071/ah070239.

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The aim of the study was to identify the factors influencing the timing of an assessment after contact with a triage program in a communitybased area mental health service in Australia. Triage decisions apparently were influenced by several groups of factors: patient characteristics; the source and mode of the contact with triage; and to a large extent by mental health service factors including the training, supervision and support of triage workers and the perceived availability of an assessment. While demand factors such as patient characteristics influenced the triage decision, supply facto

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Bhagi, Shuchi, Amit Alok, and NK Chaudhury. "Radiation Induced Gene Expression Signatures for Triage Biodosimetry." Defence Life Science Journal 6, no. 1 (2021): 85–93. http://dx.doi.org/10.14429/dlsj.6.15540.

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Medical management of radiation emergencies will require quick and reliable biodosimetric tools for assessment of absorbed dose. Dicentric chromosomal assay (Gold standard) has a limitation of being time intensive, requires specialised human skill and cannot be used for triage and mass screening. Dose assessments of suspected individuals are critical for the medical management of radiation emergencies. For effectively utilizing the available resources, there is an urgent need for developing triage biodosimetry tools for determining the exposure status of suspected individuals. High-throughput

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Morrison, Audrey, Alastair Hull, and Beryl Shepherd. "Triage in emergency psychiatry." Psychiatric Bulletin 24, no. 7 (2000): 261–64. http://dx.doi.org/10.1192/pb.24.7.261.

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Aims & MethodPsychiatric emergencies constitute a large proportion of psychiatric referrals, with the response to this need therefore of great importance. The impact of the introduction of a telephone triage system on such factors as speed of response, assessment site, outcome and the personnel performing the assessment is examined within the context of closing of a 24-hour open access emergency system. Information was gathered from all emergency referrals, with 80 subjects randomly chosen and studied in depth.ResultsThe triage system afforded a greater flexibility of response, and the inv

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Brillman, Judith C., David Doezema, Dan Tandberg, David P. Sklar, and Betty J. Skipper. "Does a physician visual assessment change triage?" American Journal of Emergency Medicine 15, no. 1 (1997): 29–33. http://dx.doi.org/10.1016/s0735-6757(97)90043-7.

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Rajkumar, G. N., D. R. Small, and I. G. Conn. "Computerised triage in a prostate assessment clinic." European Urology Supplements 2, no. 6 (2003): 67. http://dx.doi.org/10.1016/s1569-9056(03)90635-x.

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Lima, Fabricio O., Gisele S. Silva, Karen L. Furie, et al. "Field Assessment Stroke Triage for Emergency Destination." Stroke 47, no. 8 (2016): 1997–2002. http://dx.doi.org/10.1161/strokeaha.116.013301.

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Kingsley, Samuel, James Boron, and Kristina Z. Kramer. "Assessment of the 2012 Trauma Triage Recommendations." Journal of the American College of Surgeons 227, no. 4 (2018): e228-e229. http://dx.doi.org/10.1016/j.jamcollsurg.2018.08.617.

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Rajkumar, G. N., D. R. Small, and I. G. Conn. "Computerised triage in a prostate assessment clinic." Prostate Cancer and Prostatic Diseases 7, no. 2 (2004): 118–21. http://dx.doi.org/10.1038/sj.pcan.4500703.

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Benson, Mark, Kristi L. Koenig, and Carl H. Schultz. "Disaster Triage: START, then SAVE—A New Method of Dynamic Triage for Victims of a Catastrophic Earthquake." Prehospital and Disaster Medicine 11, no. 2 (1996): 117–24. http://dx.doi.org/10.1017/s1049023x0004276x.

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AbstractTriage of mass casualties in situations in which patients must remain on-scene for prolonged periods of lime, such as after a catastrophic earthquake, differs from traditional triage. Often there are multiple scenes (sectors), and the infrastructure is damaged. Available medical resources are limited, and the time to definitive care is uncertain. Early evacuation is not possible, and local initial responders cannot expect significant outside assistance for at least 49–72 hours. Current triage systems are based either on a shorter time to definitive care or on a longer time to initial t

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Cherry, J., K. Hurley, D. Lovas, et al. "P019: Examining non-suicidal self injury at a Canadian pediatric emergency department." CJEM 21, S1 (2019): S69—S70. http://dx.doi.org/10.1017/cem.2019.210.

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Introduction: Adolescents who present to emergency departments (ED) following intentional injuries present a challenge in terms of ascertaining their intent and risk for future self-injurious or suicidal behaviour. Our ED has seen an 80% increase in visits for mental health issues over the past ten years. As usage of our Emergency Mental Health and Addictions Services (EMHAS) team continues to rise, it is increasingly important to understand the incidence of NSSI among our youth, explore if NSSI is reported at triage and identify characteristics that may distinguish these adolescents from othe

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NETTINA, SANDRA, and SUZANNE GREGONIS. "TRIAGE ASSIGNING PRIORITIES." Nursing 20, no. 11 (1990): 86–89. http://dx.doi.org/10.1097/00152193-199011000-00025.

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Brosinski, Carmen M., Autumn J. Riddell, and Sherwin Valdez. "Improving Triage Accuracy." Clinical Nurse Specialist 31, no. 3 (2017): 145–48. http://dx.doi.org/10.1097/nur.0000000000000291.

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BROOKE, PENNY SIMPSON. "Triage by error." Nursing 33, no. 1 (2003): 24. http://dx.doi.org/10.1097/00152193-200301000-00016.

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Cicero, Mark X., Marc A. Auerbach, Jason Zigmont, Antonio Riera, Kevin Ching, and Carl R. Baum. "Simulation Training with Structured Debriefing Improves Residents’ Pediatric Disaster Triage Performance." Prehospital and Disaster Medicine 27, no. 3 (2012): 239–44. http://dx.doi.org/10.1017/s1049023x12000775.

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AbstractIntroductionPediatric disaster medicine (PDM) triage is a vital skill set for pediatricians, and is a required component of residency training by the Accreditation Council for Graduate Medical Education (ACGME). Simulation training is an effective tool for preparing providers for high-stakes, low-frequency events. Debriefing is a learner-centered approach that affords reflection on one's performance, and increases the efficacy of simulation training. The purpose of this study was to measure the efficacy of a multiple-victim simulation in facilitating learners’ acquisition of pediatric

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Almonte, Maribel, Raúl Murillo, Gloria Inés Sánchez, et al. "Multicentric study of cervical cancer screening with human papillomavirus testing and assessment of triage methods in Latin America: the ESTAMPA screening study protocol." BMJ Open 10, no. 5 (2020): e035796. http://dx.doi.org/10.1136/bmjopen-2019-035796.

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IntroductionHuman papillomavirus (HPV) testing is replacing cytology in primary screening. Its limited specificity demands using a second (triage) test to better identify women at high-risk of cervical disease. Cytology represents the immediate triage but its low sensitivity might hamper HPV testing sensitivity, particularly in low-income and middle-income countries (LMICs), where cytology performance has been suboptimal. The ESTAMPA (EStudio multicéntrico de TAMizaje y triaje de cáncer de cuello uterino con pruebas del virus del PApiloma humano; Spanish acronym) study will: (1) evaluate the p

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Goodman, David M., Emmanuel K. Srofenyoh, Rohit Ramaswamy, et al. "Addressing the third delay: implementing a novel obstetric triage system in Ghana." BMJ Global Health 3, no. 2 (2018): e000623. http://dx.doi.org/10.1136/bmjgh-2017-000623.

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Institutional delivery has been proposed as a method for reducing maternal morbidity and mortality, but little is known about how referral hospitals in low-resource settings can best manage the expected influx of patients. In this study, we assess the impact of an obstetric triage improvement programme on reducing hospital-based delay in a referral hospital in Accra, Ghana. An Active Implementation Framework is used to describe a 5-year intervention to introduce and monitor obstetric triage capabilities. Baseline data, collected from September to November 2012, revealed significant delays in p

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Lin, Anna, Kristine Taylor, and Ronald S. Cohen. "Triage by Resource Allocation for INpatients: A Novel Disaster Triage Tool for Hospitalized Pediatric Patients." Disaster Medicine and Public Health Preparedness 12, no. 6 (2018): 692–96. http://dx.doi.org/10.1017/dmp.2017.139.

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AbstractObjectiveTo develop a disaster triage tool for the evacuation of hospitalized neonatal and pediatric populations.MethodsWe expanded an existing neonatal disaster triage tool for the evacuation of a children’s hospital. We assessed inpatients using bedside visual assessments and chart review to categorize patients transport level based on local emergency medical services protocols and expert opinion. The tool was refined by using multiple Plan Do Study Act cycles. Primary outcome was the number of each level of transport required for hospital evacuation. Secondary outcome was improved e

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Worster, Andrew, Nicki Gilboy, Christopher M. Fernandes, et al. "Assessment of inter-observer reliability of two five-level triage and acuity scales: a randomized controlled trial." CJEM 6, no. 04 (2004): 240–45. http://dx.doi.org/10.1017/s1481803500009192.

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ABSTRACT Introduction: The Emergency Severity Index (ESI©) is an initial measure of patient assessment in the emergency department (ED). It rates patients based on acuity and predicted resource intensity from Level 1 (most ill) to Level 5 (least resource intensive). Already implemented and evaluated in several US hospitals, ESI has yet to be evaluated in a Canadian setting or compared with the fivelevel Canadian Emergency Department Triage and Acuity Scale (CTAS). Objective: To compare the inter-observer reliability of 2 five-level triage and acuity scales. Methods: Ten triage nurses, who had

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Ernesäter, Annica, Maria Engström, Inger Holmström, and Ulrika Winblad. "Incident reporting in nurse-led national telephone triage in Sweden: the reported errors reveal a pattern that needs to be broken." Journal of Telemedicine and Telecare 16, no. 5 (2010): 243–47. http://dx.doi.org/10.1258/jtt.2009.090813.

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We conducted a retrospective study of incident reports concerning the national, nurse-led telephone triage system in Sweden. The Swedish Health Care Direct organization (SHD) is staffed by registered nurses who act as telenurses and triage the callers' need for care, using a computerized decision support system. Data were collected during 2007 from all county councils that participated in the SHD and were analysed using content analysis. Incident reports were then compared concerning differences in reported categories and who reported the errors. The 426 incident reports included 452 errors. O

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Scott, Greg, Jeff Clawson, Mark C. Fivaz, et al. "Using On-scene EMS Responders’ Assessment and Electronic Patient Care Records to Evaluate the Suitability of EMD-triaged, Low-acuity Calls for Secondary Nurse Triage in 911 Centers." Prehospital and Disaster Medicine 31, no. 1 (2016): 46–57. http://dx.doi.org/10.1017/s1049023x15005567.

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AbstractIntroductionUsing the Medical Priority Dispatch System (MPDS) – a systematic 911 triage process – to identify a large subset of low-acuity patients for secondary nurse triage in the 911 center is a largely unstudied practice in North America. This study examines the ALPHA-level subset of low-acuity patients in the MPDS to determine the suitability of these patients for secondary triage by evaluating vital signs and necessity of lights-and-siren transport, as determined by attending Emergency Medical Services (EMS) ambulance crews.ObjectivesThe primary objective of this study was to det

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