The nurse triage process in an accident and emergency (A&E) department was audited as part of the nursing quality assurance programme. It was found that in most cases documentation was adequate and guidelines had been adhered to. Triage decisions were accurate in most cases using the discharge diagnosis as a bench-mark. Waiting time improvements were also seen. Triage audit was a useful tool in...

BACKGROUND Siriraj Hospital is a busy 2500-bed hospital located in Bangkok, Thailand It has over 1.7 million outpatients, including 120,000 emergency room visits a year, 20,000 of which are pediatric patients. The Pediatric Triage (Pedtriage) system has been in used since the year 2001, but the factors that affect the performance of triage nurse have not been evaluated. OBJECTIVE To compare t...

background: long wait time interval in emergency department (ed) of hospitals, from the patients’ point of view in ed is a major problem causing patients’ dissatisfaction and may result increasing in patient morbidity and indirectly nurses dissatisfaction. evaluation of wait time intervals in ed and giving nursing feedback may improve the quality of services, as well as patient satisfaction. th...

OBJECTIVES The computer-assisted version of a self-triage tool (ca-ISET) for an ophthalmic emergency department (ED) was developed to increase the validity of the triage procedure when trained ED staff is absent. METHODS We tested whether sensitivity, specificity, Negative Predictive Value (NPV) and Positive Predictive Value (PPV) of the ca-ISET deviated from regular triage. Patients ≥18 year...

STUDY OBJECTIVES To investigate whether the greater urgency assigned to accident and emergency patients by triage nurses than by accident and emergency doctors was uniform across all patient groups. DESIGN Patients attending an accident and emergency department between 8.00 am and 9.00 pm over a six week period were assessed prospectively for degree of urgency by triage nurses, and retrospect...

The transformation from fetus to neonate represents a series of rapid and dramatic physiologic changes during which the placenta is replaced by the lungs as the primary organ of gas exchange. The transition goes smoothly most of the time; however, in human medicine (we do not know in equine medicine), approximately 10% of the time active intervention of a skilled individual or team is necessary...

Triage in emergency departments is often complex and subject to conditions of uncertainty. The need for timely and accurate clinical assessment based on restricted and ambiguous information; the need to be consistent with standard triage scale and the stressful environment contribute to complexity and uncertainty of triage decision-making. This paper proposes a model for mobile decision support...

OBJECTIVE To assess the performance of the newly implemented Canadian Emergency Department Triage and Acuity Scale (CTAS) triage system in a redesigned 200-bed community hospital emergency department (ED) and to evaluate the predictive validity of CTAS in this setting. METHODS Triage system performance was analyzed on the basis of 4 quality indicators: time to triage; triage duration; proport...

CONTEXT The main objectives of triage are securing patient safety during the process of emergency diagnosis and treatment, and reduction of waiting time for medical services and transport. To date, there is no triage system for nerve agent victims. EVIDENCE ACQUISITION This systematic review proposes a new triage system for patients exposed to nerve agents. Information regarding clinical sign...

Background The purpose of triage is to prioritize patients and identify those who need immediate attention. Primary triage is attempted by the coordinating physician at the Emergency Department (ED) based primarily on the patient’s vital parameters (blood pressure, heart rate, oxygen saturation, respiration rate and body temperature) received by phone from the referring party, i.e. paramedics o...