| More

Emergency Department triage systems

Views: 200 Downloads: 127
Aristea Koroni, Martha Kelesi, Ioannis Kalemikerakis, Dimitris Papageorgiou, George Vassilopoulos
Aristea Koroni, Martha Kelesi, Ioannis Kalemikerakis, Dimitris Papageorgiou, George Vassilopoulos

Abstract


Introduction: In recent decades, it is observed a significant increase in the number of patients who visit Emergency Departments (ED). Therefore, it is imperative to adopt an effective triage system.  

Aim: The aim of the present systematic review was to explore the available Triage Systems for EDs.

Material and Method: A systematic literature review in international databases (PubMed and Scopus) between January 2017 and April 2017. During the initial research 3462 articles were indetified, however only 11 met the inclusion criteria.

Results: The most common triage systems in Emergency Departments are the Australasian Triage Scale, the Canadian Emergency Department Triage and Acuity Scale (CTAS), whereas the use of the Manchester Triage System is limited mainly due to its complexity. The application of the Emergency Severity Index (ESI) tends to be increased because of its advantages compared to other systems. It is important to mention that no study has been found in Greece to explore the triage system in ED.

Conclusions: There are many scales and systems available for the effective triage in EDs and nurses play significant role in their implementation. Moreover, it is important the authorities to establish legislation in Greece so as effective triage systems to be applied in Greek hospitals.


Keywords


Triage, emergency department, triage systems, emergency severity index

Full Text:

PDF

References


Anonymous. Διαθέσιμο στοδικτυακό τόπο: http://www.merriam-webster.com/dictionary/triage (Ημερομηνία πρόσβασης: 25/06/2016).

Stergiannis P. ‘’Triage Nurses: Current Trends and Challenges.’’ Health and Research 2016, 2(2).

Guedes H, Martins J, Chianca T. ‘’Valor de predição do Sistema de Triagem de Manchester: avaliação dos desfechos clínicos de pacientes.’’ Revista Brasileira de Enfermagem 2015, 68(1), 45-51.

Gräff I., Goldschmidt B., Glien P., Bogdanow M., Fimmers R., Hoeft A, et al. ‘’The German Version of the Manchester Triage System and Its Quality Criteria – First Assessment of Validity and Reliability.’’ PLoS ONE 2014, 9(2), e88995.

Chamberlain D., Willis E., Clark R., Brideson G. Identification of the severe sepsis patient at triage: a prospective analysis of the Australasian Triage Scale. Emergency Medicine Journal 2014, 32(9),. 690-697.

Ebrahimi M., Heydari A., Mazlom R., Mirhaghi A. ‘’The reliability of the Australasian Trige Scale: a meta-analysis.’’ World Journal of Emergency Medicine 2015, 6(2): 94.

Alquraini M, Awad E, Hijazi R. Reliability of Canadian Emergency Department Triage and Acuity Scale (CTAS) in Saudi Arabia.. International Journal of Emergency Medicine. 2015; 8(1).

Mirhaghi A, Ebrahimi M, Heydari A, Mazlom R. The reliability of the Canadian triage and acuity scale: Meta-analysis.. North American Journal of Medical Sciences. 2015; 7(7): p. 299-305.

Arafat A., Al-Farhan A., Abu Khalil H. ‘’Implementation of the Canadian Emergency Department Triage and Acuity Scale (CTAS) in an Urgent Care Center in Saudi Arabia.’’ International Journal of Emergency Medicine 2016, 9(1), 17.

Jordi K., Grossmann F., Gaddis G., Cignacco E., Denhaerynck K., Schwendimann R., et al. ‘’Nurses’ accuracy and self-perceived ability using the Emergency Severity Index triage tool: a cross-sectional study in four Swiss hospitals.’’ Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2015, 23(1).

Maleki M., Fallah R., Riahi L., Delavari S., Rezaei S. ‘’Effectiveness of Five-Level Emergency Severity Index Triage System Compared With Three-Level Spot Check: An Iranian Experience.’’ Archives of Trauma Research 2015, 4(4).

Jafari-Rouhi A., Sardashti S., Taghizadieh A., Soleimanpour H., Barzegar M. ‘’The Emergency Severity Index, version 4, for pediatric triage: a reliability study in Tabriz Children’s Hospital, Tabriz, Iran.’’ International Journal of Emergency Medicine 2013, 6(1): 36.

Hong K., Shin S., Ro Y., Song K., Singer A. “Development and validation of the excess mortality ratio–based Emergency Severity Index.’’ The American Journal of Emergency Medicine 2012, 30(8): 1491-1500.


Refbacks

  • There are currently no refbacks.


Health and Research Journal