Modern Triage in the Emergency Department.
Background: Because the volume of patient admissions to an emergency department (ED) cannot be precisely planned, the available resources may become overwhelmed at times ("crowding"), with resulting risks for patient safety. The aim of this study is to identify modern triage instruments and assess t...
| Publicado en: | Deutsches Ärzteblatt International Vol. 107; no. 50; pp. 892 - 899 |
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| Autores principales: | , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Deutscher Aerzte-Verlag GmbH
12/17/2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104591732&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104591732 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18660452 5F0N jtl: Deutsches Ärzteblatt International issn: 18660452 maglogo: N pubinfo: dt: 12/17/2010 vid: 107 iid: 50 pid: 25312 pub: Deutscher Aerzte-Verlag GmbH artinfo: ui: 104591732 66637351 10.3238/arztebl.2010.0892 104591732 ppf: 892 ppct: 7 formats: fmt: @attributes: type: T tig: atl: Modern Triage in the Emergency Department. aug: au: Christ, Michael Grossmann, Florian Winter, Daniela Bingisser, Roland Platz, Elke affil: Interdisziplinäre Notaufnahmen, Klinikum Nürnberg sug: subj: Triage Methods Crowding Prevention and Control Nursing Role Patient Safety Human Germany Medline Scales Clinical Assessment Tools ab: Background: Because the volume of patient admissions to an emergency department (ED) cannot be precisely planned, the available resources may become overwhelmed at times ("crowding"), with resulting risks for patient safety. The aim of this study is to identify modern triage instruments and assess their validity and reliability. Methods: Review of selected literature retrieved by a search on the terms "emergency department" and "triage." Results: Emergency departments around the world use different triage systems to assess the severity of incoming patients' conditions and assign treatment priorities. Our study identified four such instruments: the Australasian Triage Scale (ATS), the Canadian Triage and Acuity Scale (CTAS), the Manchester Triage System (MTS), and the Emergency Se verity Index (ESI). Triage instruments with 5 levels are superior to those with 3 levels in both validity and reliability (p<0.01). Good to very good reliability has been shown for the best-studied instruments, CTAS and ESI (?-statistics: 0.7 to 0.95), while ATS and MTS have been found to be only moderately reliable (?-statistics: 0.3 to 0.6). MTS and ESI are both available in German; of these two, only the ESI has been validated in German-speaking countries. Conclusion: Five-level triage systems are valid and reliable methods for assessment of the severity of incoming patients' conditions by nursing staff in the emergency department. They should be used in German emergency departments to assign treatment priorities in a structured and dependable fashion. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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