An Expert Delphi study to derive a tool for mental health triage in emergency departments.

Emergency Medicine Journal : EMJ
Anna J Mackway-Jones, K C Mackway-Jones

Abstract

This study aimed to investigate and collate the opinions of experts regarding the triage of patients in mental health crisis presenting to EDs. A three-round e-Delphi study was conducted between November 2017 and April 2018. The panel of 28 representative experts were drawn from six stakeholder groups. 23 of the panel were clinicians working in England, while 5 were international triage experts. Experts generated 173 statements in six topic areas in the first round. 32 of these statements reached consensus in round 2. A further 20 statements reached consensus in round 3, leaving 121 statements that did not reach consensus. The consensus statements were used to develop a structured five-level triage tool where the highest level of priority was assigned to patients exhibiting extreme aggression or agitation, those requiring restraint, those at immediate risk of leaving before assessment and those who presented a high risk of self-harm or harm to others. At lower triage priorities, other factors, such as items of psychiatric history, collateral history, observations and judgements, have been identified. A broadly based, multispecialty, multiprofessional expert Delphi panel has reached consensus on 52 statements concerning the tria...Continue Reading

Citations

Aug 10, 2019·The European Physical Journal. C, Particles and Fields·A M SirunyanUNKNOWN CMS Collaboration

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