Systematic triage in the emergency department using the Australian National Triage Scale: a pilot project

European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine
R Van GervenW Sermeus

Abstract

The objective of this study was to evaluate the validity in Belgium of the National Triage Scale for judgement of the urgency of a patient's condition and making a case-mix description of the patient profiles in the different urgency categories. The study is of a descriptive retrospective and descriptive correlational design and was carried out in the emergency department at the University Hospital Gasthuisberg in Leuven, Belgium. The urgency of patients arriving at the emergency department was evaluated during one randomly selected shift a day over 12 weeks in 1997 by one of the four triage-educated nurses, using an instrument based on the National Triage Scale. Patient identification and outcome parameters were retrieved from the existing computer system. The data were mainly analysed using the Ridit analysis. Overall 3650 patients were evaluated: Category 1, 4.19%; Category 2, 24.44%; Category 3, 39.32%; Category 4, 27.97%; Category 5, 4.08%. Any similarity between sentinel diagnoses as well as between the admission percentages in this pilot study and the reference from Australia (Z = 0.827; p > 0.05) was noted. Different aspects influenced the triage nurses while determining the degree of urgency. Urgency categories profile...Continue Reading

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Citations

Apr 21, 2001·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·G A Jelinek
Mar 19, 2004·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Panos AgouridakisHelen Askitopoulou
Oct 13, 2009·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Ineke van der WulpHenk F van Stel
Mar 14, 2007·Emergency Medicine Journal : EMJ·Jolande Elshove-BolkArie B van Vugt
Oct 15, 2013·BMC Health Services Research·Rosella Levaggi, Marcello Montefiori
Jul 2, 2011·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Nasim FarrohkniaKatarina E Göransson
Feb 5, 2010·International Emergency Nursing·Katarina E Göransson, Anette von Rosen
Oct 31, 2009·Journal of Clinical Epidemiology·Henriëtte A Moll
Jul 15, 2011·Journal of Clinical Nursing·Maaike A P JanssenJoke Mintjes-de Groot
Feb 1, 2005·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Christopher M B FernandesRobert E Suter
Jan 17, 2012·Archives of Physical Medicine and Rehabilitation·Katherine E HardingMaree Stafford
Dec 20, 2011·American Journal of Epidemiology·Pamela L Lutsey
Jan 20, 2011·Deutsches Ärzteblatt International·Michael ChristElke Platz

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