Raheleh Ganjali; Reza Golmakani; Mohsen Ebrahimi; Saeid Eslami; Ehsan Bolvardi
Volume 8, Issue 2 , April 2020, , Pages 115-120
Abstract
Objective: To evaluate the accuracy of the five-level triage system using the emergency severity index (ESI) and to determine the compliance of the triage level with patient outcomes. Methods: This was a cross-sectional study which was performed in the emergency department of Imam Reza Hospital of Mashhad ...
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Objective: To evaluate the accuracy of the five-level triage system using the emergency severity index (ESI) and to determine the compliance of the triage level with patient outcomes. Methods: This was a cross-sectional study which was performed in the emergency department of Imam Reza Hospital of Mashhad during 2017. We included all the adult patients (≥15 years of age) referring to the emergency department. The data were recorded in a questionnaire containing three sections including demographic information, results of triage by ESI and final outcome of the patient. Patients referred to the triage unit were simultaneously triaged by triage nurse and some emergency medicine physicians. The triage was performed by a nurse with an emergency medicine physician (EMP) was considered as a gold standard and the outcome was compared in 24 hours later. Results: Overall, we included 400 patients with a mean age of 46.40 ± 18.52 years among whom there were 211 (52.8%) men and 189 (47.3%) women. Finally, 123 patients were hospitalized, 12 died, 256 were discharged by a physician, and 9 people left the hospital with their own consent. The calculated weight kappa was used to determine the agreement between the observers (nurse triage and physician) at 0.701 so that the agreement between the triage performed by a nurse and an EMP was in an excellent level (p<0.001). There was a significant relationship between the triage levels (determined by physicians) and the outcome of the patient (p<0.001), and the five-level system had a high overlap and significant relation with patient's outcome. Conclusion: The results of the current study revealed that the five-level triage system using the ESI has a high accuracy in triage and estimates the patient outcomes effectively and thus, could be used as an effective system in hospital triage.
Ali Bazm; Elahe Khorasani; Manal Etemadi; Hadi Nadeali
Volume 3, Issue 1 , January 2015, , Pages 16-21
Abstract
Objectives: To develop a clear criteria for classifying the patients in triage unit of a tertiary healthcare center according to five-level triage system.Methods: This study is a qualitative study being conducted in five stages at Vali-Asr Hospital of Qom in 2013. After two survey, the experts were ...
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Objectives: To develop a clear criteria for classifying the patients in triage unit of a tertiary healthcare center according to five-level triage system.Methods: This study is a qualitative study being conducted in five stages at Vali-Asr Hospital of Qom in 2013. After two survey, the experts were interviewed using focus group discussion (FDG) and study was continue with. Data were analyzed through studying the opinions of the specialized teams' members, summarizing and classifying the data in qualitative phase.Results: Changes proposed in the triage form communicated by Iran's emergency department according to the participants' opinions include informing all the patients in the emergency department of some necessary information. Therefore, three parts of medical and medicinal history, vital signs and level of consciousness were added to the first part of the form and necessary emergency facilities were also added to the third level of triage.Conclusion: Measuring each item added to the general part of the triage form provides more precise diagnosis and more scientific classification, since the level to which the patient belongs should be identified based on medical history, clinical signs and level of consciousness.
