Emergency department triage revisited

Emergency Medicine Journal

Volumn 27, Issue 2, 2010, Pages 86-92

  FitzGerald, Gerard ^a   Jelinek, George A ^b,c   Scott, Deborah ^a,d   Gerdtz, Marie Frances ^c  

^a QUEENSLAND UNIVERSITY OF TECHNOLOGY   (Australia)

^b UNIVERSITY OF WESTERN AUSTRALIA   (Australia)

^c UNIVERSITY OF MELBOURNE   (Australia)

^d Queensland Injury Surveillance Unit   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

EDUCATION; EMERGENCY HEALTH SERVICE; EMERGENCY MEDICINE; EMERGENCY WARD; ENVIRONMENTAL FACTOR; FUNDING; HEALTH CARE QUALITY; HOSPITAL ADMISSION; HUMAN; MEDICAL DECISION MAKING; MEDICAL DOCUMENTATION; NURSE TRAINING; PRACTICE GUIDELINE; PRIORITY JOURNAL; QUALITY CONTROL; RESEARCH; REVIEW;

EMERGENCY MEDICINE; EMERGENCY SERVICE, HOSPITAL; HUMANS; TRIAGE;

EID: 76749140821     PISSN: 14720205     EISSN: 14720213     Source Type: Journal    
DOI: 10.1136/emj.2009.077081     Document Type: Review

References (69)

1. FitzGerald GJ. Emergency department triage: a thesis accepted for the degree of Doctor of Medicine. Brisbane: University of Queensland, 1990.
2. Jelinek GA. Casemix classification of patients attending hospital emergency departments in Perth, Western Australia. Development and evaluation of an urgencybased casemix information system for emergency departments: a thesis accepted for the degree of Doctor of Medicine. Perth, Australia: University of Western Australia, 1995.
3. Mackway-Jones Ke. Emergency triage: Manchester Triage Group. London: BMJ Publishing Group, London, UK, 1997.
4. Beveridge R. CAEP issues. The Canadian Triage and Acuity Scale: a new and critical element in health care reform. Canadian Association of Emergency Physicians. J Emerg Med 1998;16:507-11.
5. Kelly AM, Bryant M, Cox L, et al. Improving emergency department efficiency by patients streaming to outcome based teams. Aust Health Rev 2007;31:16-21.
6. Ieraci S, Digiusto E, Sonntag P, et al. Streaming by case complexity: evaluation of a model for emergency department fast track. Emerg Med Australas 2008;20:241-9.
7. Weinerman ER, Ratner RS, Robbins A, et al. Yale studies in ambulatory care V. Determinants of use of hospital emergency services. Am J Public Health 1966;56:1037-53.
8. ACEM Standing Committee. National Triage Scale. Emerg Med (Fremantle) 1994;6:145-6.
9. Jelinek GA, Little M. Interrater-reliability of the National Triage Scale over 11,500 simulated occasions of triage. Emerg Med (Fremantle) 1996;8:226-30.
10. Hollis G, Sprivulus P. Reliability of the National Triage Scale with changes in emergency department activity level. Emerg Med (Fremantle) 1997;9:283-8.
11. Dilley S, Standen P. Victorian triage nurses demonstrate concordance in the application of the National Triage Scale. Emerg Med (Fremantle) 1998;10:12-8.
12. Considine J, Ung L, Thomas S. Clinical decisions using the National Triage Scale: how important is postgraduate education? Accid Emerg Nurs 2001;9:101-8.
13. Gerdtz MF, Bucknall TK. Influence of task properties and subjectivity on consistency of triage: a simulation study. J Adv Nurs 2007;58:180-90.
14. Gerdtz MF, Collins M, Chu M, et al. Optimizing triage consistency in Australian emergency departments: the Emergency Triage Education Kit. Emerg Med Australas 2008;20:250-9.
15. ACEM. Policy on the Australasian Triage Scale. ACEM, Melbourne, Australia, 2006.
16. SCRGSP (Steering Committee for the Review of Government Service Provision). Report on Government Services 2009. Canberra: Productivity Commission, 2009.
17. Cameron P, Kennedy M, McNeil JJ. The effects of bonus payments on emergency service performance in Victoria. Med J Aust 1999;171:243-6.
18. Jelinek GA, Baggoley C. Financial incentives to change emergency service performance. Med J Aust 1999;171:231-2.
19. Bullard MJ, Unger B, Spence J, et al. Revisions to the Canadian Emergency Department Triage and Acuity Scale (CTAS) adult guidelines. CJEM 2008;10:136-51.
20. Murray M, Bullard M, Grafstein E. Revisions to the Canadian Emergency Department Triage and Acuity Scale implementation guidelines. CJEM 2004;6:421-27.
21. Stobbe K, Dewar D, Thornton C, et al. Canadian Emergency Department Triage and Acuity Scale (CTAS): rural implementation statement. CJEM 2003;5:104-7.
22. Dong SL, Bullard MJ, Meurer DP, et al. Reliability of computerised emergency triage. Acad Emerg Med 2006;13:269-75.
23. Dong SL, Bullard MJ, Meurer DP, et al. Emergency triage: comparing a novel computer triage program with standard triage. Acad Emerg Med 2005;12:502.
24. Levin S, France D, Mayberry RS, et al. The effects of computerized triage on nurse work behavior. AMIA Annu Symp Proc 2006:1005-5.
25. van Veen M, Steyerberg E, Ruige M, et al. Manchester triage system in paediatric emergency care: prospective observational study. BMJ 2008;337:a1501.
26. Fernandes CM, Tanabe P, Gilboy N, et al. Five level triage: a report from the ACEP/ENA five-level task force. J Emerg Nurs 2005;31:39-50.
27. Wuertz RC, Milne LW, Eitel DR, et al. Reliability and validity of a new five-level triage instrument. Acad Emerg Med 2001;7:236-42.
28. Fernandes CM, Tanabe P, Bonalumi N, et al. Emergency department triage: why we need a research agenda. Ann Emerg Med 2005;46:204-5.
29. Goransson KE, Ehrenberg A, Marklund B, et al. Emergency department triage: is there a link between nurses' personal characteristics and accuracy in triage decisions? Accid Emerg Nurs 2006;14:83-8.
30. Goransson K, Ehrenberg A, Ehnfors M. A national survey of emergency department triage in Sweden. AMIA Annu Symp Proc 2003:851.
31. Jimanez JG, Murray MJ, Beveridge R, et al. Implementation of the Canadian Emergency Department Triage and Acuity Scale (CTAS) in the Principality of Andorra: can triage parameters serve as emergency department quality indicators? CJEM 2003;5:315-22.
32. Wulp I, Baar M, Schijuers A. Reliability and validity of the Manchester Triage System in a general emergency department patient population in the Netherlands: result of a simulation study. Emerg Med J 2008;25:431-4.
33. Kyranou M, Geogiadis G, Tsiuiki A. Implementing the Emergency Severity Index triage system in the homeland of Hippocrates (conference abstract). J Emerg Nurs 2005;31:428.
34. Rogers IR, Evans L, Jelinek GA, et al. Using clinical indicators in emergency medicine: documenting performance improvements to justify increased resource allocation. J Accid Emerg Med 1999;16:319-21.
35. Goransson KE, Ehnfors M, Fonteyn ME, et al. Thinking strategies used by Registered Nurses during emergency department triage. J Adv Nurs 2008;61:163-72.
36. Travers D, Waller A, Bowley J, et al. A five level triage system more effective than three level systems in tertiary emergency departments. J Emerg Nurs 2002;28:395-400.
37. Manos D, Petrie DA, Beveridge RC, et al. Inter-observer agreement using the Canadian Emergency Department Triage and Acuity Scale. CJEM 2002;4:16-22.
38. Wuerz R, Fernandes CM, Alarcon J. Inconsistency of emergency department triage. Emergency Department Operations Research Working Group. Ann Emerg Med 1998;32:431-5.
39. Worster A, Gilboy N, Fernandes CM, et al. Assessment of inter-observer reliability of two five-level triage and acuity scales: a randomized controlled trial. CJEM 2004;6:240-5.
40. Fernandes CM, Wuerz R, Clark S, et al. How reliable is emergency department triage? Ann Emerg Med 1999;34:141-7.
41. Goransson K, Ehrenberg A, Marklund B, et al. Accuracy and concordance of nurses in emergency department triage. Scand J Caring Sci 2005;19:432-8.
42. Nakagawa J, Ouk S, Schwartz B, et al. Interobserver agreement in emergency department triage. Ann Emerg Med 2003;41:191-5.
43. Grafstein E, Innes G, Westman J, et al. Inter-rater reliability of a computerized presenting-complaint-linked triage system in an urban emergency department. CJEM 2003;5:323-9.
44. Beveridge R, Ducharme J, Janes L, et al. Reliability of the Canadian Emergency Department Triage and Acuity Scale: interrater agreement. Ann Emerg Med 1999;34:155-9.
45. Salk E, Scgriger D, Hubbell K, et al. Effect of visual cues, vital signs and protocols on traige: a prospective randomised crossover trial. Ann Emerg Med 1998;32:655-64.
46. Worster A, Sando A, Fernandes CM, et al. Triage tool inter-rater reliability using live cases versus paper case scenarios. J Emerg Nurs 2007;33:319-23.
47. Considine J, LeVasseur SA, Villanueva E. The Australasian Triage Scale: examining emergency department nurses' performance using computer and paper scenarios. Ann Emerg Med 2004;44:516-23.
48. Rutschmann OT, Kossovsky M, GeissbÃhler A, et al. Interactive triage simulator revealed important variability in both process and outcome of emergency triage. J Clin Epidemiol 2006;59:615-21.
49. Jelinek GA. Triage: coming of age. Emerg Med Australas 2008;20:196-8.
50. Richardson D. No relationship between emergency department activity and triage categorisation. Emerg Med (Fremantle) 1998;5:141-5.
51. Raper J, Davis BA, Scott L. Patient satisfaction with emergency department triage nursing care: a multicenter study. J Nurs Care Qual 1999;13:11-24.
52. Atack L, Rankin J, Then K. Effectiveness of a 6 week on-line course in the Canadian Triage and Acuity Scale for emergency nurses. J Emerg Nurs 2005;31:436-41.
53. Travers JP, Lee FC. Avoiding prolonged waiting time during busy periods in the emergency department: is there a role for the senior emergency physician in triage? Eur J Emerg Med 2006;14:342-8.
54. Hoyroyd B, Bullard M, laroszek K, et al. Impact of a triage liaison physician on emergency department overcrowding and throughput: a randomised controlled trial. Acad Emerg Med 2007;14:702-8.
55. Terris J, Leman P, O'Connor N, et al. Making an IMPACT on emergency department flow: improving patient processing assisted by consultant at triage. Emerg Med J 2004;21:537-41.
56. Han J, France D, Levin S, et al. The effect of physician triage on emergency department length of stay. J Emerg Med, Accepted for publication.
57. Durojaiye L, O'Meara M. A study of triage of paediatric patients in Australia. Emerg Med (Fremantle) 2002;14:67-76.
58. Sadeghi S, Barzi A, Sadeghi N, et al. A Bayesian model for triage decision support. Int J Med Inf 2006;75:403-11.
59. Chung JY. An exploration of Accident and Emergency nurse experience of triage decision making in Hong Kong. Accid Emerg Nurs 2005;13:206-13.
60. Duckett SJ, Jackson T. Paying for hospital emergency care under a single-payer system. Ann Emerg Med 2001;37:337-9.
61. Mizek R, Phiri W. Australasian Triage Scale: consumer perceptions. Emerg Med Australas 2005;17:212-17.
62. O'Brien D, Williams A, Blondell K, et al. Impact of streaming "fast track" emergency department patients. Aust Health Rev 2006;30:525-32.
63. Kosowsky JM, Shindel S, Liu T, et al. Can emergency department triage nurses predict patients' dispositions? Am J Emerg Med 2001;19:10-14.
64. Vertesi L. Does the Canadian Emergency Department Triage and Acuity Scale identify non-urgent patients who can be triaged away from the emergency department? CJEM 2004;6:337-42.
65. Schull M, Kiss A, Szalai J. The effect of low-complexity patients on emergency departments waiting times. Ann Emerg Med 2007;49:257-64.
66. Field S, Lantz A. Emergency department use by CTAS levels IV and V patients. CJEM 2006;8:317-22.
67. Jelinek GA. Towards an International Triage Scale. Eur J Emerg Med 2001;8:1-2.
68. McNair R, Gurney D. It takes more than string to fly a kite: five level acuity scales are effective but education clinical expertise and compassion are still essential. J Emerg Nurs 2005;31:600-3.
69. Cooper RJ. Emergency department triage: why we need a research agenda. Ann Emerg Med 2004;44:524-6.