Reduced overtriage and undertriage with a new triage system in an urban accident and emergency department in Botswana: A cohort study

Emergency Medicine Journal

Volumn 31, Issue 5, 2014, Pages 356-360

  Mullan, Paul C ^a   Torrey, Susan B ^b   Chandra, Amit ^c   Caruso, Ngaire ^c   Kestler, Andrew ^d  

^a GEORGE WASHINGTON UNIVERSITY   (United States)

^b NEW YORK UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c UNIVERSITY OF BOTSWANA   (Botswana)

^d UNIVERSITY OF BRITISH COLUMBIA   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ACCIDENT; BOTSWANA; COHORT ANALYSIS; EMERGENCY HEALTH SERVICE; EMERGENCY WARD; HOSPITAL ADMISSION; HOSPITAL PATIENT; HUMAN; INJURY SEVERITY; INTENSIVE CARE UNIT; MAJOR CLINICAL STUDY; MORTALITY; NOTE; NURSE; PRIORITY JOURNAL; RETROSPECTIVE STUDY; URBAN AREA; ADOLESCENT; ADULT; AGED; CHILD; FEMALE; HOSPITAL; HOSPITALIZATION; INFANT; MALE; MIDDLE AGED; NEWBORN; ORGANIZATION AND MANAGEMENT; PATIENT ACUITY; PRESCHOOL CHILD; TREATMENT OUTCOME; YOUNG ADULT;

ADOLESCENT; ADULT; AGED; BOTSWANA; CHILD; CHILD, PRESCHOOL; COHORT STUDIES; EMERGENCY SERVICE, HOSPITAL; FEMALE; HOSPITALIZATION; HOSPITALS, URBAN; HUMANS; INFANT; INFANT, NEWBORN; MALE; MIDDLE AGED; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); PATIENT ACUITY; TRIAGE; YOUNG ADULT;

EID: 84901688955     PISSN: 14720205     EISSN: 14720213     Source Type: Journal    
DOI: 10.1136/emermed-2012-201900     Document Type: Note

References (12)

1. Bateman C. New triage system halves mortalities. S Afr Med J 2006;96:770-2. (Pubitemid 44463052)
2. Hodkinson PW, Wallis LA. Emergency medicine in the developing world: a Delphi study. Acad Emerg Med 2010;17:765-74.
3. Twomey M, Mullan PC, Torrey SB, et al. The Princess Marina Hospital accident and emergency triage scale provides highly reliable triage acuity rating. Emerg Med J 2012 Aug;29:650-3.
4. Molyneux E, Ahmad S, Robertson A. Improved triage and emergency care for children reduces inpatient mortality in a resource-constrained setting. Bull World Health Organ 2006;84:314-19.
5. Gottschalk SB, Wood D, DeVries S, et al., Cape Triage Group. The Cape Triage Score: a new triage system South Africa. Proposal from the Cape Triage Group. Emerg Med J 2006;23:149-53.
6. Bruijns SR, Wallis LA, Burch VC. A prospective evaluation of the Cape triage score in the emergency department of an urban public hospital in South Africa. Emerg Med J 2008;25:398-402. (Pubitemid 351998327)
7. Emergency Medicine Society of South Africa - Practice Guideline EM 014 - Implementation of the South African Triage Scale. http://emssa.org.za/documents/ em014.pdf (accessed 6 Jun 2012).
8. Bruijns SR, Wallis LA, Burch VC. Effect of introduction of nurse triage on waiting times in a South African emergency department. Emerg Med J 2008;25:395-7. (Pubitemid 351998326)
9. Wuerz RC, Travers D, Gilboy N, et al. Implementation and refinement of the emergency severity index. Acad Emerg Med 2001;8:170-6. (Pubitemid 32125339)
10. Moll HA. Challenges in the validation of triage systems at emergency departments. J Clin Epidemiol 2010;63:384-8.
11. American College of Surgeons. Resources for the optimal care of the injured patient. American College of Surgeons, 1999.
12. Wuerz RC, Milne LW, Eitel DR, et al. Reliability and validity of a new five-level triage instrument. Acad Emerg Med 2000;7:236-42. (Pubitemid 30133936)