Κατεύθυνση Διαχείριση Κρίσεων στον Τομέα της Υγείας
Library of the School of Health Sciences

2022-11-23

2022

Panagiotopoulou Fotini

Κακλαμάνος Ιωάννης, Καθηγητής, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Κωνσταντίνου Ευάγγελος, Καθηγητής, Τμήμα Νοσηλευτική, ΕΚΠΑ
Κατσούλας Θεόδωρος, Αναπληρωτής Καθηγητής, Τμήμα Νοσηλευτική, ΕΚΠΑ

Εκτίμηση της κλινικής αποτελεσματικότητας μέσω της εισαγωγής εργαλείων διαλογής στο Τμήμα Επειγόντων Περιστατικών (ΤΕΠ)

Greek

Evaluation of clinical effectiveness through the introduction of triage tools in the emergency department

Introduction: Five level screening scales have been used globally in Emergency Departments (EDs). They are being considered as valuable tools in nursing decision making. They are assumed to both improve the quality of care and to contribute to a more effective management of available resources.
The purpose of this study was to assess the predictive validity of the 4 internationally established 5-level screening scales, Australasian Triage Scale (ATS), Canadian Triage and Acuity Scale (CTAS), Manchester Triage System (MTS), and Emergency Severity Index (ESI).
Method:To complete the study, the selected literature was searched in the electronic databases "Pubmed" and "Google Scholar", by using the keywords: "emergency department triage systems", "emergency department triage scales ", "triage scales predictive validity ", evaluation of triage scales ", "triage scales clinical outcomes ". A total of 35 studies were used in the review.
Results: To assess the predictive validity, the correlation between the priority categories of the 4 screening scales, the following indicators were studied: patient waiting time until medical evaluation (WT), total length of stay in the ED'S (LOS), number of patients leave without being examined by a doctor (LWBS), hospital and ICU admissions (ICU), length of hospitalization (AR), mortality (MOR) and resource utilization (RU). The highest correlations were found between priority levels and mortality, frequency of hospitalization and ICU and resource use. These indicators were significantly higher in the higher categories. The correlation between the priority category and the length of stay of patients in the ED was moderate.
Conclusions: The four scales studied are valid and reliable tools for assessing the clinical severity and improving the quality of patient care in ED. Their use is supported in the literature to ensure transparency, uniformity and standardization in nursing decision making.

Health Sciences

Emergency department triage systems, Emergency department triage scales, Triage scales predictive validity, Evaluation of triage scales, Triage scales clinical outcomes.

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https://pergamos.lib.uoa.gr/uoa/dl/object/3246291