Relevant bibliographies by topics / Triage

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Triage'

Author: Grafiati
Published: 4 June 2021
Last updated: 4 March 2023

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Journal articles on the topic "Triage"

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Simonson, Richard J., Joseph R. Keebler, Rosemarie Fernandez, Elizabeth H. Lazzara, and Alex Chaparro. "Over Triage: Injury Classification Mistake or Hindsight Bias?" Proceedings of the International Symposium on Human Factors and Ergonomics in Health Care 11, no. 1 (October 2022): 7–12. http://dx.doi.org/10.1177/2327857922111001.

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Patient triage is a critical stage in providing patients with the appropriate level of care required. Multiple metrics are considered in determining appropriate triage at the time of assessment. Due to the complexity of healthcare intervention, patients are often under- or over-triaged. Initiatives to reduce incorrect triages have been developed and implemented. These initiatives, however, may be based on hindsight bias and subsequently result in inaccurate assessments of triage accuracy and lead to improper triage-based education initiatives. This submission proposes the application of the SEIPS framework as a method of mitigating challenges introduced in the triage accuracy assessments due to this potential hindsight bias.
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Ure, Andrew. "Investigating the effectiveness of virtual treatment via telephone triage in a New Zealand general practice." Journal of Primary Health Care 14, no. 1 (March 3, 2022): 21–28. http://dx.doi.org/10.1071/hc21125.

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Introduction Telemedicine, including telephone triage, is increasingly being used in New Zealand general practices. Telephone triage involves diverting requests for same-day healthcare to a phone system where presenting complaints are explored only sufficiently to identify the most appropriate management pathway. Aim To assess the rates of repeat triage among general practice patients treated virtually via phone and compare these with outcomes for patients who were dealt with in person. Method 6 weeks of clinical telephone triage data were collected for Gore Medical Centre. Comparisons were made for patients treated virtually or in person, for whether complaints were a respiratory issue or not, and for whether their triage represented incomplete resolution of a previously triaged health complaint. To do this, patient notes for the 7 days prior to the phone triage were reviewed for medical consultations related to the same condition. Results Over 6 weeks, 455 telephone triages took place at the Gore Medical Centre: 133 triage phone calls resulted in 132 (29%) patients being treated virtually. Over the 6 study weeks, 19 virtually treated triage patients phoned again for further care of the same problem within 7 days (14%) while 23 patients (7%) who had been triaged to in person assessment also sought further care within 7 days. This difference was statistically significant (P < 0.05). There was no statistical difference in re-triage rates between Māori and non-Māori. Young age was a significant predictor for likelihood of re-triage. Discussion Virtual treatment via telephone triage at Gore Medical Centre resulted in a statistically increased likelihood of re-triage within 7 days compared with in person treatment. This raises questions about the efficacy of virtual treatment via telemedicine compared with in person treatment after triage.
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Huriani, Emil, Fitri Mailani, and Vebby Fitri Nur’arita. "The Role of Preceptor and Knowledge of Students on Triage Skills in The Emergency Unit." Jurnal Smart Keperawatan 9, no. 2 (December 20, 2022): 82. http://dx.doi.org/10.34310/jskp.v9i2.637.

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Nurse profession students are required to have skills in triage. So that when students do triage, there will be no over-triage and under-triage. This study aimed to determine the relationship between the preceptor role and knowledge of nursing profession students' perceptions of triage skills. This study was a descriptive-analytic study using a cross-sectional approach. The sampling technique used a consecutive sampling technique where the research was conducted for one month. The number of respondents in this study was 84 students of the nursing profession. Data were collected using instruments preceptor role questionnaire (PRQ), triage knowledge questionnaire (TKQ), and triage skill questionnaire (TSQ). Analysis of the research data showed that 58.3% of the students' preceptor roles were good, 53.6% had sufficient triage knowledge, and 58.3% of students perceived their triage skills to be good. There were significant correlations between the preceptor's role and expertise with the perception of triage skills of nursing profession students with a p-value <0.05. It is recommended to improve the knowledge and skills of professional nursing students through lectures on triage using a role-play or scenario learning system to enhance the knowledge and skills of triage students of the nursing profession.Keywords: triage skills; preceptor role; knowledgePeran Pembimbing dan Pengetahuan Terhadap Keterampilan Triase Mahasiswa di Instalasi Gawat DaruratABSTRAKMahasiswa program profesi ners dituntut untuk kompeten dalam melakukan keterampilan triase sehingga terhindar dari kesalahan dalam melakukan triase seperti over triage dan under triage. Tujuan penelitian ini adalah untuk mengidentifikasi hubungan peran preseptor dan pengetahuan dengan keterampilan triase pada mahasiswa program profesi ners. Desain penelitian adalah deskriptif analitik dengan pendekatan cross-sectional study. Jumlah sampel adalah 84 orang mahasiswa program profesi ners yang praktek di Instalasi Gawat Darurat salah satu rumah sakit di Kota Padang. Instrumen penelitian yang digunakan yaitu Preceptor Role Questionnaire (PRQ), Triage Knowledge Questionnaire (TKQ), dan Triage Skill Questionnaire (TSQ). Analisis statistik yang digunakan adalah uji Chi-square. Hasil penelitian menunjukkan bahwa peran preseptor baik (58,3%), pengetahuan triase cukup (53,6%), dan keterampilan triase mahasiswa baik (58,3%). Peran preseptor dan pengetahuan berhubungan dengan keterampilan triase mahasiswa program profesi ners dengan (p < 0,05). Disarankan agar institusi pendidikan menerapan metode pembelajaran role play atau skenario untuk perkuliahan mengenai triase agar dapat meningkatkan pengetahuan dan keterampilan triase mahasiswa program profesi ners. Kata Kunci: keterampilan triase, peran preseptor, pengetahuan
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Kumar, R., S. Bhoi, S. Chauhan, T. P. Sinha, G. Adhikari, G. Sharma, and K. Shyamla. "(A264) Does the Implementation of Start Triage Criteria in the Emergency Department Reduce Over- and under-Triage of Patients?" Prehospital and Disaster Medicine 26, S1 (May 2011): s72—s73. http://dx.doi.org/10.1017/s1049023x11002482.

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BackgroundAppropriate triage shortens the delay in definitive care. this study examined whether the implementation of START triage criteria in emergency departments (ED) reduces over- and under-triage of patients. The purpose of this study was to examine the impact of START triage criteria on over and under-triage subjects.MethodsThe study was performed between 01 January to 15 September 2008. All patients presenting to the ED were recruited. A triage nurse tagged the patients with a red, yellow, and or green wristband, as per START triage protocol. Over-triage was defined as patients who were re-triaged from red (R) to yellow (Y) or Y to green (G) within 30 minutes of arrival. Under-triage was defined as patients re-triaged from Y to R or G to Y within 30 minutes of arrival.ResultsOf 25,928 patients, triage was performed for 25,468 (98.2%) subjects. A total of 8,303 were triaged during the morning shift, 6,994 during the evening shift, and 9,978 during the night shift. A total of 1,431 (5.6%) subjects were tagged as R, 10,634 (41.7%) with Y, and 13,424 (52.7%) were tagged as G. Four hundred seventy-four (1.9%) patients were over-triaged. Two hundred twenty (0.9%) were under-triaged.ConclusionsThe START triage criteria reduce over- and under-triage of patients.
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Astuti, Zulmah, Misbah Nurjannah, and Dwi Widyastuti. "Studi Fenomenologi:Peran perawat Dalam Penetapan Level Triase." Care : Jurnal Ilmiah Ilmu Kesehatan 6, no. 2 (July 2, 2018): 131. http://dx.doi.org/10.33366/cr.v6i2.887.

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Triase adalah proses pengumpulan informasi dari pasien, mengkategorikan dan memprioritaskan kondisi pasien dan merupakan bagian dari upaya manajemen patient safety di rumah sakit khususnya di Instalasi gawat darurat. Model triase yang banyak di gunakan di Dunia termasuk di Indonesia adalah triase lima level yang menempatkan pasien pada lima prioritas yaitu Resucitation, Emergent, Urgent, Nonurgent, Referred. Triase secara otonomi dilakukan oleh perawat yang teregistrasi dan telah mengikuti pelatihan khusus triase. di Indonesia, triase lima level telah digunakan di Rumah sakit umum dan evaluasi terkait pelaksanaannya masih belum banyak terpublikasi. Peran perawat dalam proses triase termasuk hal yang baru dan memerlukan pegkajian lebih mendalam terkait pengalaman perawat terhadap penetapan level triase. Penelitian kuaitatif fenomenologi desktriptif dilakukan pada enam partisipan yang merupakan perawat instalasi gawat darurat yang bekerja di ruang Triase, wawancara mendalam dilakukan dan hasil wawancara di transkrip dan dinalisis menggunakan metode Miles and Huberman (1994). Hasil penelitian didapatkan tiga tema besar yaitu level triase berdasarkan pengkajian primer, perawat belum mandiri, kolaborasi dokter dan perawat. Pelaksanaan triase belum menjadi tindakan mandiri perawat dan merupakan bagian dari tim triase dimana keputusan triase masih bergantung pada dokter. Diperlukan penelitian lebih lanjut terkait efisiensi dan efektifitas pelaksanaan triase oleh perawat di intalasi gawat darurat Abstract Triage is the process of collecting information from patients, categorizing and prioritizing the patient's condition and is part of patient safety management efforts in hospitals, especially in emergency departments. The triage model widely used in the World including Indonesia is a five-level triage that places patients on five priorities: Resucitation, Emergent, Urgent, Nonurgent, Referred. Triage is autonomously performed by registered nurses and has attended special triage training. In Indonesia, a triage of five levels has been used in public hospitals and evaluations related to their implementation have not been widely publicized. The role of nurses in the triage process is novel and requires a more in-depth review of nurses' experience of establishing triage levels. A qualitative study of descriptive phenomenology was performed on six participants who were nurses who worked in the Triage room. Research was conducted by conducting in-depth interviews and the results were analyzed using Miles and hubermen (1997). The research results obtained three major themes namely the level of triage based on the primary assessment, nurses have not been independent, collaboration of doctors and nurses. Implementation of triage has not been a self-sustaining act of nurses and is part of the triage team where triage decisions are still dependent on physicians. Further research is needed regarding the efficiency and effectiveness of triage implementation by nurses in emergency department
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Styrwoldt, E. "(P1-37) Over and Undertriage in Simulation Exercises." Prehospital and Disaster Medicine 26, S1 (May 2011): s110. http://dx.doi.org/10.1017/s1049023x11003694.

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Over and undertriage in simulation exercises Introduction The first healthcare personnel arriving at the scene of an accident or major incident is often an ambulance crew. It is therefore of importance that they are familiar with, and can practice triage during situations were there is a lack of resources. Overtriage, when a casualty is given a priority higher than motivated, may lead to inadequate use of resources, while undertriage can be seen as a risk for medical errors. There is a consensus that up to 50% overtriage is accepted in order to have an undertriage, which is less than 5%. The aim of this study was to increase knowledge regarding prehospital personnel's triage during standardized simulation exercises.Material and Method76 standardized simulation exercises where the triage of casualties was evaluated. The exercises were part of a training program for medical command and control at scene. The students trained were all professional ambulance crew. The scenario was a fire at a football stand with 50 causalities. All in all 3800 (76 x 50) triages were performed. The simulation system used was Emergo Train System. Prior to the exercises an expert group had triaged the causalities according to the MIMMS system (sieve). Of the 50 patients 15 were triaged as T1 by the expert group and the rest were not.ResultsOf the 3800 triages 37% (n = 410) were classified as undertriage and 13% (n = 134) as overtriage. The most frequently undertriage casualties had an airway and/or breathing problem that were not observed. The most frequently overtriage casualties had a burn injury involving 30% of body surface area or unconscious casualties.ConclusionsTriage in this simulation setting did not meet acceptable standards. More triage training for ambulance crew may improve outcome. More studies are needed regarding simulation exercises as a tool for evaluating results of triage.
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Minggawati, Zustantria Agustin, Achmad Faried, and Ayu Prawesti Priambodo. "Perbandingan Metode Triase Modifikasi Empat Tingkat Dengan Triase Lima Tingkat Emergency Severity Index (ESI) Berdasarkan Tingkat Akurasi di RSUD Cibabat." Jurnal Kesehatan Aeromedika 4, no. 2 (September 30, 2018): 71–75. http://dx.doi.org/10.58550/jka.v4i2.61.

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Keputusan triase harus tepat, akurat dan cepat karena akan mengancam keselamatan pasien. Sistem triase saat ini berbeda-beda. Sistem triase yang dianjurkan yaitu triase lima tingkat Emergency Severity Index (ESI) yang lebih akurat, mudah dipahami, mudah diaplikasi, mengurangi subjektifitas, dan sederhana dalam penggunaanya. RSUD Cibabat menggunakan triase empat tingkat modifikasi ATS yang belum dievaluasi tingkat keakuratannya. Tujuan penelitian ini yaitu mengetahui perbandingan metode triase empat tingkat modifikasi ATS dan metode triase lima tingkat ESI berdasarkan tingkat akurasi. Triase merupakan pemilahan, pengelompokkan pasien berdasarkan tingkat kegawatannya. Design penelitian yaitu cross over quasi eksperimental dengan 38 kegiatan triase baik kelompok kontrol dan kelompok intervensi dan 15 perawat yang melakukannya. Hasil penelitian menunjukkan bahwa triase ESI kategori expected triage 76,3%, under triase 13,2%, over triage 10,5%. Pada triase empat tingkat modifikasi ATS, expected triage 73,7 %, under triase 18,4%, over triage 7,9%. Hasil uji statistik, triase empat tingkat modifikasi ATS dengan triase lima tingkat ESI tidak terdapat perbedaan tingkat akurasi yang signifikan dengan nilai p-0,488. Namun jika ditelaah lebih lanjut ESI lebih akurat dalam memberikan keputusan expected triage. Adapun saran diberikan kepada RSUD Cibabat, dapat menggunakan triase ESI sebagai alternatif pilihan pengkajian triase karena akurat, sederhana, mudah digunakan. Kata Kunci : , ,
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Atmojo, Joko Tri, Aris Widiyanto, and Tri Yuniarti. "RELIABILITAS SISTEM TRIASE DALAM PELAYANAN GAWAT DARURAT : A REVIEW." Intan Husada Jurnal Ilmu Keperawatan 7, no. 2 (July 12, 2019): 23–31. http://dx.doi.org/10.52236/ih.v7i2.148.

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Pendahuluan.Triase dalam pelayanan gawat darurat adalah proses pengambilan keputusan yang diterapkan untuk mengidentifikasi pasien dan mengoptimalkan sumber daya. Sejak 1990 hingga tahun 2000 telah dirancang triase 5 skala diantaranya: Australian Triage Scale (ATS), Canadian Emergency Department Triage and Acuity Scale (CTAS), Manchester Triage Scale (MTS), dan Emergency Severity Index (ESI). Sehingga timbul pertanyaan tentang keandalan skala triase (reliabilitas). Pada review kali ini penulis akan fokus pada berbagai macam skala triase, penggunaannya di beberapa negara, dan reliabilitasnya. Penulis tidak akan menulis kembali pedoman/guideline dari triase yang telah secara resmi terpublikasikan. Metode. Penelusuran ini dilakukan mulai dari Januari hingga Maret 2019 dengan melakukan penelusuran database: PubMed, EMBASE, dan CINAHL. Kata kunci yang digunakan: ‘Triage in emergency 'ATAU' Canadian Triage and Acuity Scale’ ATAU ‘Emergency Severity Index’ ATAU ‘Manchester Triage Scale’ ATAU ‘Australasian Triage Scale’. Kriteria inklusi: uji acak terkendali (randomized controlled tria), studi retrospektif, observasional, studi kasus, review, systematc review, dan meta analisis. Hasil akhir review menemukan 12 artikel yang sesuai Hasil. Uji statistik Kappa menunjukan reliabilitas ATS 0,428 (95% CI 0,340-0,509), reliabilitas CTAS 0,871 (95% CI (0,840-0,897), reliabilitas ESI 0.730 (95% CI : 0.692 hingga 0.767), reliabilitas MTS 0,751 (CI 95%: 0,677 hingga 0,810). Kesimpulan. Berdasarkan hasil reliabilitas nilai ATS menunjukan realibilitas terkecil, realibilitas CTAS merupakan yang tertinggi, namun memiliki keterbatasan pada pelaksaan diluar Kanada. MTS merupakan skala yang reliabilitas dan juga penerapannya dianggap yang paling baik. Kata Kuci: Reliabilitas, Canadian Triage and Acuity Scale (CTAAS), Emergency Severity Index (ESI), Manchester Triage Scale (MTS), Australasian Triage Scale (ATS).
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Hilmi, L. M., A. Heerboth, D. Anthony, C. Tedeschi, and S. Balsari. "(A167) Patient Tracking In Disaster Drills." Prehospital and Disaster Medicine 26, S1 (May 2011): s48. http://dx.doi.org/10.1017/s1049023x11001658.

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IntroductionDisaster Drills, the world over, test several aspects of disaster response encompassing inter-agency coordination, institutional response and individual proficiency. This abstract analyzes the efficiency and gaps in patient triage in a large inter-agency disaster drill conducted in Mumbai in December 2010.MethodsOver eighty simulated patients at the mock disaster site in Mumbai were triaged for transport to two hospitals via prioritized EMS vehicle and other modalities. Each patient was tagged with an identifier and his/her final destination compared to the intended destination to gauge accuracy of triage. Arrival and departure time-stamps at each location helped plot triage efficiency and variation in inter-group response times. EMS responders were trained in START triage during the preparatory phase.ResultsThere was no significant difference in time to transport “red” and “yellow” patients to the triage zone. Patients in the “accident buses” were triaged twice as slowly as those outside in spite of the zone being declared safe to enter, by the controlling authorities. 11% of “red patients” were down-triaged and 30% of yellows were “over-triaged.” A significant bottle-neck developed between field triage zone and transport zones.ConclusionsOur group has conducted disaster drills in several large cities in Sri Lanka, India and the Dominican Republic. Expanding focus to document time-stamps and triage accuracy highlighted need for more robust triage training, allowing local agencies to prioritize training for EMS responders in the coming months. Demonstrating how inaccurate triage could potentially overwhelm the system helped local agencies recognize the need to train first responders in START triage.
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McCourt, Jacita A., Eli Strait, and Jeanne Lee. "583 Photos of Burn Wounds Can Help Reduce Over-Triage and Prevent Unnecessary Ambulance Transfer." Journal of Burn Care & Research 43, Supplement_1 (March 23, 2022): S128—S129. http://dx.doi.org/10.1093/jbcr/irac012.211.

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Abstract Introduction Burn wounds can be difficult to assess for providers outside the burn center and can result in over triage. The combination of photos of burn wounds with a clinical history can help burn practitioners make appropriate triage decisions, including immediate ambulance transfer vs scheduling an outpatient follow up appointment. Appropriate photo triage can help reduce healthcare costs by eliminating both unnecessary transfers to the burn center and overburdening burn resources. This performance improvement project involved the development of a secure photo sharing web portal and photo triage clinical pathway to help burn practitioners appropriately triage burn patients being evaluated at health care facilities within the catchment area of an American Burn Association verified adult and pediatric burn center. Methods Existing technology was used to develop a burn photo sharing web portal that can be easily accessed by providers outside the burn center. A new clinical pathway for burn photo triage was developed. Education was formulated for nurses and providers within the burn center and for referring facilities. Retrospective data was collected for the 4 years of ambulance transfers captured in the outpatient burn registry prior to the implementation of the photo triage clinical pathway. Comparison data was also abstracted for the first year after implementation. Patients were categorized as over triaged or appropriately triage based on the first set of photos captured in the EMR. Results In the pre-triage years there were a total of 242 ambulance transfers to the outpatient burn clinic. 150 (62%) of those patients were appropriately triaged, while 92 (38%) were over triaged. In the year following implementation there were 27 ambulance transfers to the outpatient burn clinic. 25 (92.6%) of these patients were appropriately triaged while 2 (7.4%) were over triaged. Overall ambulance transfers to the outpatient burn clinic dropped by more than 50% (average of 60.5 transfer per year down to 27 after implementation). Conclusions Patients with burn injuries at referring facilities were more appropriately triaged when using photos of wounds which ultimately reduced the number of unnecessary ambulance transfers.
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Dissertations / Theses on the topic "Triage"

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Barkensjö, My, and Therese Tikka. "Patientupplevelse av triage." Thesis, Högskolan i Borås, Institutionen för Vårdvetenskap, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-20376.

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Tidigare studier har visat vad patienten anser vara tillfredställande i samband med triage. Där framkommer att i mötet med vårdpersonalen vill patienten känna sig värdig, sedd och bekräftad. Detta ställer krav på vårdpersonalen och den kompetens de besitter. En förutsättning för patienttillfredsställelse är information om väntetider, patienternas medicinska tillstånd och en god vårdrelation. I mötet med patienten krävs kunskap om vad dessa tycker är viktigt och betydelsefullt i samband med triage. Kunskapen om vad som är viktigt är fortfarande inte tillräckligt belyst, ur ett patientperspektiv. Syfte var att beskriva patientens upplevelse av vad som var betydelsefullt för denne i samband med triage. En kvalitativ forskningsansats med en påföljande innehållsanalys valdes. 11 stycken intervjuer genomfördes på en mindre akutmottagning i väst Sverige.Informanterna som valdes ut var patienter på denna akutmottagning. I resultatet framträdde två domäner, bemötande och information. Kategorierna som följde var omvårdnad, trygghet, delaktighet, kompetens, omhändertagande, integritet, tid och kommunikation. Informanterna ansåg det vara betydelsefullt att bli bemötta på ett individuellt plan, detta innefattade allt från basal omvårdnad till att informanterna litade på triageteamets goda kompetens. Sanningsenlig information kring väntetider och prioriteringssystemet visade sig ha betydelse. Tidigare studier har visat att vården upplevdes som god om vårdpersonalen hade ett öppet förhållningssätt, visade hänsynsfullhet och lugn. Detta bekräftas i vårt resultat. Triageteamet skulle kunna tillgodose detta genom att våga uppskatta väntetiden, men också genom att vara tydliga i att informationen kan komma att förändras.
Program: Magisterprogram i vårdvetenskap med inriktning mot akutsjukvård
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Vassallo, James M. A. "Major incident triage: development and validation of a modified primary triage tool." Doctoral thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/29232.

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Introduction A key principle in the effective management of a major incident is triage, prioritising patients on the basis of their clinical acuity. However, existing methods of primary major incident triage demonstrate poor performance at identifying the Priority One patient in need of a life-saving intervention. The aim of this thesis was to derive an improved triage tool. Methods The first part of the thesis defined what constitutes a life-saving intervention. Then using a retrospective military cohort, the optimum physiological thresholds for identifying the need for life-saving intervention were determined; the combination of which was used to define the Modified Physiological Triage Tool (MPTT). The MPTT was validated using a large civilian trauma database and a prospective military cohort. Subsequently, to describe the safety profile of the MPTT, an analysis of the implications of under-triage was undertaken. Finally, pragmatic changes were made to the MPTT (MPTT-24) - in order to provide a more useable method of primary triage. Statistical analysis was conducted using sensitivities and specificities, with triage tool performance compared using a McNemar test. Results 32 interventions were considered life-saving and the optimum physiological thresholds to identify these were a GCS <14, 12 < RR <22 and a HR < 100. Within both the military and civilian populations, the MPTT outperformed all existing methods of triage with the greatest sensitivity and lowest rates of under-triage, but at the expense of over-triage. Applying pragmatic changes, the MPTT-24 had comparable performance to the MPTT and continued to outperform existing methods. Conclusion The priority of primary major incident triage is to identify patients in need of life-saving intervention and to minimise under-triage. Fulfilling these priorities, the MPTT-24 outperforms existing methods of triage and its use is recommended as an alternative to existing methods of primary major incident triage. The MPTT-24 also offers a theoretical reduction in time required to triage and uses a simplified conscious level assessment, thus allowing it to be used by less experienced providers.
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Esteves, Ana Luísa Roque de Andrade. "Implementação de um sistema de triagem no hospital escolar da Faculdade de Medicina Veterinária." Bachelor's thesis, Universidade Técnica de Lisboa. Faculdade de Medicina Veterinária, 2010. http://hdl.handle.net/10400.5/2667.

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Dissertação de Mestrado Integrado em Medicina Veterinária
A triagem surgiu associada à actividade militar, com o principal objectivo de salvar o maior número de soldados, de forma a manter o poderio militar. No final da década de 1980 surgiu o 1º sistema de triagem civil, o Ipswich Triage Scale, com boas indicações de performance e de aceitação pela comunidade de emergência médica. Assim, durante as décadas de 1990 e 2000 surgiram outros sistemas de triagem: o Canadian Triage and Acuity Scale, o Manchester Triage System, o Emergency Severity Index e o Cape Triage Score. A triagem está, actualmente, distribuída um pouco por todo o mundo ocidental, sendo um tema bastante comum e com o qual a maioria da população está familiarizada, incluindo Portugal. No campo veterinário, a triagem aparece ligada aos casos de pacientes politraumatizados, apesar de não existir um verdadeiro sistema de triagem padronizado, como ocorre na medicina humana. A presente dissertação de mestrado procurou testar o efeito da implementação de um sistema de triagem no Hospital Escolar da Faculdade de Medicina Veterinária da Universidade Técnica de Lisboa (HEFMV), à semelhança dos que foram desenvolvidos para aplicação nos serviços de urgência dos hospitais civis. Para tal, foram feitos 2 estudos no HEFMV: o 1º para estudar os tempos de espera e distribuição dos casos nas diferentes categorias, com o actual sistema em vigor no hospital (por ordem de chegada), e o 2º estudo, já com a aplicação do sistema de triagem previamente desenvolvido, estudando também os mesmos parâmetros, de forma a poder comparar os 2 estudos. Apesar do esforço em padronizar os 2 estudos, há que ter sempre em conta os factores variáveis e que, neste caso, tiveram grande influência: o número de clientes que se dirigiram à consulta e o próprio número de médicos veterinários em serviço, que foram diferentes em ambos os estudos. Assim, não foi possível concluir qual o verdadeiro efeito da triagem nos tempos de espera dos pacientes mais urgentes. Há, contudo, que salientar os efeitos positivos da triagem no funcionamento do HEFMV: redução do tempo de consulta, ou pelo menos, um melhor encaminhamento da mesma, e a atenção dada a cada cliente, logo após a sua entrada no HEFMV, demonstrando preocupação pelos mesmos.
ABSTRACT - IMPLEMENTATION OF A TRIAGE SYSTEM IN THE TEACHING HOSPITAL OF FACULDADE DE MEDICINA VETERINÁRIA – UTL - Triage appeared linked to military activity, with the main goal of saving the highest number of soldiers, in order to keep the military power. With the end of the 1980s came the 1st civil triage system, Ipswich Triage Scale, with good performance indicators and acceptance by the medical emergency community. Thus, in the 1990 and 2000 other triage systems have emerged: Canadian Triage and Acuity Scale, Manchester Triage System, Emergency Severity Index and Cape Triage Score. Triage is now spread throughout the Western world, being a fairly common theme and with whom most of the world population are familiar with, including the portuguese. In the veterinary field, triage appears linked to cases of polytraumatized patients and there is no real standardized triage system, as occurs in human medicine. The present dissertation tried to test the effect of implementing a triage system in the Teaching Hospital of Faculdade de Medicina Veterinária of Universidade Técnica de Lisboa (HEFMV), similar to those that have been developed for application in the emergency services of civilian hospitals. For that purpose the author made 2 studies in HEFMV: the first one to study the distribution of patients and waiting times in the different triage categories, with the current system at the Hospital (in order of arrival), and the second study, already implementing the previously developed triage scale, studying the same parameters, in order to being able to compare the 2 studies. Despite the effort to standardize the 2 studies, it’s always necessary to count with variables and factors that, in this case, had great influence: the number of customers who went to the consultations and the actual number of veterinarians in service, that were different in both studies. Thus, it was not possible to conclude what is the true effect of triage in waiting times for patients with more urgency. Despite it all, there are, however, positive effects of triage on the functioning of HEFMV: there was a consultation time reduction, or at least a better routing of it, and the attention given to every customer, shortly after arriving at HEFMV, showing concern by them.
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Oscarsson, Susanne. "Triage av barn på akutmottagning." Thesis, Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-16474.

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Beslutsprocessen vid triage är komplex och triageprocessen bör utföras noggrant. Vid akuta situationer måste snabba beslut tas, oftast med lite information. Det ska under kort tid samlas in data genom observation, frågor och kontroll av vitalparametrar. Syftet med studien var att belysa faktorer som påverkar sjuksköterskans triagering av barn på akutmottagning. Studien genomfördes som en litteraturstudie där 13 vetenskapliga artiklar analyserades. I resultatet framkom fyra kategorier: kompetens och erfarenhet hos sjuksköterskan vid triagering av barn, faktorer relaterat till barn och vitalparametrar vid triagering av barn, sjusköterskans kommunikation med barn och närstående vid triagering och beslutsstöd i form av triagesystem. Kontrollen av vitalparametrarna är en grund i triagering men den kan utgöra en otillförlitlig bas för en korrekt triagebedömning. Stor utmaning är i att identifiera avvikande vitalparametrar och ha kunskap om utveckling och beteende relaterat till barnets utvecklingsnivå. Triagering av barn ställer speciella krav på triagesjuksköterskan och på de triagesystem som används. Genom att tydliggöra sjuksköterskans kunskap och skapa en förståelse kring triagering av barn uppmärksammas barnets behov. Vårdverksamheten behöver satsa på utbildning och utveckling av ett triagesystem för barn för att öka patientsäkerheten. Ytterligare forskning behövs om vilka faktorer som påverkar sjuksköterskan i bedömningen av det sjuka barnet.
To make a triage decision is a complex process that should be conducted carefully. In emergency situations quick decisions must be made, often with little information about the patient. In a short time information about the patient should be collected through observation, questioning and monitoring of vital parameters. The purpose of this study was to elucidate factors that influence the nurse in the triage process of children in the emergency department. The study was conducted as a literature study in which 13 scientific articles were analyzed. The result revealed four categories: skills and experience of the nurse in triaging children, factors related to children and vital parameters in triaging children, the communication between the nurse and the child and relatives during triaging, decision support in form of a triage system. Monitoring of vital parameters sets the ground to the triage decision but it can be an unreliable basis for an accurate triage assessment. A major challenge is to identify abnormal vital parameters and to understand the development and behavior related to the child’s level of development. Triaging of children puts special demands on the triage nurse and the triage system that is used. By elucidating the nurse’s knowledge and by creating an understanding of triaging of children, more attention is drawn to the needs of the child. Health care institutions need to invest in education and development of triage systems for children to improve patient safety. Further research is needed on which factors that affect the nurse in the assessment of the sick child.
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Charles-Hanmer, Mary-Margaret. "ED Triage Chest Pain Protocol." Mount St. Joseph University Dept. of Nursing / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=msjdn1619697945080865.

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Göransson, Katarina. "Registered nurse-led emergency department triage : organisation, allocation of acuity ratings and triage decision making." Doctoral thesis, Örebro University, Department of Health Sciences, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-732.

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Successful triage is the basis for sound emergency department (ED) care, whereas unsuccessful triage could result in adverse outcomes. ED triage is a rather unexplored area in the Swedish health care system. This thesis contributes to our understanding of this complex nursing task. The main focus of this study has been on the organisation, performance, and decision making in Swedish ED triage. Specific aims were to describe the Swedish ED triage context, describe and compare registered nurses’ (RNs) allocation of acuity ratings, use of thinking strategies and the way they structure the ED triage process.

In this descriptive, comparative, and correlative research project quantitative and qualitative data were collected using telephone interviews, patient scenarios and think aloud method. Both convenience and purposeful sampling were used when identifying the participating 69 nurse managers and 423 RNs from various types of hospital-based EDs throughout the country.

The results showed national variation, both in the way triage was organised and in the way it was conducted. From an organisational perspective, the variation emerged in several areas: the use of various triageurs, designated triage nurses, and triage scales. Variation was also noted in the accuracy and concordance of allocated acuity ratings. Statistical methods provided limited explanations for these variations, suggesting that RNs’ clinical experience might have some affect on the RNs’ triage accuracy. The project identified several thinking strategies used by the RNs, indicating that the RNs, amongst other things, searched for additional information, generated hypotheses about the fictitious patients and provided explanations for the interventions chosen. The RNs formed relationships between their interventions and the fictitious patients’ symptoms. The RNs structured the triage process in several ways, beginning the process by searching for information, generating hypotheses, or allocating acuity ratings. Comparison of RNs’ use of thinking strategies and the structure of the triage process based on triage accuracy revealed only slight differences.

The findings in this dissertation indicate that the way a patient is triaged, and by whom, depends upon the particular organisation of the ED. Moreover, the large variation in RNs triage accuracy and the inter-rater agreement and concordance of the allocated acuity ratings suggest that the acuity rating allocated to a patient may vary considerably, depending on who does the allocation. That neither clinical experience nor the RNs’ decision-making processes alone can explain the variations in the RNs triage accuracy indicates that accuracy might be influenced by individual and contextual factors. Future studies investigating triage accuracy are recommended to be carried out in natural settings.

In conclusion, Swedish ED triage is permeated by diversity, both in its organisation and in its performance. The reasons for these variations are not well understood.

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Göransson, Katarina. "Registered nurse-led emergency department triage : organisation, allocation of acuity ratings and triage decision making /." Örebro : Hälsovetenskapliga institutionen, Örebro universitet, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-732.

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Andersson, Christin, Maria Meister, and Helena Olofsson. "Triage på akutmottagning ur ett omvårdnadsperspektiv." Thesis, Halmstad University, School of Social and Health Sciences (HOS), 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-2378.

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I dagsläget finns inget enhetligt prioriteringssystem för att möta det ökade patientflödet till akutmottagningar. Ordet triage står för en snabb förstahandsbedöming av medicinskt sjuka, vilket innebär att den med störst behov tas omhand först. Triagesystem har utvecklats genom växande behov av struktur och mindre individuella variationer i den medicinska bedömningen. Studien genomfördes som en litteraturstudie med syfte att belysa triageverksamheten på akutmottagningar ur ett omvårdnadsperspektiv. Faktorer som visade sig ha betydelse när sjuksköterskan fattade beslut angående prioritering var kunskap, erfarenhet, samt intuition. Hur och vem som gör triageringen skiljer sig mellan akutmottagningarna i Sverige. Patienternas kunskaper var bristfälliga angående hur arbetet organiserades på akutmottagningen. Ett bra bemötande från personalen visade sig ha stor betydelse för patienten. De önskade att bli mer informerade om väntetider samt vilka rutiner som tillämpades. Fortsatt forskning behövs för att utreda de faktorer som har betydelse då sjuksköterskan gör sina bedömningar.

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Lang, Ursula Friederike. "Oktoberfest-Triage-Evaluationsstudie 1998 (OTES ’98)." Diss., lmu, 2001. http://nbn-resolving.de/urn:nbn:de:bvb:19-3638.

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Veeramachaneni, Ramya Chowdary, and Niroopa Uppalapati. "A Framework for Requirements Triage Process." Thesis, Blekinge Tekniska Högskola, Sektionen för datavetenskap och kommunikation, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-2451.

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ABSTRACT Context: Requirements triage is a crucial activity in requirements engineering process for market-driven products. Triage deals with selection of appropriate requirements from large number of requirements for particular release plan. If triage is not performed initially, selection and management of a large number of requirements would be difficult in requirements engineering process. In market-driven product development triage is followed by estimation and prioritization of requirements to be selected for a particular release plan, also termed as requirements selection. Product development is done based on the set of requirements selected in requirements selection process. Objectives: The objective of the thesis is to find whether there is a need to improve existing requirements triage process or not, identify the challenges and shortcomings of the existing requirements triage and selection solutions and suggest improvements to address identified challenges and shortcomings. Methods: In order to identify existing requirements triage and selection solutions (method, model, tool, technique, process, and others), challenges addressed by existing requirements triage and selection solutions, and the shortcomings faced while implementing them, a systematic literature review has been done. A list of challenges and shortcomings, identified through the analysis of systematic literature review results, was used as an input to industrial survey to confirm most applicable (relevant) challenges and shortcomings and to identify possibilities to address those challenges and shortcomings. Results: A process framework for requirements triage has been proposed to address the challenges faced by practitioners during triage. The steps and solutions proposed within the framework also enable to alleviate the shortcomings of the existing requirements triage solutions. Conclusions: The results of the survey have been analyzed from different perspectives: size of organization, number of requirements handled per month and experience of professional doing triage. Therefore, the proposed process framework is usable and useful for both small-scale and large-scale organizations. The initial effort required to put framework process steps in place would be high, however, later the effort will reduce not only for requirements triage but also for later phases in requirements engineering. As a spin off effect the quality of triage decision is increased.
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Books on the topic "Triage"

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Triage. Somerville, Mass: Červená Barva Press, 2010.

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Derkx, H., and H. van Rooij. Triage. Houten: Bohn Stafleu van Loghum, 2009. http://dx.doi.org/10.1007/978-90-313-7740-4.

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Derkx, H., and H. van Rooij. Triage. Houten: Bohn Stafleu van Loghum, 2010. http://dx.doi.org/10.1007/978-90-313-8466-2.

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Nicholson, Cecily. Triage. Vancouver, British Columbia: Talonbooks, 2011.

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Triage. New York: Scribner, 1998.

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Triage. Leicester: Ulverscroft, 1999.

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Scott, Anderson. Triage. Paris: Belfond, 1999.

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Anderson, Scott. Triage. London: Pan, 1999.

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Nicholson, Cecily. Triage. Vancouver, British Columbia: Talonbooks, 2011.

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Barría, Patricio Alvarado. Triage. Chile]: Alquimia Ediciones, 2015.

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Book chapters on the topic "Triage"

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Cioffi, William G., Michael D. Connolly, Charles A. Adams, Mechem C. Crawford, Aaron Richman, William H. Shoff, Catherine T. Shoff, et al. "Triage." In Encyclopedia of Intensive Care Medicine, 2330. Berlin, Heidelberg: Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-00418-6_3352.

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Barnard, Ed, and Jamie Vassallo. "Triage." In Ballistic Trauma, 63–74. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-61364-2_7.

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Fürnsinn, Gerhard. "Triage." In Der biologisch-chemische Katastrophenfall, 147–50. Vienna: Springer Vienna, 2001. http://dx.doi.org/10.1007/978-3-7091-3742-0_21.

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Barilan, Yechiel Michael, and Margherita Brusa. "Triage." In Encyclopedia of Global Bioethics, 2839–47. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-09483-0_425.

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Barilan, Yechiel Michael, and Margherita Brusa. "Triage." In Encyclopedia of Global Bioethics, 1–9. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-05544-2_425-1.

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Kävrestad, Joakim. "Triage." In Fundamentals of Digital Forensics, 79–83. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-38954-3_9.

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Montán, Kristina Lennquist. "Triage." In Medical Response to Major Incidents and Disasters, 63–75. Berlin, Heidelberg: Springer Berlin Heidelberg, 2011. http://dx.doi.org/10.1007/978-3-642-21895-8_4.

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Davis, Harold. "Triage." In Advanced Monitoring and Procedures for Small Animal Emergency and Critical Care, 1–10. Chichester, UK: John Wiley & Sons, Ltd, 2014. http://dx.doi.org/10.1002/9781118997246.ch1.

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Turner, Nigel M., and Anneliese Nusmeier. "Triage." In APLS compact, 67. Houten: Bohn Stafleu van Loghum, 2019. http://dx.doi.org/10.1007/978-90-368-2221-3_52.

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Sigrist, Nadja. "Triage." In Textbook of Small Animal Emergency Medicine, 6–10. Hoboken, NJ, USA: John Wiley & Sons, Inc., 2018. http://dx.doi.org/10.1002/9781119028994.ch2.

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Conference papers on the topic "Triage"

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Dimitriadis, Ilias, Marinos Poiitis, Christos Faloutsos, and Athena Vakali. "TRIAGE." In WIMS 2020: The 10th International Conference on Web Intelligence, Mining and Semantics. New York, NY, USA: ACM, 2020. http://dx.doi.org/10.1145/3405962.3405998.

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Banerjee, Nilanjan, Jacob Sorber, Mark D. Corner, Sami Rollins, and Deepak Ganesan. "Triage." In the 5th international conference. New York, New York, USA: ACM Press, 2007. http://dx.doi.org/10.1145/1247660.1247680.

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Tucek, Joseph, Shan Lu, Chengdu Huang, Spiros Xanthos, and Yuanyuan Zhou. "Triage." In twenty-first ACM SIGOPS symposium. New York, New York, USA: ACM Press, 2007. http://dx.doi.org/10.1145/1294261.1294275.

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Giacalone, Matteo, Federica Paci, Rocco Mammoliti, Rodolfo Perugino, Fabio Massacci, and Claudio Selli. "Security triage." In the 8th ACM/IEEE International Symposium. New York, New York, USA: ACM Press, 2014. http://dx.doi.org/10.1145/2652524.2652585.

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Abt, C., P. Backeris, M. Bhargava, L. Ennist, R. Garofalo, S. Husain, V. Jakimaviciute, and G. Shevach. "Digital Triage Assistant." In 2010 36th Annual Northeast Bioengineering Conference. IEEE, 2010. http://dx.doi.org/10.1109/nebc.2010.5458201.

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Macskassy, Sofus A., and Foster Provost. "Intelligent information triage." In the 24th annual international ACM SIGIR conference. New York, New York, USA: ACM Press, 2001. http://dx.doi.org/10.1145/383952.384015.

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Irshad, Mohsin. "Defect Triage Meetings." In EASE'17: Evaluation and Assessment in Software Engineering. New York, NY, USA: ACM, 2017. http://dx.doi.org/10.1145/3084226.3084281.

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Tayama, Yuki, Ryuga Kato, and Ken-ichi Okada. "Triage training system." In MUM '15: 14th International Conference on Mobile and Ubiquitous Multimedia. New York, NY, USA: ACM, 2015. http://dx.doi.org/10.1145/2836041.2836054.

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Sarrafzadeh, Bahareh, Ahmed Hassan Awadallah, and Milad Shokouhi. "Exploring Email Triage." In CHIIR '19: Conference on Human Information Interaction and Retrieval. New York, NY, USA: ACM, 2019. http://dx.doi.org/10.1145/3295750.3298960.

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Coffin, Pierre, Darren Walsh, and Joanna Stevens. "Nature sweet "triage"." In the ACM SIGGRAPH 05 electronic art and animation catalog. New York, New York, USA: ACM Press, 2005. http://dx.doi.org/10.1145/1086057.1086196.

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Reports on the topic "Triage"

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Marsh, Bryon P. DOE Triage& Field Techniques. Office of Scientific and Technical Information (OSTI), February 2019. http://dx.doi.org/10.2172/1497031.

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Karpius, Peter Joseph. The DOE Radiological Triage Program. Office of Scientific and Technical Information (OSTI), August 2017. http://dx.doi.org/10.2172/1375896.

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Beall, Jeffrey. Medical publishing triage: chronicling predatory open access publishers. Elsevier, 2013. http://dx.doi.org/10.25261/ir0000000638.

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Smith, Anita J. Psychometric Evaluation of a Triage Decision Making Inventory. Fort Belvoir, VA: Defense Technical Information Center, June 2011. http://dx.doi.org/10.21236/ada630016.

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Ciapponi, Agustín. Does physician-led triage reduce emergency department overcrowding? SUPPORT, 2016. http://dx.doi.org/10.30846/1610112.

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Emergency department overcrowding is a serious problem facing healthcare systems worldwide that can lead to delays in time-sensitive diagnostic and treatment decisions and poor health outcomes. Triage systems are used to decide who needs urgent care and who can wait, sorting patients according to urgency or type of service required. They employ systems to prioritise or assign patients to treatment categories in order to assist in their management.
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Gilligan, Daniel, Naureen Karachiwalla, Ibrahim Kasirye, Adrienne Lucas, and Derek Neal. Educator Incentives and Educational Triage in Rural Primary Schools. Cambridge, MA: National Bureau of Economic Research, August 2018. http://dx.doi.org/10.3386/w24911.

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Curnow, Christina K., Jonathan J. Bryson, Rachel D. Barney, Heidi Keller-Glaze, and Christopher L. Vowels. Development of a Mass Casualty Triage Performance Assessment Tool. Fort Belvoir, VA: Defense Technical Information Center, February 2015. http://dx.doi.org/10.21236/ada616382.

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Barnabe, Jaymie, Sam Petrie, and Paul Peters. Virtual Triage and Teletriage in Rural Canada and Australia. Spatial Determinants of Health Lab Carleton University, November 2020. http://dx.doi.org/10.22215/sdhlab/2020.2.

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Hollenbeck, Kevin. Postsecondary Education as Triage: Returns to Academic and Technical Programs. W.E. Upjohn Institute, April 1992. http://dx.doi.org/10.17848/wp92-10.

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Pathak, Parag, Tayfun Sönmez, M. Utku Unver, and M. Bumin Yenmez. Leaving No Ethical Value Behind: Triage Protocol Design for Pandemic Rationing. Cambridge, MA: National Bureau of Economic Research, April 2020. http://dx.doi.org/10.3386/w26951.

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