Academic literature on the topic 'Triage (Medicine) Australia'
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Journal articles on the topic "Triage (Medicine) Australia"
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Turner, Valendar F., Peter J. Bentley, Sharon A. Hodgson, Peter J. Collard, Rosalia Drimatis, Catherine Rabune, and Andrew J. Wilson. "Telephone triage in Western Australia." Medical Journal of Australia 176, no. 3 (February 2002): 100–103. http://dx.doi.org/10.5694/j.1326-5377.2002.tb04313.x.
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Douglas, Ned, Jacqueline Leverett, Joseph Paul, Mitchell Gibson, Jessica Pritchard, Kayla Brouwer, Ebony Edwards, et al. "Performance of First Aid Trained Staff using a Modified START Triage Tool at Achieving Appropriate Triage Compared to a Physiology-Based Triage Strategy at Australian Mass Gatherings." Prehospital and Disaster Medicine 35, no. 2 (January 27, 2020): 184–88. http://dx.doi.org/10.1017/s1049023x20000102.
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AbstractIntroduction:Triage at mass gatherings in Australia is commonly performed by staff members with first aid training. There have been no evaluations of the performance of first aid staff with respect to diagnostic accuracy or identification of presentations requiring ambulance transport to hospital.Hypothesis:It was hypothesized that triage decisions by first aid staff would be considered correct in at least 61% of presentations.Methods:A retrospective audit of 1,048 presentations to a single supplier of event health care services in Australia was conducted. The presentations were assessed based on the first measured set of physiological parameters, and the primary triage decision was classified as “expected” if the primary and secondary triage classifications were the same or “not expected” if they differed. The performance of the two triage systems was compared using area under the receiver operating characteristic curve (AUROC) analysis.Results:The expected decision was made by first aid staff in 674 (71%) of presentations. Under-triage occurred in 131 (14%) presentations and over-triage in 142 (15%) presentations. The primary triage strategy had an AUROC of 0.7644, while the secondary triage strategy had an AUROC of 0.6280, which was significantly different (P = .0199).Conclusion:The results support the continued use of first aid trained staff members in triage roles at Australian mass gatherings. Triage tools should be simple, and the addition of physiological variables to improve the sensitivity of triage tools is not recommended because such an approach does not improve the discriminatory capacity of the tools.
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Happell, Brenda, and Monica Summers. "Satisfaction with psychiatric services in the emergency department." International Psychiatry 1, no. 5 (July 2004): 3–4. http://dx.doi.org/10.1192/s1749367600006809.
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The move to provide psychiatric services within the general health care system has resulted in emergency departments becoming the means of access to acute psychiatric care in Australia (Gillette & Bucknell, 1996). Triage within the emergency departments ensures that patients are reviewed and treated in a timely manner, in accordance with the urgency of the presenting problem. The National Triage Scale was developed as a clinical tool for this purpose for use in Australia and New Zealand (Australasian College for Emergency Medicine, 1994). However, this scale tends to attach lower priority to psychiatric issues (Smart et al, 1998).
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Eastwood, Kathryn, Karen Smith, Amee Morgans, and Johannes Stoelwinder. "Appropriateness of cases presenting in the emergency department following ambulance service secondary telephone triage: a retrospective cohort study." BMJ Open 7, no. 10 (October 2017): e016845. http://dx.doi.org/10.1136/bmjopen-2017-016845.
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ObjectiveTo investigate the appropriateness of cases presenting to the emergency department (ED) following ambulance-based secondary telephone triage.DesignA pragmatic retrospective cohort analysis of all the planned and unplanned ED presentations within 48 hours of a secondary telephone triage.SettingThe secondary telephone triage service, called the Referral Service, and the hospitals were located in metropolitan Melbourne, Australia and operated 24 hours a day, servicing 4.25 million people. The Referral Service provides an in-depth secondary triage of cases classified as low acuity when calling the Australian emergency telephone number.PopulationCases triaged by the Referral Service between September 2009 and June 2012 were linked to ED and hospital admission records (N=44,523). Planned ED presentations were cases referred to the ED following the secondary triage, unplanned ED presentations were cases that presented despite being referred to alternative care pathways.Main outcome measuresAppropriateness was measured using an ED suitability definition and hospital admission rates. These were compared with mean population data which consisted of all of the ED presentations for the state (termed the ‘average Victorian ED presentation’).ResultsPlanned ED presentations were more likely to be ED suitable than unplanned ED presentations (OR 1.62; 95% CI 1.5 to 1.7; p<0.001) and the average Victorian ED presentation (OR 1.85; 95% CI 1.01 to 3.4; p=0.046). They were also more likely to be admitted to the hospital than the unplanned ED presentation (OR 1.5; 95% CI 1.4 to 1.6; p<0.001) and the average Victorian ED presentation (OR 2.3, 95% CI 2.24 to 2.33; p<0.001). Just under 15% of cases diverted away from the emergency care pathways presented in the ED (unplanned ED attendances), and 9.5% of all the alternative care pathway cases were classified as ED suitable and 6.5% were admitted to hospital.ConclusionsSecondary telephone triage was able to appropriately identify many ED suitable cases, and while most cases referred to alternative care pathways did not present in the ED. Further research is required to establish that these were not inappropriately triaged away from the emergency care pathways.
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Brentnall, Edward W. "A history of triage in civilian hospitals in Australia." Emergency Medicine 9, no. 1 (August 26, 2009): 50–54. http://dx.doi.org/10.1111/j.1442-2026.1997.tb00558.x.
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Eastwood, Kathryn, Dhanya Nambiar, Rosamond Dwyer, Judy A. Lowthian, Peter Cameron, and Karen Smith. "Ambulance dispatch of older patients following primary and secondary telephone triage in metropolitan Melbourne, Australia: a retrospective cohort study." BMJ Open 10, no. 11 (November 2020): e042351. http://dx.doi.org/10.1136/bmjopen-2020-042351.
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BackgroundMost calls to ambulance result in emergency ambulance dispatch (direct dispatch) following primary telephone triage. Ambulance Victoria uses clinician-led secondary telephone triage for patients identified as low-acuity during primary triage to refer them to alternative care pathways; however, some are returned for ambulance dispatch (secondary dispatch). Older adult patients are frequent users of ambulance services; however, little is known about the appropriateness of subsequent secondary dispatches.ObjectivesTo examine the appropriateness of secondary dispatch through a comparison of the characteristics and ambulance outcomes of older patients dispatched an emergency ambulance via direct or secondary dispatch.DesignA retrospective cohort study of ambulance patient data between September 2009 and June 2012 was conducted.SettingThe secondary telephone triage service operated in metropolitan Melbourne, Victoria, Australia during the study period.ParticipantsThere were 90 086 patients included aged 65 years and over who had an emergency ambulance dispatch via direct or secondary dispatch with one of the five most common secondary dispatch paramedic diagnoses.Main outcome measuresDescriptive analyses compared characteristics, treatment and transportation rates between direct and secondary dispatch patients.ResultsThe dispatch groups were similar in demographics, vital signs and hospital transportation rates. However, secondary dispatch patients were half as likely to be treated by paramedics (OR 0.51; CI 0.48 to 0.55; p<0.001). Increasing age was associated with decreasing treatment (p<0.005) and increasing transportation rates (p<0.005).ConclusionSecondary triage could identify patients who would ultimately be transported to an emergency department. However, the lower paramedic treatment rates suggest many secondary dispatch patients may have been suitable for referral to alternative low-acuity transport or referral options.
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Cox, Shelley, Chris Morrison, Peter Cameron, and Karen Smith. "Advancing age and trauma: Triage destination compliance and mortality in Victoria, Australia." Injury 45, no. 9 (September 2014): 1312–19. http://dx.doi.org/10.1016/j.injury.2014.02.028.
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Johnston-Leek, Malcolm, Peter Sprivulis, Julian Stella, and Didier Palmer. "Emergency department triage of indigenous and non-indigenous patients in tropical Australia." Emergency Medicine 13, no. 3 (September 2001): 333–37. http://dx.doi.org/10.1046/j.1035-6851.2001.00237.x.
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Russell, Bethany, Jennifer Philip, Olivia Wawryk, Sara Vogrin, Jodie Burchell, Anna Collins, Brian Le, Caroline Brand, Peter Hudson, and Vijaya Sundararajan. "Validation of the responding to urgency of need in palliative care (RUN-PC) triage tool." Palliative Medicine 35, no. 4 (January 21, 2021): 759–67. http://dx.doi.org/10.1177/0269216320986730.
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Background: The Responding to Urgency of Need in Palliative Care (RUN-PC) Triage Tool is a novel, evidence-based tool by which specialist palliative care services can manage waiting lists and workflow by prioritising access to care for those patients with the most pressing needs in an equitable, efficient and transparent manner. Aim: This study aimed to establish the intra- and inter-rater reliability, and convergent validity of the RUN-PC Triage Tool and generate recommended response times. Design: An online survey of palliative care intake officers applying the RUN-PC Triage Tool to a series of 49 real clinical vignettes was assessed against a reference standard: a postal survey of expert palliative care clinicians ranking the same vignettes in order of urgency. Setting/Participants: Intake officers ( n = 28) with a minimum of 2 years palliative care experience and expert clinicians ( n = 32) with a minimum of 10 years palliative care experience were recruited from inpatient, hospital consultation and community palliative care services across metropolitan and regional Victoria, Australia. Results: The RUN-PC Triage Tool has good intra- and inter-rater reliability in inpatient, hospital consultation and community palliative care settings (Intraclass Correlation Coefficients ranged from 0.61 to 0.74), and moderate to good correlation to expert opinion used as a reference standard (Kendall’s Tau rank correlation coefficients ranged from 0.68 to 0.83). Conclusion: The RUN-PC Triage Tool appears to be a reliable and valid tool for the prioritisation of patients referred to specialist inpatient, hospital consultation and community palliative care services.
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Grigg, Margaret, Helen Herrman, and Carol Harvey. "What is Duty/Triage? Understanding the Role of Duty/Triage in an Area Mental Health Service." Australian & New Zealand Journal of Psychiatry 36, no. 6 (December 2002): 787–91. http://dx.doi.org/10.1046/j.1440-1614.2002.01088.x.
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Objective: To describe the duty/triage system within one urban area mental health service in Australia and to investigate the factors that affect the decision to organize a comprehensive assessment. Method: Data was collected from 3 months of duty/triage information and key informant interviews. Policies and procedures related to duty/triage were reviewed. Quantitative and qualitative analyses were conducted. Results: Two thousand, six hundred and three contacts with duty/triage occurred over a 3-month period. Half of these were related to patients new to the service. Most contacts were self-referrals or referrals from a carer. Few referrals came through the primary health care sector. New patients were more likely to be assessed if the referral was presented in technical language and if it was initiated by a health professional, particularly a general practitioner, emergency department or other mental health service. Assessment was less likely if the patient or carer initiated the referral, if the problem was presented in vague or non-technical terms, if there was a drug or alcohol problem or if the person refused care. Conclusions: A substantial number of potential patients contact a duty/triage worker every day. However, there is little interaction with the primary care sector, limited documentation of risk and a lack of consistency in the documented reasons for the service response. Further investigation is needed of the conditions conducive to consistent quality decision making at the point of entry to a specialist mental health service.
Dissertations / Theses on the topic "Triage (Medicine) Australia"
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Sprivulis, Peter Carl. "Evaluation of the prehospital utilisation of the Australasian Triage Scale." University of Western Australia. Emergency Medicine Discipline Group, 2004. http://theses.library.uwa.edu.au/adt-WU2004.0055.
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[Truncated abstract] Background : Triage systems have evolved from battlefield casualty prioritisation tools to integral components of civilian emergency care systems over the last 50 years. There is significant variation in prehospital triage practices in Australia and little research has been undertaken to validate the triage systems used. There is considerable evidence to support the use of the Australasian Triage Scale (ATS) for triage in the emergency department setting and the ATS is used ubiquitously for emergency department triage in Australasia ... Conclusions : The findings of this thesis support integrating prehospital ATS allocations with emergency department triage processes. It is concluded that Paramedics apply the ATS similarly to nurses ... Allocations to ATS 1, 2 and 3 and most ATS 4 allocations by paramedics are valid when compared to nurse ATS allocations. Australasian Triage Scale category 5 is used inappropriately by paramedics and should be used rarely, if at all, by paramedics. The reliability of paramedic and nurse ATS allocations is sufficient to warrant a trial of the omission of retriage of ambulance presentations at Perth metropolitan emergency departments. However, early nursing assessment of a small proportion of ATS 3 patients may be required to ensure timely assessment for some mistriaged bone fide ATS 2 patients. Paramedic ATS allocations appear sufficiently reliable and valid to warrant a trial of their use as part of a two-tier trauma team activation system ... The implementation of standardised training between paramedics and nurses based on current Australasian College for Emergency Medicine guidelines is recommended. The implementation of paramedic triage audit, including comparison of paramedic ATS allocations with nurse ATS allocations may improve reliability between paramedics and nurses, and particularly the reliability of ATS 4 and ATS 5 allocations. Prehospital ATS allocations may prove useful in prehospital casemix analysis, the evaluation of prehospital service delivery and for prehospital research. Research opportunities include actual trials of the integration of prehospital use of ATS with emergency department triage and trauma system activation, and the evaluation of the ATS as a prehospital casemix and performance evaluation tool. Research into alternative triage tools to the ATS for use in the prehospital environment and into the impact of standardised triage training is also suggested.
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Riordan, Geraldine M. "Triage in Health Department of Western Australia accident and emergency departments." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1995. https://ro.ecu.edu.au/theses/1182.
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A survey of triage systems used in Health Department of Western Australia accident and emergency departments was undertaken to examine differences in practices between departments with and without designated triage nurses (TNs). One questionnaire surveyed 93 nurses in seven departments with TNs, a similar second questionnaire surveyed 89 nurses in 16 departments without TNs, and a third questionnaire was used in a structured telephone interview of receptionists in hospitals without TNs. Data were analysed using frequencies, percentages, means, standard deviations and ranges with common themes identified for open ended questions. The study was guided by Donabedian's systems evaluation model. The structures and processes of triage within each department were examined in relation to the outcome standards recommended by the Australian Council on Healthcare Standards. The study results revealed that triage nurses were employed in all departments where patient attendances exceeded 300 per week and nursing staff coverage in the department was higher than five per day. Three departments had introduced triage on weekends only, and these departments had the lowest nurse-patient ratio of one nurse per day to 74 patients per week. The highest nurse-patient ratio was in departments with TNs (1-35). Conclusions drawn from the findings suggest that when receptionists are the first person to see patients, they triage patients using an unsatisfactory two category priority system. The average waiting time to see nursing staff is too long in departments without TNs, 7.6 minutes, as compared to 3. 7 minutes in department with TNs. Nursing staff perceived that triage systems could be improved by having only experienced staff as the triageur. The surveillance of patients entering the department is unsatisfactory as 81% of departments without TNs and 43% of departments with TNs are unable to provide nurse surveillance. The surveillance of the waiting room is similarly unsatisfactory in many departments. All triage areas are inadequate, as facilities for private conversation, hand washing and physical assessment are not always available. The majority of departments without TNs do not have a satisfactory triage priority category system in place. The average time taken by nursing staff to triage patients is an acceptable 3.2 minutes in departments with TNs, and 5.3 minutes in departments without TNs. The practice of redirecting patients away from the department could compromise patient safety as patients are redirected away from most departments by any level of staff employed in the department, without any written documentation kept or any written criteria for the redirection of these non-urgent patients. The practice of ordering investigations and treating minor problems without referring to a doctor could also compromise patient safety, as most departments do not have written policies and guidelines to cover this practice. Most departments offer an inadequate triage training program of preceptoring only. Recommendations are focused on the reviewing of existing triage practices to comply with the standards identified.
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Fry, Margaret Mary. "Triage nursing practice in Australian emergency departments 2002-2004 an ethnography /." Connect to full text, 2004. http://hdl.handle.net/2123/701.
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Thesis (Ph. D.)--University of Sydney, 2005.Title from title screen (viewed 19 May 2008). Submitted in fulfilment of the requirements for the degree of Doctor of Philosophy to the Dept. of Family and Community Health Nursing, Faculty of Nursing. Degree awarded 2005; thesis submitted 2004. Includes bibliographical references. Also available in print form.
Books on the topic "Triage (Medicine) Australia"
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Murder, medicine and motherhood. Oxford: Hart Pub., 2011.
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Ірина Дмитрівна, Садов’як. CLINICAL MANAGEMENT OF PATIENTS WITH COVID-19. “LIVE” CLINICAL INSTRUCTION (2021). ДЕРЖАВНА НАУКОВА УСТАНОВА «НАУКОВО-ПРАКТИЧНИЙ ЦЕНТР ПРОФІЛАКТИЧНОЇ І КЛІНІЧНОЇ МЕДИЦИНИ», 2021. http://dx.doi.org/10.31612/covid.
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SUMMARY. In response to the challenges posed by the coronavirus (COVID-19) pandemic, Ukraine has undergone the necessary legislative changes, harmonized with international approaches, which in turn have led to significant changes in health care practices. The Law of Ukraine “On Amendments to Some Legislative Acts of Ukraine on Provision of Treatment of Coronavirus Disease (COVID-19)” № 539-IX, the Order of the Ministry of Health “On Approval of the Procedure for Prescribing and Using Medicines for the Treatment of Coronavirus Disease (COVID-19)” of 30.06.2020 № 1482, registered in the Ministry of Justice of Ukraine on July 08, 2020 for № 641/34924, establish the conditions of use of registered medicines according to the indications not specified in the instructions for medical use (off label), and unregistered medicines, recommended by the relevant official bodies outside Ukraine for the treatment of COVID-19. In pursuance of legislative acts, the Standard of Emergency Care “Coronavirus Disease (COVID-19)”, the Standards of Medical Care “Coronavirus Disease (COVID-19)”, the Standard of Pharmaceutical Care “Coronavirus Disease (COVID-19)”, the Protocol “Provision of medical care for the treatment of coronavirus disease (COVID-19)” were developed, approved and updated in accordance with the established procedure. At the same time, in order to assist the doctor and the patient in making a rational decision in different clinical situations, a clinical guideline “CLINICAL MANAGEMENT OF PATIENTS WITH COVID-19. “LIVE” CLINICAL INSTRUCTION” was developed – a document containing systematic provisions on medical and medico-social assistance, developed using the methodology of evidence-based medicine on the basis of reliability and proof confirmation. The basis of this clinical guideline is the WHO guideline “Clinical management of COVID-19: interim guidance” (27.05.2020), supplemented by the provisions of other WHO documents, as well as clinical guidelines of Great Britain, Belgium, USA and Australia. This guideline, as a living guideline, is a WHO innovation driven by the urgent need for global collaboration to provide reliable data and guidance emerging in the world as the result of numerous randomized clinical trials on COVID-19. The clinical guideline reflects the sequence of evidence on COVID-19 treatment in the world during a pandemic, on the basis of which the treatment strategy depending on the stage of the disease was formed and the decisions to include and exclude drugs in the protocol for COVID-19 treatment were justified, and will be further updated.
Book chapters on the topic "Triage (Medicine) Australia"
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Adibi, Hossein. "The Australian National Disability Insurance Scheme and People With Disabilities From CALD Backgrounds." In Research Anthology on Physical and Intellectual Disabilities in an Inclusive Society, 694–712. IGI Global, 2022. http://dx.doi.org/10.4018/978-1-6684-3542-7.ch037.
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The National Disability Insurance Scheme (NDIS) is considered to be the second greatest reform in healthcare in Australia after the introduction of Medicare in Australia in 1983. This reform was introduced in 2012 in two phases. The first phase as a trial took place for three years. The expectation was that the reform will be rolled out by 2019 or 2020. This article argues that the trial implementation process has achieved very positive outcomes in the lives of a great number of people with disability in Australia. At the same time, NDIS is facing many serious challenges in some areas. One of the obvious challenges is that this reform is a market approached reform. The second challenge relates to meeting the needs of minorities. People with disabilities from Culturally and Linguistically Divers (CALD) backgrounds are one of the five most venerable, underutilised users of NDIS services in Australia. They have no strong voice and negotiable abilities. The main question here is how NDIS is to meet its commitment to satisfy the needs of these vulnerable people in Australia.
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Myers, Cynthia D., and Margaret L. Stuber. "Spirituality and Complementary and Alternative Medicine." In Comprehensive Handbook of Childhood Cancer and Sickle Cell Disease. Oxford University Press, 2006. http://dx.doi.org/10.1093/oso/9780195169850.003.0015.
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The use of complementary and alternative medicine by children with cancer appears to be common, with 31% to 84% of pediatric oncology samples reportedly using at least one complementary or alternative therapy according to surveys conducted in several regions of the world, including North America (Fernandez et al., 1998; T. Friedman et al., 1997; Kelly et al., 2000; Neuhouser et al., 2001); Australia (Sawyer et al., 1994); the Netherlands (Grootenhuis et al., 1998); Finland (Mottonen & Uhari, 1997); and Taiwan (Yeh et al., 2000). This chapter reviews the medical literature regarding complementary and alternative medicine in relation to pediatric oncology. To begin, the issue of defining complementary and alternative medicine is addressed. Studies of complementary and alternative medicine use by the general adult population and by adults with cancer as well as by pediatric oncology samples are described to highlight issues concerning definitions of complementary and alternative medicine and to ascertain the prevalence of use of specific complementary and alternative medicine modalities. Available reports of clinical trials testing complementary and alternative medicine modalities in the context of pediatric cancer are summarized. Finally, a discussion is provided on spirituality and religion in relation to complementary and alternative medicine and the challenges faced by children with cancer and their families. Complementary and alternative medicine was described by the National Center for Complementary and Alternative Medicine (NCCAM) at the National Institutes of Health as “a group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine.” The NCCAM indicated that the term complementary therapy refers to therapies used in conjunction with conventional medicine; alternative therapies are those that are used in place of conventional medicine, for which conventional medicine is defined as medicine as practiced by holders of medical doctor (M.D.) or doctor of osteopathy (D.O.) degrees and other health professionals, including physical therapists, psychologists, and registered nurses. According to the NCCAM, additional terms for conventional medicine include allopathy, Western, mainstream, orthodox, regular medicine, and biomedicine; additional terms for complementary and alternative medicine include unconventional, nonconventional, and unproven medicine.
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Taber, Douglass F. "C–O Ring-Containing Natural Products: (+)-Isatisine A (Panek), Cephalasporolide E (Sartillo-Piscil), (+)-Xestodecalactone ( Jennings), Colchilomycin B (Banwell), Lactimidomycin (Georg), 5,6-Dihydrocineromycin B (Fürstner)." In Organic Synthesis. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780190646165.003.0052.
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(+)-Isatisine A 4 was isolated from Isatis indigotica, long used in traditional Asian medicine for the treatment of viral diseases. James S. Panek of Boston University set the stage (J. Org. Chem. 2015, 80, 2959) for the synthesis of 4 by the addition of the allyl silane 2 to the aldehyde 1 to give the highly substituted tetrahydrofuran 3. Fernando Sartillo- Piscil of Benemérita Universidad Autónoma de Puebla devised (J. Org. Chem. 2015, 80, 2601) an H-atom abstraction/fragmentation/cyclization cascade that converted 5 into the spiroketal cephalosporolide E 7. Cephalosporolide F, the unstable kinetic product from the cyclization, could be observed in the NMR spectrum of the crude product when a base was added. (+)-Xestodecalactone A 10 was isolated from the fungus Pencillium cf. montanese, that was secured from the marine sponge Xestospongia exigua. Michael P. Jennings of the University of Alabama constructed (Eur. J. Org. Chem. 2015, 3303) the macrolactone of 10 by cyclizing the carboxylic acid 8 to 9 under Friedel-Crafts conditions. Colchilomycin B 13, isolated (without acetone!) from the marine fungus Cochliobolus lunatus, is a naturally occurring acetonide. Martin G. Banwell of the Australian National University showed (J. Org. Chem. 2015, 80, 460) that the Nozaki–Hiyama–Kishi cyclization of 11 to 12 proceeded with high diastereoselectivity. Lactimidomycin 16 binds to and so blocks the tRNA E-site of the 80S ribosome. Gunda I. Georg of the University of Minnesota assembled (Chem. Commun. 2015, 51, 8634) the macrolide triene of 16 by the cyclization of 14 to 15. Alois Fürstner of the Max-Planck-Institut für Kohlenforschung, who developed effective catalysts for alkyne metathesis, has been exploring (Angew. Chem. Int. Ed. 2015, 54, 6241) the conversion of the product cyclic alkynes to trisubstituted alkenes. In the synthesis of 5,6-dihydrocineromycin B 19, he took advantage of the directing propargylic alcohol for the conversion of 17 to 18.