Triage is a process that is critical to the effective management of modern emergency departments. Triage systems aim, not only to ensure clinical justice for the patient, but also to provide an effective tool for departmental organisation, monitoring and evaluation. Over the last 20 years, triage systems have been standardised in a number of countries and efforts made to ensure consistency of a...

PURPOSE Trained ophthalmic triage staff may not constantly be available in the emergency department of a specialized ophthalmic hospital, particularly at night. To support the current triage process, the aim of this study was to develop an ophthalmic instrument of patient self-triage (ISET). METHODS A preliminary ISET, in the form of a pen-and-paper questionnaire, was refined and validated in...

OBJECTIVES Emergency department (ED) triage prioritizes patients based on urgency of care, and the Canadian Triage and Acuity Scale (CTAS) is the national standard. We describe the inter-rater agreement and manual overrides of nurses using a CTAS-compliant web-based triage tool (eTRIAGE) for 2 different intensities of staff training. METHODS This prospective study was conducted in an urban te...

RATIONALE, AIMS AND OBJECTIVES Complex and chronic disease is placing significant pressure on hospital outpatient departments. Novel ways of delivering care have been developed recently and are often described as 'triage' services. This paper reviews the literature pertaining to definitions and descriptions of orthopaedic/musculoskeletal triage processes, in order to provide information on 'bes...

Background: Canadian Emergency Departments (ED) use the five-point Triage Acuity Scale (CTAS) to prioritize patients according acuity. CTAS scores are used make decisions on patient flow, staffing complement, and funding. Variations in triage can lead mis-categorization delayed care for critically ill patients. Edmonton zone quality improvement audits reduced high low-risk vital sign errors (86...

CONTEXT The main objectives of triage are securing patient safety during the process of emergency diagnosis and treatment, and reduction of waiting time for medical services and transport. To date, there is no triage system for nerve agent victims. EVIDENCE ACQUISITION This systematic review proposes a new triage system for patients exposed to nerve agents. Information regarding clinical sign...

Background The purpose of triage is to prioritize patients and identify those who need immediate attention. Primary triage is attempted by the coordinating physician at the Emergency Department (ED) based primarily on the patient’s vital parameters (blood pressure, heart rate, oxygen saturation, respiration rate and body temperature) received by phone from the referring party, i.e. paramedics o...

INTRODUCTION In Australia a nationally adopted five tiered triage scale called the Australasian triage scale (ATS) is used for the purpose of differentiating patient acuity levels for all patients that present to an emergency department (ED). The scale was formulated with the aim of promoting a standardized approach to triage. Numerous studies now suggest that the ATS has not been successful in...

BACKGROUND Crowding in the emergency department (ED) is a well-known problem resulting in an increased risk of adverse outcomes. Effective triage might counteract this problem by identifying the sickest patients and ensuring early treatment. In the last two decades, systematic triage has become the standard in ED's worldwide. However, triage models are also time consuming, supported by limited ...

Primary screening for high-risk human papillomavirus (hrHPV) requires a triage protocol. Repeat cytology testing at baseline and after 6 to 12 months has emerged as a reasonable triage approach, but carries the risk of loss to follow-up. Repeat cytology testing may be omitted if cytology is supplemented with another, complementary triage test at baseline. In this study, the performance of combi...