Hospital and Pre-Hospital Triage Systems in Disaster and Normal Conditions; a Review Article
Iranian Journal of Emergency Medicine,
Vol. 2 No. 1 (2015),
AbstractTriage is a priority classification system based on the severity of problem to do the best therapeutic proceedings for patients in the less time. A triage system should be performed in a way which can make a decision with high accuracy and in the least time for each patient. Simplicity and reliability of the performance are the most important features of a standard triage system. An appropriate triage causes to increase the quality of health care services and patients’ satisfaction rate, decrease the waiting time as well as mortality rate, and increase the yield and efficiency of emergency wards along with reducing the related expenses. Considering to the above statements, in the present study the history of triage formation was evaluated and categorizing of all triage systems regarding prehospital and hospital as well as triage in normal and critical conditions were assessed, too.
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Bullard MJ, Unger B, Spence J, Grafstein E. Revisions to the Canadian emergency department triage and acuity scale (CTAS) adult guidelines. Cjem. 2008;10(2):136-51.
Göransson KE, Ehrenberg A, Ehnfors M. Triage in emergency departments: national survey. Journal of clinical nursing. 2005;14(9):1067-74.
Whitby S, Ieraci S, Johnson D, Mohsin M. Analysis of the process of triage: The use and outcome of the national triage scale 1997. Liverpool Health Service, Liverpool, NSW.
Fernandes C, Tanabe P, Gilboy N, et al. Five-level triage: a report from the ACEP/ENA Five-level Triage Task Force. Journal of Emergency Nursing. 2005;31(1):39-50.
Gerber Zimmerman P, McNair R. Triage essence and process. Triage nursing secrets Missouri: Mosby Inc. 2006.
Wuerz RC, Milne LW, Eitel DR, Travers D, Gilboy N. Reliability and validity of a new five‐level triage instrument. Academic Emergency Medicine. 2000;7(3):236-42.
Gilboy N, Travers D, Wuerz R. Re-evaluating triage in the new millennium: a comprehensive look at the need for standardization and quality. Journal of Emergency Nursing. 1999;25(6):468-73.
S M. 2001 Emergency Nurses Association national benchmark guide: emergency departments. Emergency Nurses Association. 2002.
Zimmermann PG. The case for a universal, valid, reliable 5-tier triage acuity scale for US emergency departments. J Emerg Nurs. 2001;27(3):246-54.
Maningas PA, Hime DA, Parker DE, McMurry TA. The Soterion Rapid Triage System: evaluation of inter-rater reliability and validity. The Journal of emergency medicine. 2006;30(4):461-9.
Parenti N, Ferrara L, Reggiani MLB, Sangiorgi D, Lenzi T. Reliability and validity of two four-level emergency triage systems. European Journal of Emergency Medicine. 2009;16(3):115-20.
Rutschmann OT, Kossovsky M, Geissbühler A, et al. Interactive triage simulator revealed important variability in both process and outcome of emergency triage. Journal of clinical epidemiology. 2006;59(6):615-21.
Widgren BR, Jourak M. Medical Emergency Triage and Treatment System (METTS): A new protocol in primary triage and secondary priority decision in emergency medicine. The Journal of emergency medicine. 2011;40(6):623-8.
Christ M, Grossmann F, Winter D, Bingisser R, Platz E. Modern triage in the emergency department. Dtsch Arztebl Int. 2010;107(50):892-8.
Zimmermann PG. The case for a universal, valid, reliable 5-tier triage acuity scale for US emergency departments. Journal of Emergency Nursing. 2001;27(3):246-54.
Richardson JR, Braitberg G, Yeoh MJ. Multidisciplinary assessment at triage: a new way forward. Emergency Medicine. 2004;16(1):41-6.
Storm-Versloot MN, Ubbink DT, Chin a Choi V, Luitse JS. Observer agreement of the Manchester Triage System and the Emergency Severity Index: a simulation study. Emerg Med J. 2009;26(8):556-60.
van der Wulp I, Schrijvers AJ, van Stel HF. Predicting admission and mortality with the Emergency Severity Index and the Manchester Triage System: a retrospective observational study. Emerg Med J. 2009;26(7):506-9.
Bergeron S, Gouin S, Bailey B, Amre DK, Patel H. Agreement among pediatric health care professionals with the pediatric Canadian triage and acuity scale guidelines. Pediatric emergency care. 2004;20(8):514-8.
Gravel J, Gouin S, Bailey B, Roy M, Bergeron S, Amre D. Reliability of a computerized version of the Pediatric Canadian Triage and Acuity Scale. Academic Emergency Medicine. 2007;14(10):864-9.
Ma W, Gafni A, Goldman RD. Correlation of the Canadian Pediatric Emergency Triage and Acuity Scale to ED resource utilization. The American journal of emergency medicine. 2008;26(8):893-7.
Grafstein E, Innes G, Westman J, Christenson J, Thorne A. Inter-rater reliability of a computerized presenting-complaint-linked triage system in an urban emergency department. Cjem. 2003;5(5):323-9.
Lohr KN, Schroeder SA. A strategy for quality assurance in Medicare. New England Journal of Medicine. 1990;322(10):707-12.
Emerman CL, Shade B, Kubincanek J. A comparison of EMT judgment and prehospital trauma triage instruments. J Trauma. 1991;31(10):1369-75.
Jenkins JL, McCarthy ML, Sauer LM, et al. Mass-casualty triage: time for an evidence-based approach. Prehosp Disaster Med. 2008;23(1):3-8.
Tabibi SJ, Najafi B, Shoaie S. Waiting time in the emergency department in selected hospitals of Iran University of Medical Sciences in 2007. Pejouhesh. 2009;33(2):117-22.
Kouzminova N, Shatney C, Palm E, McCullough M, Sherck J. The efficacy of a two-tiered trauma activation system at a level I trauma center. J Trauma. 2009;67(4):829-33.
Mackway-Jones K, Marsden J, Windle J. Manchester Triage Group. Emergency Triage. London: BMJ Publishing Group; 1997.
Speake D, Teece S, Mackway-Jones K. Detecting high-risk patients with chest pain: DOUGLAS SPEAKE and COLLEAGUES discuss nurse detection of high-risk patients with cardiac chest pain using the Manchester Triage System. Emergency nurse. 2003;11(5):19-21.
Roukema J, Steyerberg E, Van Meurs A, Ruige M, Van der Lei J, Moll H. Validity of the Manchester Triage System in paediatric emergency care. Emergency medicine journal. 2006;23(12):906-10.
Worster A, Gilboy N, Fernandes CM, et al. Assessment of inter-observer reliability of two five-level triage and acuity scales: a randomized controlled trial. Can J Emerg Med. 2004;6(4):240-5.
Warren D, Jarvis A, LeBlanc L, Gravel J. Canadian Association of Emergency Physicians; National Emergency Nurses Affiliation; Association des Médecins d’Urgence du Québec; Canadian Paediatric Society; Society of Rural Physicians of Canada. Revisions to the Canadian Triage and Acuity Scale paediatric guidelines (PaedCTAS). CJEM. 2008;10(3):224-43.
M JM. The Canadian Triage and Acuity Scale: A Canadian perspective on emergency department triage. Emerg Med (Fremantle). 2003;15(1):6-10.
Fernandes CM, Tanabe P, Gilboy N, et al. Five-level triage: a report from the ACEP/ENA Five-level Triage Task Force. J Emerg Nurs. 2005;31(1):39-50.
Eitel DR, Travers DA, Rosenau AM, Gilboy N, Wuerz RC. The emergency severity index triage algorithm version 2 is reliable and valid. Academic Emergency Medicine. 2003;10(10):1070-80.
Wuerz RC, Travers D, Gilboy N, Eitel DR, Rosenau A, Yazhari R. Implementation and refinement of the emergency severity index. Acad Emerg Med. 2001;8(2):170-6.
Tanabe P, Gimbel R, Yarnold PR, Adams JG. The Emergency Severity Index (version 3) 5-level triage system scores predict ED resource consumption. J Emerg Nurs. 2004;30(1):22-9.
Cone DC, Koenig KL. Mass casualty triage in the chemical, biological, radiological, or nuclear environment. European Journal of Emergency Medicine. 2005;12(6):287-302.
Luckey T. Nuclear triage and the dirty bomb. Radiation Protection Management. 2003;20(1):11-7.
Coleman CN, Weinstock DM, Casagrande R, et al. Triage and treatment tools for use in a scarce resources-crisis standards of care setting after a nuclear detonation. Disaster medicine and public health preparedness. 2011;5(S1):S111-S21.
Brandt C, Coffee T, Yurko L, Yowler C, Fratianne R. Triage of minor burn wounds: avoiding the emergency department. Journal of Burn Care & Research. 2000;21(1):26&hyhen.
Saffle JR, Gibran N, Jordan M. Defining the ratio of outcomes to resources for triage of burn patients in mass casualties. Journal of Burn Care & Research. 2005;26(6):478-82.
Ahuja RB, Bhattacharya S. Burns in the developing world and burn disasters. BMJ. 2004;329(7463):447-9.
Kelen GD, Kraus CK, McCarthy ML, et al. Inpatient disposition classification for the creation of hospital surge capacity: a multiphase study. The Lancet. 2006;368(9551):1984-90.
Adams MP. Triage priorities and military physicians. Physicians at War: Springer; 2008. p. 215-36.
Kariman H, Joorabian J, Shahrami A, Alimohammadi H, Noori Z, Safari S. Accuracy of emergency severity index of triage in Imam Hossein hospital-Tehran, Iran (2011). Journal of Gorgan University of Medical Sciences. 2013;15(1):115-20.
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