Validity of ED: Addressing heterogeneous definitions of over-triage and under-triage

Since the 1950's there has been a proliferation of standardized emergency department triage tools worldwide [4,5]. [...]there are no data to support simulated vignettes as a proxies for real patients who present to emergency departments for care [14]. [...]we are failing to provide accurate dat...

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Bibliographic Details
Published in:The American journal of emergency medicine 2017-07, Vol.35 (7), p.1023-1025
Main Authors: Lentz, Brian A., Jenson, Alexander, Hinson, Jeremiah S., Levin, Scott, Cabral, Stephanie, George, Kevin, Hsu, Edbert B., Kelen, Gabor, Hansoti, Bhakti
Format: Article
Language:English
Subjects:
Accuracy
Acuity
Assurance
Automotive parts
Children
Computer simulation
Data processing
Emergency medical care
Emergency medicine
Emergency Service, Hospital - standards
Emergency services
Experts
Hay
Headache
Hospitals
Humans
Medical personnel
Mortality
Nurses
Nursing
Over-triage
Patients
Quality control
Quality standards
Resource availability
Resource utilization
Standardization
Statistical analysis
Studies
Tool use
Trauma
Triage
Triage - standards
Triage - statistics & numerical data
Under-triage
Validity
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Summary:Since the 1950's there has been a proliferation of standardized emergency department triage tools worldwide [4,5]. [...]there are no data to support simulated vignettes as a proxies for real patients who present to emergency departments for care [14]. [...]we are failing to provide accurate data for policy makers to reach important decisions on triage tool use and implementation [7]. 1 P.A. Maningas, The Soterion rapid triage system: evaluation of inter-rater reliability and validity, J Emerg Med, Vol. 30, Iss. 4, 2006, 461-469 2 P. Tanabe, Refining emergency severity index triage criteria, Acad Emerg Med, Vol. 12, Iss. 6, 2005, 497-501 3 I. Robertson-Steel, Evolution of triage systems, Emerg Med J, Vol. 23, Iss. 2, 2006, 154-155 4 M. Christ, Modern triage in the emergency department, Dtsch Arztebl Int, Vol. 107, Iss. 50, 2010, 892-898 5 N. Gilboy, D. Travers, R. Wuerz, Re-evaluating triage in the new millennium: a comprehensive look at the need for standardization and quality, J Emerg Nurs, Vol. 25, Iss. 6, 1999, 468-473 6 M. Twomey, The South African triage scale (adult version) provides valid acuity ratings when used by doctors and enrolled nursing assistants, African Journal for Emergency Medicine, Vol. 2, 2012, 3-12 7 C.M. Fernandes, J Emerg Nurs, Vol. 31, 2005 8 N. Farrohknia, Emergency department triage scales and their components: a systematic review of the scientific evidence, Scand J Trauma Resusc Emerg Med, Vol. 19, 2011, 42 9 R.C. Wuerz, Reliability and validity of a new five-level triage instrument, Acad Emerg Med, Vol. 7,...
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2017.02.012