Accuracy of the Emergency Department Triage System using the Emergency Severity Index for Predicting Patient Outcome; A Single Center Experience
<strong>Objective:</strong> To evaluate the accuracy of the five-level triage system using the emergency severity index (ESI) and to determine the compliance of the triage level with patient outcomes.<br /> <strong>Methods:</strong> This was a cross-sectional study whic...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Shiraz University of Medical Sciences
2020-04-01
|
| Series: | Bulletin of Emergency and Trauma |
| Subjects: | |
| Online Access: | http://beat.sums.ac.ir/article_46452_b8d6d397999f8e1ee6bf4a4a48f5623e.pdf |
| _version_ | 1819225456559259648 |
|---|---|
| author | Raheleh Ganjali Reza Golmakani Mohsen Ebrahimi Saeid Eslami Ehsan Bolvardi |
| author_facet | Raheleh Ganjali Reza Golmakani Mohsen Ebrahimi Saeid Eslami Ehsan Bolvardi |
| author_sort | Raheleh Ganjali |
| collection | DOAJ |
| description | <strong>Objective:</strong> To evaluate the accuracy of the five-level triage system using the emergency severity index (ESI) and to determine the compliance of the triage level with patient outcomes.<br /> <strong>Methods:</strong> This was a cross-sectional study which was performed in the emergency department of Imam Reza Hospital of Mashhad during 2017. We included all the adult patients (≥15 years of age) referring to the emergency department. The data were recorded in a questionnaire containing three sections including demographic information, results of triage by ESI and final outcome of the patient. Patients referred to the triage unit were simultaneously triaged by triage nurse and some emergency medicine physicians. The triage was performed by a nurse with an emergency medicine physician (EMP) was considered as a gold standard and the outcome was compared in 24 hours later.<br /> <strong>Results:</strong> Overall, we included 400 patients with a mean age of 46.40 ± 18.52 years among whom there were 211 (52.8%) men and 189 (47.3%) women. Finally, 123 patients were hospitalized, 12 died, 256 were discharged by a physician, and 9 people left the hospital with their own consent. The calculated weight kappa was used to determine the agreement between the observers (nurse triage and physician) at 0.701 so that the agreement between the triage performed by a nurse and an EMP was in an excellent level (<em>p</em><0.001). There was a significant relationship between the triage levels (determined by physicians) and the outcome of the patient (<em>p</em><0.001), and the five-level system had a high overlap and significant relation with patient's outcome.<br /> <strong>Conclusion:</strong> The results of the current study revealed that the five-level triage system using the ESI has a high accuracy in triage and estimates the patient outcomes effectively and thus, could be used as an effective system in hospital triage. |
| first_indexed | 2024-12-23T10:09:53Z |
| format | Article |
| id | doaj.art-046a4ee8d8c941ac934686934fe02d55 |
| institution | Directory Open Access Journal |
| issn | 2322-2522 2322-3960 |
| language | English |
| last_indexed | 2024-12-23T10:09:53Z |
| publishDate | 2020-04-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Bulletin of Emergency and Trauma |
| spelling | doaj.art-046a4ee8d8c941ac934686934fe02d552022-12-21T17:51:00ZengShiraz University of Medical SciencesBulletin of Emergency and Trauma2322-25222322-39602020-04-018211512010.30476/beat.2020.4645246452Accuracy of the Emergency Department Triage System using the Emergency Severity Index for Predicting Patient Outcome; A Single Center ExperienceRaheleh Ganjali0Reza Golmakani1Mohsen Ebrahimi2Saeid Eslami3Ehsan Bolvardi4Medical Informatics, Department of medical informatics, Faculty Of Medicine , Mashhad University of Medical Sciences, Mashhad, IranDepartment of Emergency Medicine, Doctor Shariati Hospital, Mashhad University of Medical Sciences, Mashhad, Iran,Department Of Emergency Medicine, Mashhad University of Medical Sciences, Mashhad, Iran,Pharmaceutical Research Centre, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran, Pharmaceutical Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran, Department of Medical Informatics UniversityDepartment of Emergency Medicine, Mashhad University of Medical Sciences, Mashhad, Iran<strong>Objective:</strong> To evaluate the accuracy of the five-level triage system using the emergency severity index (ESI) and to determine the compliance of the triage level with patient outcomes.<br /> <strong>Methods:</strong> This was a cross-sectional study which was performed in the emergency department of Imam Reza Hospital of Mashhad during 2017. We included all the adult patients (≥15 years of age) referring to the emergency department. The data were recorded in a questionnaire containing three sections including demographic information, results of triage by ESI and final outcome of the patient. Patients referred to the triage unit were simultaneously triaged by triage nurse and some emergency medicine physicians. The triage was performed by a nurse with an emergency medicine physician (EMP) was considered as a gold standard and the outcome was compared in 24 hours later.<br /> <strong>Results:</strong> Overall, we included 400 patients with a mean age of 46.40 ± 18.52 years among whom there were 211 (52.8%) men and 189 (47.3%) women. Finally, 123 patients were hospitalized, 12 died, 256 were discharged by a physician, and 9 people left the hospital with their own consent. The calculated weight kappa was used to determine the agreement between the observers (nurse triage and physician) at 0.701 so that the agreement between the triage performed by a nurse and an EMP was in an excellent level (<em>p</em><0.001). There was a significant relationship between the triage levels (determined by physicians) and the outcome of the patient (<em>p</em><0.001), and the five-level system had a high overlap and significant relation with patient's outcome.<br /> <strong>Conclusion:</strong> The results of the current study revealed that the five-level triage system using the ESI has a high accuracy in triage and estimates the patient outcomes effectively and thus, could be used as an effective system in hospital triage.http://beat.sums.ac.ir/article_46452_b8d6d397999f8e1ee6bf4a4a48f5623e.pdftriageemergency severity index (esi)patient outcome |
| spellingShingle | Raheleh Ganjali Reza Golmakani Mohsen Ebrahimi Saeid Eslami Ehsan Bolvardi Accuracy of the Emergency Department Triage System using the Emergency Severity Index for Predicting Patient Outcome; A Single Center Experience Bulletin of Emergency and Trauma triage emergency severity index (esi) patient outcome |
| title | Accuracy of the Emergency Department Triage System using the Emergency Severity Index for Predicting Patient Outcome; A Single Center Experience |
| title_full | Accuracy of the Emergency Department Triage System using the Emergency Severity Index for Predicting Patient Outcome; A Single Center Experience |
| title_fullStr | Accuracy of the Emergency Department Triage System using the Emergency Severity Index for Predicting Patient Outcome; A Single Center Experience |
| title_full_unstemmed | Accuracy of the Emergency Department Triage System using the Emergency Severity Index for Predicting Patient Outcome; A Single Center Experience |
| title_short | Accuracy of the Emergency Department Triage System using the Emergency Severity Index for Predicting Patient Outcome; A Single Center Experience |
| title_sort | accuracy of the emergency department triage system using the emergency severity index for predicting patient outcome a single center experience |
| topic | triage emergency severity index (esi) patient outcome |
| url | http://beat.sums.ac.ir/article_46452_b8d6d397999f8e1ee6bf4a4a48f5623e.pdf |
| work_keys_str_mv | AT rahelehganjali accuracyoftheemergencydepartmenttriagesystemusingtheemergencyseverityindexforpredictingpatientoutcomeasinglecenterexperience AT rezagolmakani accuracyoftheemergencydepartmenttriagesystemusingtheemergencyseverityindexforpredictingpatientoutcomeasinglecenterexperience AT mohsenebrahimi accuracyoftheemergencydepartmenttriagesystemusingtheemergencyseverityindexforpredictingpatientoutcomeasinglecenterexperience AT saeideslami accuracyoftheemergencydepartmenttriagesystemusingtheemergencyseverityindexforpredictingpatientoutcomeasinglecenterexperience AT ehsanbolvardi accuracyoftheemergencydepartmenttriagesystemusingtheemergencyseverityindexforpredictingpatientoutcomeasinglecenterexperience |