The effectiveness of the South African Triage Toll use in Mahalapye District Hospital – Emergency Department, Botswana

Background: The study aimed to determine the proportion of each priority level of patients, time of performance in each priority level, and the reliability of the South African Triage Scale (SATS) tool at the Mahalapye District Hospital - Emergency Department (MDH-ED), a setting where the majority o...

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Main Authors: Stephane T. Tshitenge, Gboyega A. Ogunbanjo, Deogratias O. Mbuka
Format: Article
Language:English
Published: AOSIS 2016-07-01
Series:African Journal of Primary Health Care & Family Medicine
Subjects:
Online Access:https://phcfm.org/index.php/phcfm/article/view/1030
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author Stephane T. Tshitenge
Gboyega A. Ogunbanjo
Deogratias O. Mbuka
author_facet Stephane T. Tshitenge
Gboyega A. Ogunbanjo
Deogratias O. Mbuka
author_sort Stephane T. Tshitenge
collection DOAJ
description Background: The study aimed to determine the proportion of each priority level of patients, time of performance in each priority level, and the reliability of the South African Triage Scale (SATS) tool at the Mahalapye District Hospital - Emergency Department (MDH-ED), a setting where the majority of the nurses were not formally trained on the use of the SATS. Methods: This was a cross-sectional study using case records in MDH-ED from 1 January 2014 to 31 December 2014. A panel of experts from the Mahalapye site of the Family Medicine Department, University of Botswana, reviewed and scored each selected case record that was compared with the scores previously attributed to the nurse triage. Results: From the 315 case records, both the nurse triage and the panel of expert triage assigned the majority of cases in the routine category (green), 146 (46%) and 125 (40%), respectively, or in the urgent category (yellow), they assigned 140 (44%) and 111 (35%) cases, respectively.Overall, there was an adequate agreement between the nurse triage and the panel of expert triage (k = 0.4, 95% confidence interval: 0.3–0.5), although the level of agreement was satisfactory. Conclusion: Findings of the study reported that the profile of the priority-level categories in MDH-ED was made in the majority of routine and urgent patients, only the routine and the emergency patients were seen within the targeted time and they had a satisfactory level of reliability (between 0.4 and 0.6).
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spelling doaj.art-0fa3ffd2c7a1465ea987121bd95207622022-12-22T01:30:03ZengAOSISAfrican Journal of Primary Health Care & Family Medicine2071-29282071-29362016-07-0181e1e510.4102/phcfm.v8i1.1030401The effectiveness of the South African Triage Toll use in Mahalapye District Hospital – Emergency Department, BotswanaStephane T. Tshitenge0Gboyega A. Ogunbanjo1Deogratias O. Mbuka2Department of Family Medicine and Public Health, University of BotswanaDepartment of Family Medicine and Primary Health Care, Sefako Makgatho Health Sciences UniversityDepartment of Family Medicine and Public Health, University of BotswanaBackground: The study aimed to determine the proportion of each priority level of patients, time of performance in each priority level, and the reliability of the South African Triage Scale (SATS) tool at the Mahalapye District Hospital - Emergency Department (MDH-ED), a setting where the majority of the nurses were not formally trained on the use of the SATS. Methods: This was a cross-sectional study using case records in MDH-ED from 1 January 2014 to 31 December 2014. A panel of experts from the Mahalapye site of the Family Medicine Department, University of Botswana, reviewed and scored each selected case record that was compared with the scores previously attributed to the nurse triage. Results: From the 315 case records, both the nurse triage and the panel of expert triage assigned the majority of cases in the routine category (green), 146 (46%) and 125 (40%), respectively, or in the urgent category (yellow), they assigned 140 (44%) and 111 (35%) cases, respectively.Overall, there was an adequate agreement between the nurse triage and the panel of expert triage (k = 0.4, 95% confidence interval: 0.3–0.5), although the level of agreement was satisfactory. Conclusion: Findings of the study reported that the profile of the priority-level categories in MDH-ED was made in the majority of routine and urgent patients, only the routine and the emergency patients were seen within the targeted time and they had a satisfactory level of reliability (between 0.4 and 0.6).https://phcfm.org/index.php/phcfm/article/view/1030profile, district hospital, accident, emergency, Botswana
spellingShingle Stephane T. Tshitenge
Gboyega A. Ogunbanjo
Deogratias O. Mbuka
The effectiveness of the South African Triage Toll use in Mahalapye District Hospital – Emergency Department, Botswana
African Journal of Primary Health Care & Family Medicine
profile, district hospital, accident, emergency, Botswana
title The effectiveness of the South African Triage Toll use in Mahalapye District Hospital – Emergency Department, Botswana
title_full The effectiveness of the South African Triage Toll use in Mahalapye District Hospital – Emergency Department, Botswana
title_fullStr The effectiveness of the South African Triage Toll use in Mahalapye District Hospital – Emergency Department, Botswana
title_full_unstemmed The effectiveness of the South African Triage Toll use in Mahalapye District Hospital – Emergency Department, Botswana
title_short The effectiveness of the South African Triage Toll use in Mahalapye District Hospital – Emergency Department, Botswana
title_sort effectiveness of the south african triage toll use in mahalapye district hospital emergency department botswana
topic profile, district hospital, accident, emergency, Botswana
url https://phcfm.org/index.php/phcfm/article/view/1030
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