Triage Decisions Differ for Paramedics and Physicians

Real-time emergency room triage decisions agree about half the time

FRIDAY, July 13 (HealthDay News) -- Real-time emergency room triage decisions by paramedics agree with the triage decisions of emergency residents about half the time, according to a study published in the July issue of the Journal of Emergency Nursing.

Fatih Ozan Kahveci, M.D., from the Karaelmas University Hospital in Zonguldak, Turkey, and colleagues analyzed the agreement of triage decisions between paramedics and emergency residents using the three-level (3L) triage scale and the five-level (5L) Australian triage scale. Data were analyzed for 731 patients who presented to a central triage area of an emergency department and urgent care center of a university teaching hospital in Turkey during a one-week period.

The researchers found that the agreement between triage decisions was 47 percent for the 3L triage scale and 45 percent for the 5L triage scale. In the triage area the admitting time and waiting time were consistent. There was a robust correlation between the patient's general condition and both triage scales.

"We found that a real-time triage evaluation elicited a lower level of agreement than did paper-based scenarios, probably because the major limitation of written scenarios is the lack of visual and aural cues associated with real patients," Kahveci and colleagues conclude. "A new triage scale may be necessary for untrained personnel so that all emergency departments can conduct simple triage."

Full Text (subscription or payment may be required)

Copyright © 2012 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95

The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95

Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95

More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.

Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.

Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.

More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events