https://doi.org/10.4081/scenario.2022.524
Triage quality assessment as a performance improvement tool in the Emergency Department of the Misericordia Hospital in Grosseto
Submitted: 7 October 2022
Accepted: 7 October 2022
Published: 7 October 2022
Accepted: 7 October 2022
Abstract Views: 441
PDF (Italiano): 174
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
The triage nurse plays a fundamental role within the emergency department activity as he/she can influence the quality of the processes, as well as having important implications in terms of responsibility and clinical risk. In the emergency and admission department of the Misericordia Hospital in Grosseto in 2018 a triage quality assessment modality was introduced with the aim of improving the overall performance of the group of professionals.
Modello organizzativo per percorsi omogenei in Pronto Soccorso. Linee di Indirizzo. Regione Toscana. Delibera n. 806 del 24-07-2017. Disponibile presso: https://www.formas.toscana.it/images/Delibera_n_806_del_24-07-2017_con_All.pdf.
Linee di indirizzo nazionali sul triage intraospedaliero. Ministero della salute; 2019. Disponibile presso: https://www.salute.gov.it/imgs/C_17_pubblicazioni_3145_allegato.pdf.
S. Bambi, M. Ruggeri, S. Sansolino et al. Emergency department triage performance timing. A regional multicenter descriptive study in Italy. Int Emerg Nurs. 2016; 29:32-37. DOI: 10.1016/j.ienj.2015.10.005.
Iserson KV, Moskop JC. Triage in medicine, part I: concept, history, and types. Ann Emerg Med 2007; 49:275–81. DOI: 10.1016/j.annemergmed.2006.05.019.
S. Bambi, G. Becattini, M. Ruggeri. The new emergency department “Tuscan triage Systemâ€. Validation study. Int Emerg Nurs 2021; 7:57. DOI: 10.1016/j.ienj.2021.101014.
Van Bokhoven MA, Koch H, van der WT, DinantGJ. Special methodological challenges when studying the diagnosis of unexplained complaintsin primary care. J Clin Epidemiol. 2008; 61:318–22.2. DOI: 10.1016/j.jclinepi.2007.05.008.
Nemec M, Koller M T, Nickel C H et al. Patients presenting to the emergency department with non-specific complaints: the Basel Non-specific Complaints (BANC) study. Acad Emerg Med. 2010; 17(3):284-92. DOI: 10.1111/j.1553-2712.2009.00658.x.
Vanpee D, Swine C, Vandenbossche P, Gillet JB.Epidemiological profile of geriatric patients admit-ted to the emergency department of a universityhospital localized in a rural area. Eur J Emerg Med.2001; 8:301–4. DOI: 10.1097/00063110-200112000-00010.
Rutschmann OT, Chevalley T, Zumwald C, Luthy C,Vermeulen B, Sarasin FP. Pitfalls in the emergencydepartment triage of frail elderly patients withoutspecific complaints. Swiss Med Wkly. 2005; 135:145–50.
Ministero della salute. Morte o grave danno conseguente a non corretta attribuzione del codice triage nella Centrale operativa 118 e/o all’interno del Pronto soccorso. Raccomandazione n. 15 Febbraio 2013. Disponibile presso: https://www.salute.gov.it/imgs/C_17_pubblicazioni_1934_allegato.pdf.
M. Ruggeri, Vanni S, Paolini D. Manuale di Formazione del sistema triage toscano (STT). 1 ed. Formas, 2019.
La comunicazione, gli aspetti relazionali e la gestione dello stress al triage. 1/12/15 Rimini. Disponibile presso: http://triage.it/index.php/programmazione-corsi/calendario-corsi/17-la-comunicazione-gli-aspetti-relazionali-e-la-gestione-dello-stress-al-triage. Accesso 5/03/2017.
Gómez-Angelats E, Miró O, Bragulat Baur E et al. Triage level assignment and nurse characteristics and experience. Emergencias. 2018; 30(3):163-168.
Bambi S, Giusti M, Camarlinghi D. Il miglioramento della qualità nel triage infermieristico di pronto soccorso. L’esperienza dell’Ospedale di Santa Maria Annunziata di Firenze. Scenario 2013; 30 (3): 14-19.
Waite R, Gerdtz MF, Virtue E et al. Developing and implementing a quality improvement framework for emergency department triage. Acad Emerg Med. 2012; 19; (6):724.
Malmström T, Harjola V P, Torkki P et al. Triage quality control is missing tools—a new observation technique for ED quality improvement. Int J Qual Health Care. 2017; 1; 29(2):295-300. DOI: https://doi.org/10.1093/intqhc/mzx017.
Seiger N, Van Veen M, Steyerberg EW et al. Undertriage in the Manchester triage system: an assessment of severity and options for improvement. Arch Dis Child 2011; 96:653–7. DOI: 10.1136/adc.2010.206797.
Tam H L , Chung S F , Lou C K. A review of triage accuracy and future direction. BMC Emerg Med 2018; 20, 18:58. DOI: 10.1186/s12873-018-0215-0.
Wong TW, Tseng G, Lee LW. Report of an audit of nurse triage in an accident and emergency department. J Accid Emerg Med. 1994; 11(2):91-5. DOI: 10.1136/emj.11.2.91
Rankin JA, Then KL, Atak L. Can emergency nurses’ triage skills be improved by online learning? Results of an experiment. J Emerg Nurs. 2013; 39:20-26. DOI: 10.1016/j.jen.2011.07.004.
Supporting Agencies
How to Cite
Nykieforuk, S., Peri, S., Pontrandolfo, S., & Ronchese, F. (2022). Triage quality assessment as a performance improvement tool in the Emergency Department of the Misericordia Hospital in Grosseto. Scenario® - Il Nursing Nella Sopravvivenza, 39(3), 20–26. https://doi.org/10.4081/scenario.2022.524
Copyright (c) 2022 Scenario
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Aniarti has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.