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[Triage area. Use and effectiveness of a protocol].

M J Rojas Ocaña1, J B Rodríguez Rodríguez

  • 1Servicio Cuidados Críticos y Urgencias, Hospital General Juan Ramón Jiménez, Huelva.

Revista De Enfermeria (Barcelona, Spain)
|September 13, 2000
PubMed
Summary

Nurse triage effectively filters patients, with 95.9% agreement between nurses on severity levels. This system ensures efficient allocation of resources in emergency services, prioritizing critical cases.

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Area of Science:

  • Emergency Medicine
  • Nursing Practice
  • Healthcare Systems

Context:

  • Urgency services require efficient patient classification for timely care.
  • Nurse-led triage systems aim to prioritize critically ill patients.
  • The Juan Ramon Jimenez Hospital utilizes a specific triage protocol for patient assessment.

Purpose:

  • To evaluate the utility and efficacy of the established nurse triage protocol.
  • To assess the degree of homogeneity in patient classification by different nurses.
  • To analyze the concordance of triage assessments across 300 patient histories.

Summary:

  • A comparative study of 300 patient histories revealed a 95.9% agreement rate between nurses using the triage protocol.
  • Discrepancies in classification primarily occurred in less critical categories (levels III and IV).
  • Over 99% of patients were referred to the appropriate specialty post-triage, with internal medicine and traumatology being the most frequent.
  • A significant portion of patients (75%) self-referred with non-urgent (Level IV) conditions, highlighting potential inefficiencies in patient flow.

Impact:

  • The study demonstrates high reliability and consistency in nurse-led triage, supporting its continued use.
  • Findings suggest a need to address self-referrals for non-urgent conditions to optimize emergency service resources.
  • The protocol effectively directs patients to appropriate specialties, ensuring efficient healthcare delivery.

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