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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

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[Triage in primary care emergency services].

I Rancaño-García¹, J C Cobo-Barquín, R Cachero-Fernández

¹Servicio de Salud del Principado de Asturias (SESPA), Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad de Oviedo, Oviedo, España. rancano@gmail.com

|March 5, 2013

Summary

A new primary care triage system was validated, showing good agreement between observers and with hospital referrals. This system efficiently categorizes emergency service patients by priority level.

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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

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Published on: November 9, 2016

Area of Science:

Primary Care Medicine
Emergency Services Management
Healthcare Systems Engineering

Background:

Emergency departments in primary care settings face challenges in efficiently managing patient flow and prioritizing care.
A standardized triage system is crucial for optimizing resource allocation and ensuring timely treatment for patients.

Purpose of the Study:

To design and validate a novel triage system for primary care emergency services.
To assess the reliability, efficiency, and clinical correlation of the developed triage system.

Main Methods:

Development of a 5-level priority classification (red, orange, yellow, green, blue) based on the International Classification of Primary Care (ICPC2).
A pilot study with 115 patients involving two independent evaluators for triage.
Large-scale validation involving 23,168 patients over eight months with continuous monitoring.

Main Results:

High interobserver agreement with a Kappa of 0.7.
Average triage time of 108.82 seconds (SD; 94.14).
Common reasons for consultation included ENT (27.6%), respiratory (15.7%), and musculoskeletal (14%) issues, with 62.7% of patients assigned the green priority level.

Conclusions:

The designed triage system demonstrates strong interobserver agreement and correlates well with referral hospital decisions.
The system achieved high professional agreement (>99%), indicating its practical utility and acceptance in primary care emergency settings.