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Developing practice-level quality indicators to assist in evaluating the application of the Australasian Triage
Wayne Varndell1, Matthew Lutze2, Carrie Janerka3
1Prince of Wales Hospital, Randwick, NSW 2031, Australia; Faculty of Health, University of Technology Sydney, Ultimo, NSW 2007, Australia.
Background:
Triage quality is central to patient safety and the efficient distribution of emergency department resources. Currently, there are no identified quality indicators for application of the Australasian Triage Scale.
Aim:
To address a gap in quality indicators specific to triage.
Design:
A literature review and modified Delphi technique.
Method:
A review of the literature published between 2001 and 2024 was conducted to identify potential indicators and metrics of triage quality, and were categorised across six quality of care domains (patient-centeredness, timeliness, effectiveness, equity, efficiency and safety). Three consecutive online surveys where panellists rated these indicators for perceived appropriateness, validity and feasibility were completed between August and December 2023.
Results:
From the review, 17 initial quality indicators across six quality of care domains were developed. Following round 1, 3 indicators were modified and 8 indicators were added. After two further survey rounds, 18 (72 %) indicators met consensus.
Conclusion:
An expert panel validated a set of triage quality indicators for measuring Australian triage practice. A continuous quality improvement approach is required to optimise triage practice, develop processes for detecting and reducing patient harm and minimising variation. Further research is needed to test applicability of the indicators.
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