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Compliance With Triage Protocols in the Emergency Department: A Retrospective Audit
Fatima Amjad1, Baseera Imran2, Affia Altaf3
1Internal Medicine, Shalamar Hospital, Lahore, PAK.
Cureus
|February 9, 2026
Summary
Emergency department triage compliance was 75.6%, but nearly a quarter of patients were incorrectly triaged. Under-triage was more frequent, posing a safety risk, especially during peak hours.
Area of Science:
- Emergency Medicine
- Healthcare Management
- Patient Safety
Background:
- Triage is essential in emergency departments (EDs) for prioritizing patients by condition severity.
- Standardized protocols aim to ensure consistent and accurate patient assessment.
Purpose of the Study:
- To evaluate adherence to standardized triage protocols in a tertiary care ED.
- To determine the rates of under-triage and over-triage.
- To identify patient characteristics and presentation times associated with triage accuracy.
Main Methods:
- Retrospective observational study of 135 patients at Shalamar Hospital, Lahore.
- Review of medical records for demographics, complaints, and triage categories.
- Analysis of compliance using Pearson's chi-square test (p < 0.05 significance).
Main Results:
- Overall compliance with triage protocols was 75.6%.
- Non-compliance occurred in 24.4% of cases (15.6% under-triaged, 8.9% over-triaged).
- Compliance varied by triage category and was lower during peak hours.
Conclusions:
- ED triage compliance was moderately high but suboptimal, with significant incorrect triaging.
- Under-triage is a notable safety concern.
- Triage accuracy is influenced by patient category and time of presentation, necessitating targeted interventions.
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