Nurse triage in accident and emergency departments.

Cruickshank, R

doi:10.1136/bmj.304.6838.1378

Cited by 4 publications

(2 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These results, when published and presented, produced an immediate and often incensed reaction (Cruickshank, 1992;Dale, 1992;Bache, 1992; Heyworth & Pledge, 1992;Porter, 1992;St George, 1992). In this paper an attempt is made to explore in depth some of the points raised by these critics.…”

Section: Introductionmentioning

confidence: 93%

Nurse triage in theory and in practice.

George

Read

Westlake

et al. 1993

Emergency Medicine Journal

View full text Add to dashboard Cite

'Nurse Triage' refers to the formal process of early assessment of patients attending an accident and emergency (A&E) department by a trained nurse, to ensure that they receive appropriate attention, in a suitable location, with the requisite degree of urgency. The benefits claimed for nurse triage include better patient outcomes, through clinical management reaching those in greatest need of it first. A recent study of nurse triage in a British A&E department failed to demonstrate the benefits claimed: patients undergoing triage were delayed, especially those in the most urgent groups. No differences were noted between the two study groups in levels of satisfaction with the A&E process. The results brought forth criticism from all quarters. In this paper the points made by the critics are considered, and an attempt to answer them is made.

show abstract

Section: Introductionmentioning

confidence: 93%

Nurse triage in theory and in practice.

George

Read

Westlake

et al. 1993

Emergency Medicine Journal

View full text Add to dashboard Cite

show abstract

“…(5) Is there is a single triage nurse for all patients, or does the triage nurse see only the walking wounded, trolley patients being assessed by other staff in the department? (6) The definition time of arrival in the department (7) Definition of time to immediate assessment, that is, the time the patient is "eyeballed", or the time taken to formally triage the patient (8) The method used to collect the data, and the sample size (9) The star rating awarded in the comparative performance guide (10) The extra nursing resources deployed in the department in order to perform immediate assessment Of the 405 questionnaires sent, 213 were returned. Twelve questionnaires were discounted because they had been inadequately completed.…”

mentioning

confidence: 99%

Do the national performance tables really indicate the performance of accident and emergency departments?

Edhouse

Wardrope²

1996

Emergency Medicine Journal

View full text Add to dashboard Cite

In order to qualify for inclusion in the performance tables, a survey of at least 5% of new patients attending in a three month period had to be performed. The guidelines stipulate that time of arrival must be the time the patient first enters the department. Where the Audit Commission's auditors judged the data collection systems to be satisfactory, star ratings have been allocated. Only 186 units have been awarded a star rating. The star ratings are presented in the form of league tables, and claim to "show performance at a glance". One star means that less than 80% of patients were assessed immediately they arrived in the department, two stars mean 80-84%, three stars 85-90%, four stars 90-94%, and five stars 95% or more.

show abstract