The effect of emergency department nurse experience on triage decision making

Levis-Elmelech, Tamari; Schwartz, Dagan; Bitan, Yuval

doi:10.1016/j.hfh.2022.100015

Cited by 12 publications

(6 citation statements)

References 27 publications

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“…Unexpectedly, nurses' work experience was not shown to have a significant impact on the accuracy of triage assessments. This contrasts with previous findings from (Cannavacciuolo et al, 2021;Levis-Elmelech et al, 2022) study, which showed that experience can contribute to more accurate decisionmaking in triage assessments.…”

Section: Discussioncontrasting

confidence: 99%

Analysis of Factors Related to The Accuracy of Triage Assessment at The Emergency Room

Kartika Sari,

Mustamu

2023

JHS

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Triage assessment in the emergency department plays an important role in providing appropriate and effective services for emergency patients. However, the factors that affect the accuracy of triage assessments still need to be further understood, especially in the context of the COVID-19 pandemic. This study aims to analyze the relationship between nurse response time, nurse knowledge level, and respondent characteristics with the accuracy of triage assessment in the emergency room. This study used an analytical observational approach with a cross-sectional study approach. The sample consisted of 24 emergency room nurses who were selected using a nonprobability sampling technique, namely consecutive sampling. Data were collected through questionnaires and observation sheets and analyzed using the chi-square test. The analysis showed that nurse response time had a significant relationship with the accuracy of triage scoring (p<0.001). In addition, the level of knowledge of nurses was also significantly relatedto the accuracy of triage assessment (p = 0.017). However, no significant association was found between respondent characteristics such as age, gender, and education and the accuracy of triage assessments. The results of this study concluded that nurse response time and nurse knowledge level contributed to the accuracy of triage assessment in the emergency room. Nonetheless, respondent characteristics such as age, gender, and education did not affect the accuracy of triage scoring. This research provides adeeper understanding of the factors that influence the accuracy of triage assessments, which can help improve the quality of emergency services and more accurate decision-making in emergency departments

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Section: Discussioncontrasting

confidence: 99%

Analysis of Factors Related to The Accuracy of Triage Assessment at The Emergency Room

Kartika Sari,

Mustamu

2023

JHS

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“…Studies by Levis‐Elmelech et al. (2022) and Aloyce et al. (2014) found that most the ED nurses made mistakes in triage because they lacked clinical experience and expertise in this area.…”

Section: Discussionmentioning

confidence: 99%

The factors influencing patient safety management as perceived by emergency department nurses: A qualitative study

Mohammadi,

Rustaee,

Bijani

2024

Nursing Open

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AimOne of the most important, unpredictable and stressful areas in hospitals is the emergency department (ED) where seconds are crucial for providing immediate care and saving the patients' lives. Therefore, the present study aimed to identify the factors which impact the patient safety management as perceived by the ED nurses in Southern Iran.DesignThis is a qualitative, descriptive study.MethodsThe participants were 23 ED nurses selected via purposeful sampling who were asked to take part in an interview. Data were collected using semi‐structured, individual, in‐depth interviews and analysed via content analysis.ResultsAnalysis of the qualitative data yielded 4 themes and 12 subthemes. The four main themes were: negligence of safety standards and standard precautions, disregard of ethical principles, professional challenges and inefficient organizational management.

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“…The primary cause could be human factors such as individual experience and cognitive biases in the triage system. The previous study reported that more experienced ER nurses tend to perform under-triage during triage assignment [ 24 ]. In addition, many ER triage nurses in the experienced facility tend to perform triage ECG based on their own clinical assessment rather than the triage guideline in the facility [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Factors for delays in door-to-balloon time ≤ 90 min in an electrocardiogram triage system among patients with ST-segment elevation myocardial infarction: a retrospective study

Inoue,

Mizobe,

Takahashi

et al. 2023

Int J Emerg Med

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Background Door to balloon time is a crucial factor of mortality in patients with ST-segment elevation myocardial infarction. However, the factors that contribute to failure of achieving door to balloon time ≤ 90 min in an electrocardiogram triage system remain unknown. Methods This single-center retrospective observational study collected data from consecutive patients with ST-segment elevation myocardial infarction from April 2016 to March 2021. The primary outcome was the failure to achieve door to balloon time ≤ 90 min. A multivariate logistic regression model was performed to predict factors associated with failure to achieve door to balloon time ≤ 90 min. Results In total, 190 eligible patients were included. Of these, the 139 (73.2%) patients with door to balloon time ≤ 90 min were significantly younger compared to those with door to balloon time > 90 min (p = 0.02). However, there was no significant difference in sex and timing of hospital arrival between the door to balloon time ≤ 90 and > 90 min groups. Presence of chest pain and ambulance usage were significantly more frequent in patients with door to balloon time ≤ 90 min (p ≤ 0.01, p = 0.02, respectively). Multivariate analysis showed that absence of chest pain (adjusted odds ratio 4.76; 95% confidence interval, 2.04–11.1; p < 0.01) and non-ambulance usage (adjusted odds ratio 3.53; 95% confidence interval, 1.57–7.94; p < 0.01) are predictive factors of failure to achieve door to balloon time ≤ 90 min. Conclusion Patients without chest pain as the chief complaint or non-ambulance usage were significantly associated with the failure to achieve door to balloon time ≤ 90 min.

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The effect of emergency department nurse experience on triage decision making

Cited by 12 publications

References 27 publications

Analysis of Factors Related to The Accuracy of Triage Assessment at The Emergency Room

Analysis of Factors Related to The Accuracy of Triage Assessment at The Emergency Room

The factors influencing patient safety management as perceived by emergency department nurses: A qualitative study

Factors for delays in door-to-balloon time ≤ 90 min in an electrocardiogram triage system among patients with ST-segment elevation myocardial infarction: a retrospective study

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