Comparison between Canadian Triage and Acuity Scale and Taiwan Triage System in emergency departments

Chip Jin Ng, Kuang Hung Hsu, Jen Tze Kuan, Te Fa Chiu, Wei Kong Chen, Hung Jung Lin, Michael J. Bullard, Jih Chang Chen*

*此作品的通信作者

研究成果: 期刊稿件文章同行評審

37 引文 斯高帕斯(Scopus)

摘要

Background/Purpose: Since the implementation of National Health Insurance in Taiwan, Emergency Department (ED) volume has progressively increased, and the current triage system is insufficient and needs modification. This study compared the prioritization and resource utilization differences between the four-level Taiwan Triage System (TTS) and the standardized five-level Canadian Triage and Acuity Scale (CTAS) among ED patients. Methods: This was a prospective observational study. All adult ED patients who presented to three different medical centers during the study period were included. Patients were independently triaged by the duty triage nurse using TTS, and a single trained research nurse using CTAS with a computer support software system. Hospitalization, length of stay (LOS), and medical resource consumption were analyzed by comparing TTS and CTAS by acuity levels. Results: There was significant disparity in patient prioritization between TTS and CTAS among the 1851 enrolled patients. With TTS, 7.8%, 46.1%, 45.9% and 0.2% were assigned to levels 1, 2, 3, and 4, respectively. With CTAS, 3.5%, 24.4%, 44.3%, 22.4% and 5.5% were assigned to levels 1, 2, 3, 4, and 5, respectively. The hospitalization rate, LOS, and medical resource consumption differed significantly between the two triage systems and correlated better with CTAS. Conclusion: CTAS provided better discrimination for ED patient triage, and also showed greater validity when predicting hospitalization, LOS, and medical resource consumption. An accurate five-level triage scale appeared superior in predicting patient acuity and resource utilization.

原文英語
頁(從 - 到)828-837
頁數10
期刊Journal of the Formosan Medical Association
109
發行號11
DOIs
出版狀態已出版 - 11 2010
對外發佈

指紋

深入研究「Comparison between Canadian Triage and Acuity Scale and Taiwan Triage System in emergency departments」主題。共同形成了獨特的指紋。

引用此