Table 1 Studies related to triage accuracy in chronological order
Study | Purpose | Design | Sample | Major findings |
|---|---|---|---|---|
Olofsson et al. (2009) [13] | To examine the inter-rater reliability and triage accuracy of the triage system | Multi-center Cross-sectional study Written case scenario | 79 nurses from 7 EDs Sweden | Triage accuracy: 73% The system had a good inter-rater reliability |
Chen et al. (2010) [14] | To examine the triage accuracy and explore the influencing factors | Multi-center Cross-sectional study Written case scenario | 279 nurses from 14 EDs Taiwan | Triage accuracy: 56.2% Influencing factors: triage training and work experience |
Dalwai et al. (2014) [17] | To examine the reliability and accuracy of triage system | Single-center Cross-sectional study Written case scenario | 15 nurses from one ED Pakistan | Triage accuracy: 70.1% The system cannot identify some severe cases accurately. |
Martin et al. (2014) [19] | To explore the relationship between triage accuracy and work experience, triage accuracy and attitude toward patients | Multi-center Retrospective review | 64 nurses from 3 EDs 1644 episodes were reviewed United States | Triage accuracy: 58.7% Neither experience or attitude was related to triage accuracy |
Jordi et al. (2015) [15] | To examine the triage accuracy in German-speaking region To verify the interrater agreement across EDs To assess nurses’ confidence in using the triage system | Multi-center Cross-sectional study Written case scenario | 69 nurses from 4 EDs Switzerland | Triage accuracy: 59.6% Interrater agreement: 0.78 Confidence level: 85.5% |
Goldstein et al. (2017) [20] | To examine the triage accuracy and explore the reasons for inaccuracy | Single-center Retrospective review | 1091 episodes were reviewed South Africa | Triage accuracy: 68.3% Discriminator errors and miscalculations were identified as major reasons of inaccuracy |
Hinson et al. (2018) [22] | To examine the triage accuracy To explore the influencing factor | Single-center Retrospective review | 96,071 episodes were reviewed Brazil | Triage accuracy: 82.9% Age, vital signs and chief complaints were influencing factors |
Mistry et al. (2018) [16] | To examine the triage accuracy in 3 countries. To explore the relationship between accuracy and work experience | Multi-center Cross-sectional study Written case scenario | One ED in each country United Arab Emirates: 35 nurses Brazil: 30 nurses United States: 22 nurses | Overall triage accuracy: 59.2%, United Arab Emirates (58.7%), Brazil (58.3%), United States (61.3%) No relationship between triage accuracy and work experience |
Rahmani et al. (2018) [21] | To examine the triage accuracy and determine the number of inaccurate cases | Single-center Retrospective review | 750 episodes were reviewed Iran | Triage accuracy: 76.9% 173/577 triage cases were assigned inaccurately |