A simplified trauma triage system safely reduces overtriage and improves provider satisfaction: a prospective study - 05/05/15
Abstract |
Background |
Standard triage systems result in high rates of overtriage to achieve acceptably low undertriage. We previously validated optimal triage variables and used these to implement a new simplified triage system (NEW) at our hospital.
Methods |
All trauma entries from May 2010 to Feb 2013 were prospectively reviewed. Calculation of the undertriage and overtriage rates was based on the need for any urgent or life-saving intervention.
Results |
We identified 704 trauma patients. Level 1 activations were reduced from 32% (OLD) to 19% in the NEW system (P < .05). Overtriage was reduced from 79% (OLD) to 44% in the NEW system (P < .01). The undertriage rate was 1.6% in the NEW system, compared with 1.2% in the OLD system (P = nonsignificant). Of all patients, 14% (63) required a life-saving intervention. There were no deaths among undertriaged patients.
Conclusion |
The NEW simplified triage system significantly reduced the rate of overtriage, while safely maintaining a low undertriage rate.
Le texte complet de cet article est disponible en PDF.Keywords : Trauma triage, Trauma system, Undertriage, Overtriage
Plan
| The opinions and assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of Defense. The authors declare no conflicts of interest. |
Vol 209 - N° 5
P. 856-863 - mai 2015 Retour au numéro
Article précédent
- Cirrhosis increases mortality and splenectomy rates following splenic injury
- Mackenzie R. Cook, Kelly A. Fair, Jennifer Burg, Lindsay Cattin, Arvin Gee, Saman Arbabi, Martin Schreiber, Northwest Trauma Research Collaboration
- Traumatic diaphragmatic injury in the American College of Surgeons National Trauma Data Bank: a new examination of a rare diagnosis
- Kelly A. Fair, Nicole T. Gordon, Ronald R. Barbosa, Susan E. Rowell, Jennifer M. Watters, Martin A. Schreiber
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?