ArticleAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2017
A quality improvement study of the emergency centre triage in a tertiary teaching hospital in northern Ethiopia.
Article in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed.
- Identifying barriers and facilitators to implementing triage systems in low- and middle-income countries: A scoping review.PLOS global public health · 2026Article
- Optimizing pediatric emergency triage in low-resource settings: evidence-based strategies, task-shifting, and technological innovations.International journal of emergency medicine · 2025Review
- Data completeness and quality of emergency triage in Ethiopian public tertiary hospitals: A multicenter study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2025Article
- Triage implementation audit at the adult emergency department of Debre Tabor Comprehensive Specialized Hospital in Ethiopia.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Review
- Epidemiology and outcomes of critically ill patients in the emergency department of a tertiary teaching hospital in Rwanda.International journal of emergency medicine · 2024Article
- Clinical emergency care quality indicators in Africa: a scoping review and data summary.BMJ open · 2023Article
- Is the Triage System Welcomed in the Tertiary Hospital of the Limpopo Province? A Qualitative Study on Patient's Perceptions.Nursing reports (Pavia, Italy) · 2023Article
- Comparison the Emergency Severity Index and Manchester Triage System in Trauma Patients.Bulletin of emergency and trauma · 2022Article
- Explaining challenges of obstetric triage structure: A qualitative study.Nursing open · 2020Article
- Evaluation of a modified South African Triage Score as a predictor of patient disposition at a tertiary hospital in Rwanda.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2020Article
- Availability of Emergency Drugs and Essential Equipment in Intensive Care Units in Hospitals of Ethiopia: A Multicenter Cross-Sectional Study.Open access emergency medicine : OAEM · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAn effective emergency triage system should prioritize both trauma and non-trauma patients according to level of acuity, while also addressing local disease burden and resource availability. In March 2012, an adapted version of the South African Triage Scale was introduced in the emergency centre (EC) of Ayder Comprehensive Specialized Hospital in northern Ethiopia.
methodsThis quality improvement study was conducted to evaluate the implementation of nurse-led emergency triage in a large Ethiopian teaching hospital using the Donabedian model. A 45% random sample was selected from all adult emergency patients during the study period, May 10th to May 25th 2015. Patient charts were collected and retrospectively reviewed. Presence and proper completion of the triage form were appraised. Triage level was abstracted and compared with patient outcome (dichotomized as "admitted to hospital or died" and "discharged alive from emergency centre") to quantify over- and under-triage triage.
resultsFrom 251 randomly selected patients, 107 (42.6%) charts were retrieved. From these, only 45/107 (42.1%) contained the triage form filled within the chart. None of the triage forms were filled out completely. From 13 (28.9%) admitted or deceased patients, the under-triage rate was 30.7% and from 32 (71.1%) patients discharged alive from the EC the over-triage rate was 21.9%. DISCUSSION: The under-triage rate observed in this study exceeds the recommended threshold of 5% and is a serious patient safety concern. However, under-triage may have been magnified by irregularities in the hospital admission process. Haphazard medical record handling, poor documentation, erroneous triage decisions, and poor rapport between nurses and physicians were the main process-related challenges that must be addressed through intensive training and improved human resource management approaches to enhance the quality of triage in the emergency centre.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.