SynthesisMedizinische Klinik, Intensivmedizin und Notfallmedizin2020
["Triage"-primary assessment of patients in the emergency department : An overview with a systematic review].
Synthesis in Medizinische Klinik, Intensivmedizin und Notfallmedizin, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Manchester Triage System: Effectiveness, Limitations, and Global Implementation-A Structured Narrative Review.Healthcare (Basel, Switzerland) · 2026Review
- Article
- [Core curriculum of intensive care and emergency medicine in internal medicine].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Review
- [Position paper of DGKL and DIVI on requirements for laboratory services in intensive care and emergency medicine].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Article
- Mobile computed tomography at the Munich Oktoberfest : From idea to implementation.Radiologie (Heidelberg, Germany) · 2024Article
- Evaluation of an Automated Decision Aid for the Further Referral of Emergency Room Patients—A Prospective Cohort Study.Deutsches Arzteblatt international · 2024Article
- The 4AT scale for rapid detection of delirium in emergency department triage.Frontiers in medicine · 2024Article
- [Patients treated by general practitioners in a university emergency department before and after implementation of a triage system].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2023Article
- [The way to routine data from 16 emergency departments for cross-sectoral health services research : Experiences, challenges and solution approaches from the extraction of pseudonymous data for the INDEED project].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2022Article
- [Direct admission of patients to doctors' offices by prehospital emergency services-an effective method to relieve emergency departments? : Analysis of routine pre- and in-hospital emergency data].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2022Article
- Length of stay as quality indicator in emergency departments: analysis of determinants in the German Emergency Department Data Registry (AKTIN registry).Internal and emergency medicine · 2022Article
- [AKTIN - The German Emergency Department Data Registry - real-time data from emergency medicine : Implementation and first results from 15 emergency departments with focus on Federal Joint Committee's guidelines on acuity assessment].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2022Article
- German emergency department measures in 2018: a status quo based on the Utstein reporting standard.BMC emergency medicine · 2022Article
- [Using emergency department routine data for the surveillance of suicide attempts and psychiatric emergencies].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2022Article
- Medical Emergencies During the COVID-19 Pandemic.Deutsches Arzteblatt international · 2020Article
- [Older emergency patients in the emergency department : A key performance indicator analysis based on the DIVI emergency department protocol].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2020Observational
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background"Triage" means the primary assessment of a previously unknown patient with an acute health disorder, initially considered a medical emergency. The initial triage is part of the primary assessment, which also includes the registration of administrative data and patient's mode of arrival.
objectivesThe aim of the work is to provide an overview of frequently used structured primary assessment tools and the underlying evidence for their use in the emergency room.
methodsBased on a systematic literature search in PubMed, 41 articles were selected according to predefined criteria.
resultsThe most frequently used primary assessment systems in Germany are the Emergency Severity Index (ESI) and the Manchester Triage System (MTS). Scientific evidence exists for the accuracy and reliability of the primary assessment with these instruments. However, there are no gold standards for measuring urgency, so that separate criteria must be defined. Sufficient data to determine a treatment sector or the necessary staffing levels are lacking.
conclusionsStructured primary assessment using formalized systems alone is inadequate to categorize the urgency of emergency and acute patients. In fact, a combination of different measures in an interprofessional team is required. Primary assessment systems and processes generally do not allow patients to be referred to downstream structures without a thorough medical examination.
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