Evidence map›Paper›PMID 34327395›Full record

ReviewThe Lancet regional health. Western Pacific2020

Implementation of a novel three-tier triage tool in Papua New Guinea: A model for resource-limited emergency departments.

Rob Mitchell, John Junior McKup, Ovia Bue, Gary Nou, Jude Taumomoa, Colin Banks, Gerard O'Reilly, Scotty Kandelyo, Sarah Bornstein, Travis Cole and 5 more

Abstract readReview
In one paragraph

Review in The Lancet regional health. Western Pacific, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Triage systems in low-resource emergency care settings.Bulletin of the World Health Organization · 2025
    Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Observational
  12. Article
  13. Article
  14. Article
  15. Article
  16. A mixed-methods study on evaluating an updated, francophone version of ETAT+ training in Madagascar.The Southern African journal of critical care : the official journal of the Critical Care Society · 2022
    Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Rob MitchellEmergency Physician, Emergency & Trauma Centre, Alfred Health, Commercial Rd, Melbourne 3004, Australia.
John Junior McKupEmergency Physician, Emergency Department, Mount Hagen Provincial Hospital, Mount Hagen, Papua New Guinea.
Ovia BueEmergency Physician, Emergency Department, Gerehu General Hospital, Port Moresby, Papua New Guinea.
Gary NouEmergency Physician, Emergency Department, Gerehu General Hospital, Port Moresby, Papua New Guinea.
Jude TaumomoaClinical Nurse, Emergency Department, Gerehu General Hospital, Port Moresby, Papua New Guinea.
Colin BanksEmergency Physician, Emergency Department, Townsville University Hospital, Townsville, Australia.
Gerard O'ReillyEmergency Physician and Head of Global Programs, Emergency & Trauma Centre, Alfred Health, Melbourne, Australia.
Scotty KandelyoEmergency Physician Emergency Department, Port Moresby General Hospital, Port Moresby, Papua New Guinea.
Sarah BornsteinCritical Care Nurse, Emergency Department, St Vincent's Hospital, Sydney, Australia.
Travis ColeEmergency Clinical Nurse Specialist, Emergency Department, Townsville Hospital, Townsville, Australia.
Tracie HamAssociate Nurse Unit Manager, Emergency Department, St Vincent's Hospital, Melbourne, Australia.
Jean-Philippe MillerCritical Care Nurse, Emergency & Trauma Centre, Alfred Health, Melbourne, Australia.
Teri ReynoldsUnit Head, Clinical Services and Systems, Department of Integrated Health Services, World Health Organization, Geneva, Switzerland.
Sarah KörverGlobal Emergency Care Manager, Australasian College for Emergency Medicine, Melbourne, Australia.
Peter CameronEmergency Physician, Emergency & Trauma Centre, Alfred Health, Commercial Rd, Melbourne 3004, Australia.

Funding

World Health Organization 001
6 · The paper itself

Abstract

In emergency departments (EDs), demand for care often exceeds the available resources. Triage addresses this problem by sorting patients into categories of urgency. The Interagency Integrated Triage Tool (IITT) is a novel triage system designed for resource-limited emergency care (EC) settings. The system was piloted by two EDs in Papua New Guinea as part of an EC capacity development program. Implementation involved a five-hour teaching program for all ED staff, complemented by training resources including flowcharts and reference guides. Clinical redesign helped optimise flow and infrastructure, and development of simple electronic registries enabled data collection. Local champions were identified, and experienced EC clinicians from Australia acted as mentors during system roll-out. Evaluation data suggests the IITT, and the associated change management process, have high levels of acceptance amongst staff. Subject to validation, the IITT may be relevant to other resource-limited EC settings.

Identifiers

PMID34327395
PMCPMC8315437

What OpenQuestion holds

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Registered trials

None linked

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.