Evidence map›Paper›PMID 37254099›Full record

ArticleBMC emergency medicine2023

The first positive evidence that training improves triage decisions in Greece: evidence from emergency nurses at an Academic Tertiary Care Emergency Department.

Sofia-Chrysovalantou Zagalioti, Barbara Fyntanidou, Aristomenis Exadaktylos, Konstantinos Lallas, Mairi Ziaka

Open access · goldAbstract read
In one paragraph

Article in BMC emergency medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
6.6field-weighted citation impact, top 3% of its field
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
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  3. When Pedestrian Crossings Become Danger Zones: Trauma and Mortality Risks in Elderly Pedestrians.International journal of environmental research and public health · 2025
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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

5 authors at 4 institutions in 2 countries.

Sofia-Chrysovalantou ZagaliotiDepartment of Emergency Medicine, AHEPA University General Hospital, Aristotle University of Thessaloniki, 54636, Thessaloniki, Greece. sofia_zag@yahoo.com.
Barbara FyntanidouDepartment of Emergency Medicine, AHEPA University General Hospital, Aristotle University of Thessaloniki, 54636, Thessaloniki, Greece.
Aristomenis ExadaktylosDepartment of Emergency Medicine, Inselspital, University Hospital, University of Bern, Bern, Switzerland.
Konstantinos LallasDepartment of Oncology, School of Medicine, Faculty of Health Sciences, Papageorgiou General Hospital, Aristotle University, 56429, Thessaloniki, Greece.
Mairi ZiakaDepartment of Internal Medicine, Thun General Hospital, Thun, Switzerland.
AHEPA University Hospital · GRAristotle University of Thessaloniki · GRPapageorgiou General Hospital · GRUniversity Hospital of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTriage refers to the process of patient prioritisation in the emergency department (ED). This is based on the severity of the patient's illness and is performed by emergency nurses (ENs). This has a pivotal role in ensuring patient safety and in ensuring that the ED operates smoothly - so continuous and accurate training are essential. As Emergency Nursing has been formally established in Greece since 2019, it is of the uppermost importance that all Greek ENs should be trained in the use of a standardised triage system. The present study aimed to evaluate the effect of triage training of ENs in the use of the Swiss Triage System (STS) after an intervention of one week.

methodsThe effect of triage training was studied experimentally by comparing performance before and one week after training. A sample of thirty-six ENs from the University Department of Emergency Medicine at AHEPA University Hospital took part. The role of training in triage by the STS was assessed by completing the same self-administered questionnaire before and after a 45-minute e-learning program (presentation video of STS but with simulation scenarios) which was available during the period of a week. The post-training test was taken 2 weeks later, after the training process.

resultsThe most promising finding was that there was a significant improvement in the number of correct answers after the training in triage (p<0.001). A significant improvement was also detected (p<0.001) in the questions that tested vigilance in providing safe health services by ENs, whereas there was no significant association between the number of correct answers and years of emergency experience or level of education, - either before or after the intervention.

conclusionsTriage training seems to successfully improve effective and efficient triage. To the best of our knowledge, this is the first study that has demonstrated that triage training has a significant positive impact on triage performance by ENs in Greece. It is planned to support these findings by real time studies in an ED.

Indexed as

Emergency Service, HospitalTriageClinical CompetenceGreeceHumansTertiary Health CareDecision-makingEmergency nursesTriageTriage training

Identifiers

PMID37254099
PMCPMC10229392
OpenAlexW4378782024

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.