Evidence map›Paper›PMID 42088814›Full record

ArticleCureus2026

Improving the Accuracy of ED Triage Using the Australasian Triage Scale: A Closed-Loop Quality Improvement Project.

Mohamed Ahmed Abugibba Mohamed, Ahmed Mohammed Abdullah Abdulaziz, Mohammed Hasan Ahmed Al-Attas, Khalid Mustafa Yousif Osman, Mohammed Fadhl Salem Dahloos, Abdullah Abdulsadeq Salem Bawazir, Mustafa Hassan Ali Mohamed, Sanad Ahmed Abdulrahman Al-Mansori, Mohammed Saleh Mohammed Basleem, Mohammed Hussein Mohammed Muwadh and 4 more

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Mohamed Ahmed Abugibba MohamedInternal Medicine, 6 October Hospital, Dokki, EGY.
Ahmed Mohammed Abdullah AbdulazizEmergency Medicine, 6 October Hospital, Dokki, EGY.
Mohammed Hasan Ahmed Al-AttasEmergency Medicine, 6 October Hospital, Dokki, EGY.
Khalid Mustafa Yousif OsmanEmergency Medicine, 6 October Hospital, Dokki, EGY.
Mohammed Fadhl Salem DahloosEmergency Medicine, 6 October Hospital, Dokki, EGY.
Abdullah Abdulsadeq Salem BawazirEmergency Medicine, 6 October Hospital, Dokki, EGY.
Mustafa Hassan Ali MohamedInternal Medicine, Al Neelain University, Khartoum, SDN.
Sanad Ahmed Abdulrahman Al-MansoriEmergency Medicine, 6 October Hospital, Dokki, EGY.
Mohammed Saleh Mohammed BasleemEmergency Medicine, 6 October Hospital, Dokki, EGY.
Mohammed Hussein Mohammed MuwadhEmergency Medicine, 6 October Hospital, Dokki, EGY.
Musab Okasha Mohamed IbrahimEmergency Medicine, 6 October Hospital, Dokki, EGY.
Mahmoud Abdelrazik Abdellatif ElmewafyEmergency Medicine, 6 October Hospital, Dokki, EGY.
Weam Habib Alla Mohamed NourEmergency Medicine, 6 October Hospital, Dokki, EGY.
Hebatallah Ali Abdeen MohamedEmergency Medicine, 6 October Hospital, Dokki, EGY.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and aim Accurate ED triage is essential for patient safety, timely care, and effective resource utilization. The Australasian Triage Scale (ATS) provides a standardized framework for prioritizing patients based on clinical urgency; however, variability in its application may compromise care quality. This clinical audit aimed to assess compliance with the ATS in an ED and to evaluate the impact of targeted quality improvement interventions on triage accuracy. Methods A prospective closed-loop clinical audit was conducted in the ED of 6 October Hospital, Dokki. A total of 868 triage encounters were reviewed across two audit cycles (434 cases per cycle). Baseline data were collected between October 1 and 15, 2025, followed by a three-week intervention consisting of structured education, bedside coaching, and cognitive support tools. Reaudit data were collected between November 8 and 22, 2025. The primary outcome was the proportion of correctly assigned ATS categories, and differences between cycles were analyzed using the chi-square test. Results At baseline, correct ATS category assignment was documented in 320 of 434 cases (73.8%), below the predefined audit standard of ≥90%. Following the intervention, correct triage assignment increased to 393 of 434 cases (90.6%), meeting the audit standard. This improvement in triage accuracy was statistically significant (χ² test, p < 0.001). Conclusions This audit demonstrated that targeted educational and system-based interventions significantly improved compliance with the ATS. The findings highlight the effectiveness of structured training, bedside coaching, and cognitive support tools in enhancing triage accuracy in high-volume emergency departments. Improved triage performance has important implications for patient safety, timely clinical decision-making, and optimal resource utilization. A closed-loop clinical audit represents a practical and sustainable approach for monitoring and improving triage practices, and similar strategies may be applied in other emergency care settings to strengthen the quality and consistency of care.

Indexed as

australasian triage scaleclinical auditemergency departmentpatient safetyquality improvementtriage

Identifiers

PMID42088814
PMCPMC13137922

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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.