Canadian Emergency DepartmentTriage and Acuity Scale

Implementation in a tertiary care center in Saudi Arabia

Naser Elkum, CarolAnne Barrett, Hisham Al-Omran

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background: The Canadian Emergency Department Triage and Acuity Scale (CTAS) is a well recognized and validated triage system that prioritizes patient care by severity of illness. The aim of this study was to describe the results of Emergency Department (ED) waiting times after the implementation of the CTAS in a major tertiary care hospital emergency department outside of Canada.Methods: A total of 1206 charts were randomly selected and retrospectively reviewed for triage performance. The indicators were: time to triage, triage duration, waiting time to be evaluated by a physician, and proportion of patients who left without being seen by a physician. Waiting times were stratified by triage level and reported as fractile response rates.Results: The approximate time to triage was ≤ 10 minutes for 71% and ≤ 15 minutes for 82.8% of the patients. Fifty-three percent (53.5%) completed their triage process within 5 minutes. Waiting times evaluated by a physician was 100% within CTAS time objectives in category I patients, however, this was not the case for the other 4 categories. The overall left without being seen (LWBS) rate was 9.8%; 11.9% were in Level III, 20.3% in Level IV, and 67.8% in Level V. Median length of stay (LOS) was 144 minutes for the study sample as a whole.Conclusion: The CTAS may be adapted, with achievable objectives, in hospitals outside Canada as well. Time to see physician, total LOS, and LWBS are effective markers of ED performance and the quality of triage. Registration-to-physician time (RTP) and LOS profiles, stratified by triage level, are essential indicative markers for ED performance and should be used in improving patients flow through collaborative efforts.

Original languageEnglish
Article number3
JournalBMC Emergency Medicine
Volume11
DOIs
Publication statusPublished - 10 Feb 2011
Externally publishedYes

Fingerprint

Saudi Arabia
Triage
Tertiary Care Centers
Emergencies
Hospital Emergency Service
Physicians
Length of Stay
Canada
Hospital Departments
Tertiary Healthcare
Patient Care

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Canadian Emergency DepartmentTriage and Acuity Scale : Implementation in a tertiary care center in Saudi Arabia. / Elkum, Naser; Barrett, CarolAnne; Al-Omran, Hisham.

In: BMC Emergency Medicine, Vol. 11, 3, 10.02.2011.

Research output: Contribution to journalArticle

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