Development and preliminary testing of an online software system to facilitate assessment of accuracy and consistency in applying the Australasian Triage Scale

Varndell, W; Hodge, A; Howes, K; Jeffers, A; Marquez-Hunt, N; Hugman, A

Development and preliminary testing of an online software system to facilitate assessment of accuracy and consistency in applying the Australasian Triage Scale

Varndell, W

Hodge, A Howes, K Jeffers, A Marquez-Hunt, N Hugman, A

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Publication Type:: Journal Article
Citation:: Australasian Emergency Care, 2018, 21 (4), pp. 150 - 158
Issue Date:: 2018-11-01

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Field	Value	Language
dc.contributor.author	Varndell, W https://orcid.org/0000-0002-4752-9679	en_US
dc.contributor.author	Hodge, A	en_US
dc.contributor.author	Howes, K	en_US
dc.contributor.author	Jeffers, A	en_US
dc.contributor.author	Marquez-Hunt, N	en_US
dc.contributor.author	Hugman, A	en_US
dc.date.available	2018-10-02	en_US
dc.date.issued	2018-11-01	en_US
dc.identifier.citation	Australasian Emergency Care, 2018, 21 (4), pp. 150 - 158	en_US
dc.identifier.issn	2589-1375	en_US
dc.identifier.uri	http://hdl.handle.net/10453/129129
dc.description.abstract	© 2018 College of Emergency Nursing Australasia Purpose: The aim of this project was to design and evaluate an online software system to facilitate the assessment of triage decision accuracy and consistency in applying the Australasian Triage Scale. Background: Triage is a critical component of emergency nursing practice, which affects patient access to emergency care. Accurate and consistent triage decisions are vital to ensuring patient safety, timely access to care and ED operation. Presently, there is no standard process to examine triage decisions, measure current performance and support department and individual performance development activities to improve patient safety and quality of emergency care. Method: An iterative design guided by a human factors development approach was used to develop a retrospective, focus-based analysis system to evaluate triage decision accuracy and consistency, and enable the exploration of service gaps and opportunities for practice change and professional development. Results: Triage decision accuracy and consistency, including areas for improvement are detectable and quantifiable. Findings generated may aid in departmental performance and professional development of triage nurses. Conclusion: This is the first system developed to assess decision accuracy and consistency in applying the Australasian Triage Scale. This paper has described the development and preliminary testing of a user-centred design process and implementation of a web-based system to evaluate triage decision accuracy and consistency.	en_US
dc.relation.ispartof	Australasian Emergency Care	en_US
dc.relation.isbasedon	10.1016/j.auec.2018.10.001	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Retrospective Studies	en_US
dc.subject.mesh	Reproducibility of Results	en_US
dc.subject.mesh	Research Design	en_US
dc.subject.mesh	Software Design	en_US
dc.subject.mesh	Emergency Service, Hospital	en_US
dc.subject.mesh	Triage	en_US
dc.subject.mesh	Technology Assessment, Biomedical	en_US
dc.subject.mesh	New South Wales	en_US
dc.title	Development and preliminary testing of an online software system to facilitate assessment of accuracy and consistency in applying the Australasian Triage Scale	en_US
dc.type	Journal Article
utslib.citation.volume	4	en_US
utslib.citation.volume	21	en_US
utslib.for	110305 Emergency Medicine	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access
pubs.issue	4	en_US
pubs.publication-status	Published	en_US
pubs.volume	21	en_US

Abstract:

© 2018 College of Emergency Nursing Australasia Purpose: The aim of this project was to design and evaluate an online software system to facilitate the assessment of triage decision accuracy and consistency in applying the Australasian Triage Scale. Background: Triage is a critical component of emergency nursing practice, which affects patient access to emergency care. Accurate and consistent triage decisions are vital to ensuring patient safety, timely access to care and ED operation. Presently, there is no standard process to examine triage decisions, measure current performance and support department and individual performance development activities to improve patient safety and quality of emergency care. Method: An iterative design guided by a human factors development approach was used to develop a retrospective, focus-based analysis system to evaluate triage decision accuracy and consistency, and enable the exploration of service gaps and opportunities for practice change and professional development. Results: Triage decision accuracy and consistency, including areas for improvement are detectable and quantifiable. Findings generated may aid in departmental performance and professional development of triage nurses. Conclusion: This is the first system developed to assess decision accuracy and consistency in applying the Australasian Triage Scale. This paper has described the development and preliminary testing of a user-centred design process and implementation of a web-based system to evaluate triage decision accuracy and consistency.

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http://hdl.handle.net/10453/129129