Improve the Quality of Emergency Department Services in the Hospital by optimizing the triage process using a valid instrument: A scoping review

Abstract

Introduction: Cases that occur in almost all emergency departments are in the form of overcrowding of patients which is a problem with emergency conditions, triage is carried out to overcome the problem. This study aims to describe valid scala triage instruments used in the Emergency Department to improve the quality of service in hospitals

Methods: Design research scoping review with a review of several results of a search. Reviewed research results have been selected by three authors with the use Rayyan Shopware application, then five steps are taken in scoping review procedures according to the guide from Arskey and O'Malley in 2005 and the JBI.

Results: Based on the results of a review of 13 articles There are several types of triage systems used in the service hospital,  as the triage ESI with an average p-value <0.001 and ka value =0.94, ATS with kappa 0.51-0.87(p,0.01), ESI+ flow fullchak with value (p<0.002), STS p=0.009, JTAS p= 10 and also the Three Level Triage Scale weighted Cohens Kappa of 0.75. as well as CETS with p-value = 0.001.

Conclusion: This consists of several design research among them studies prospective, experimental quasi-experimental, retrospective, descriptive, and proportional, cohorts, RCT can conclude that the triage who have the highest validity and reliability is ESI triage on average p-value <0.001 and the under is STS with p-value =0.009.