Le triage infirmier avancé aux Urgences

Emergency; Nurse triage; Overcrowding; Article; Adult; Advanced Practice Nursing; Aged; Chest Pain; Coronary Disease; Diagnosis, Differential; Emergency Service, Hospital; Female; Humans; Male; Middle Aged; Triage

Abstract :

[en] To cope with overcrowding, a consequence of their constant growth, emergency departments have implemented operational strategies based on triage systems. Despite its interest, nurse triage has been limited by several hindrances, and new strategies are emerging. Among those, advanced nurse triage, allowing a nurse to initiate the diagnostic process just after categorization of the patient, seems to be promising. A study on advanced nurse triage for patients presenting with chest pain has been conducted in the emergency department of the CHU of Liège. The encouraging results obtained following this new system demonstrate a reduction of the delay to management of patients, and a reduction of the total length of stay in the emergency unit mainly during overcrowding periods. Advanced nurse triage, in addition to a conventional triage during overcrowding periods, improves management of patients in terms of time and reduces the total time spent in the emergency department. © 2018 Revue Medicale de Liege. All rights reserved.

Disciplines :

Human health sciences: Multidisciplinary, general & others

Author, co-author :

Jobe, Jérôme ; Université de Liège - ULiège > Département des sciences cliniques > Département des sciences cliniques

Ghuysen, Alexandre ; Université de Liège - ULiège > Département des sciences de la santé publique > Simulation médicale en situation critique

D'ORIO, Vincenzo ; Service des Urgences, CHU Sart Tilman, Liège, 4000, Belgium

Language :

French

Title :

Le triage infirmier avancé aux Urgences

Alternative titles :

[en] Advanced nurse triage for emergency department

Publication date :

2018

Journal title :

Revue Médicale de Liège

ISSN :

0370-629X

eISSN :

2566-1566

Publisher :

Revue Médicale de Liège

Volume :

Issue :

5-6

Pages :

229-236

Peer reviewed :

Peer reviewed

Available on ORBi :

since 09 January 2020

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Bibliography

Burt CW, McCaig LF.— Trends in hospital emergency department utilization: United States, 1992-1999. Vital Health Stat, 2001, 13, 1-34.
Capewell S.— The continuing rise in emergency admissions. BMJ, 1996, 312, 991-992.
Baubeau D, Deville A, Joubert M, et al.— Les passages aux urgences de 1990 à 1998: une demande croissante de soins non programmés. Direction de la recherche, des études, de l’évaluation et des statistiques. Études et résultats. [en ligne]. 2000, 72, 1-8. Disponible à partir de: URL - Consulté le 08/09/2016.
Gillet JB.— Les fausses urgences, un vrai problème? Hospitals.be. Disponible à partir de: URL - Consulté le 08/09/2016.
De Wolf F, Van Overloop J.— Analyse de profil des patients recourant aux urgences hospitalières. UNMS. Direction, Etudes, 2011, 7.
Miro O, Antonio MT, Jimenez S. et al.— Decreased health care quality associated with emergency department overcrowding. Eur J Emerg Med, 1999, 6, 105-107.
Cooke MW, Jinks S.— Does the Manchester triage system detect the critically ill ? Accid Emerg Med, 1999, 16, 179-181.
Taboulet P, Fontaine J-P, Afdjei A.— Triage aux urgences par une infirmière d’accueil et d’orientation. Rean Urg, 1997, 6, 433-442.
Department of Health Services Research.—Consistency of triage in Victoria’s emergency departments, guidelines for triage education and practice. 2001. Disponible à partir de: URL - Consulté le 08/09/2016.
Bullard MJ, Unger B, Spence J.— Révision des lignes directrices de l’échelle canadienne de triage et de gravité pour les adultes. JCMU, 2008, 10, 143-150.
Gilboy N, Tanabe P, Travers DA.— Emergency Severity Index, version 4. 2005. Disponible à partir de: URL - Consulté le 08/09/2016.
Jobé J, Ghuysen A, Gérard P, et al.— Reliability and validity of a new French-language triage algorithm: the ELISA scale. Emerg Med J, 2014, 2, 115-120. doi:10.1136/emer- med-2012-201927.
James MR, Pyrgos N.— Nurse practioners in the accident and emergency department. Arch Emerg Med, 1989, 6, 241-246.
Cheung WWH, Heeney L, Pound JL.— An advance triage system. Accid Emerg Nurs, 2002, 10, 10-16.
Rosmulder RW, Krabbendam JJ, Kerkhoff AHM, et al.— Advanced triage geeft snellere patiënten-doorstroming SHE, zonder verlies aan kwaliteit van zorg. Ned Tijdschr Geneeskd, 2010, 154, A1109.
Retezar R, Bessman E, Ding R, et al.— The effect of triage diagnostic standing orders on emergency department treatment time. Ann Emerg Med, 2011, 57, 89-99.
Ramsay G, Podogrodzka M, McClure C, et al.—Risk prediction in patients presenting with suspected cardiac pain: the GRACE and TIMI risk scores versus clinical evaluation. QJM, 2007, 100, 11-18 ISSN 1460-2725.
Than M, Cullen L, Reid CM, et al.— A 2-h diagnostic protocol to assess patients with chest pain symptoms in the Asia-Pacific region (ASPECT): a prospective observational validation study. Lancet, 2011, 26, 377, 1077-1084.