Dan Med Bull 2011;58:A4301. “red”, being the most acute) . More than a million patients are referred to and seen in Danish EDs each year [ 1 ]. Patients with minor injuries were excluded. , dyspnoea) related to the patient’s chief complaint [12,14]. Systemet inddrager i højere grad end tidligere sygeplejerskers kliniske vurdering, som i kombination med en algoritme, der tager udgangspunkt i patientens vitalparametre, er grundlaget for den rækkefølge. However, the use of designated teams in Danish emergency departments (EDs) has not been investigated. In the Danish Emergency Process Triage (DEPT), which has been implemented in most Danish EDs , patient-reported pain is validated by a nurse to ensure that it is neither over nor underreported, resulting in a patient receiving a higher triage priority than warranted or, alternatively, that a patient might be overlooked in the ED. PDF. 16 in the Emergency Medicine Journal. Patients are initially triaged by an experienced nurse using the Danish Emergency Process Triage system (DEPT) [14]. The nurses used an established algorithm known as the Danish Emergency Process Triage, or DEPT for short, to decide which patients were the sickest; the phlebotomists and medical students made. It is currently used by four University hospitals in the region of Stockholm and several other hospitals in Sweden. Methods: The Copenhagen Triage Algorithm (CTA) study is a prospective two-center, cluster-randomized, cross-over, non-inferiority trial comparing CTA to the Danish Emergency Process Triage (DEPT). All patients triaged with one chief complaint using the Danish Emergency Process Triage system were included. A version called Rapid Emergency Triage and Treatment System—Hospital Unit West (RETTS-HEV) was implemented in Denmark. Reasons for admission differed among the par-Methods: All adult patients triaged at the Emergency Department at Hillerød Hospital and admitted either to the observationary unit or to a general ward in-hospital were prospectively included during a period of 22 weeks. These Swedish triage scales spread to adjacent countries; a modified Danish version of ADAPT, Danish Emergency Process Triage (DEPT) [12], and METTS in Norway [13]. In 2011 HAPT was customized for local conditions and named Danish Emergency Process Triage (DEPT) . The aim of this study was to validate and compare two 5-level triage systems used in Danish emergency departments: “Danish Emergency Process Triage” (DEPT) based on a combination of vital. In Sweden, METTS subsequently became the Rapid Emergency Triage and Treatment System (RETTS©) [ 14 ], as well as in Norway [ 15 ]. An early warning score and an alcohol-withdrawal score were likewise measured regularly in accordance with both local recommendations and. Die Danish Emergency Process Triage (DEPT) ist das derzeit häufigste in Dänemark verwendete Ersteinschätzungssystem und ist der kanadischen CTAS sehr ähnlich. Triage and triage related work has been performed in Swedish Emergency Departments (EDs) since the mid-1990s. Furthermore, a new, simplified. Background. All EDs used red triage (Danish Emergency Process Triage) as activation criteria for MEP calls. Some databases focus specifically on the emergency care process [7-9], but none of. Search life-sciences literature (42,383,260 articles, preprints and more) Search. Simply “eyeballing” the patient has been reported to triage more efficiently than the formal procedures of the Danish triage system that uses a complex algorithm based on the primary complaint and a full set of vital signs. The triage system used was a Danish adaptation of the Swedish triage system, ADAPT. The Danish emergency medical services in general include ambulances, rapid response vehicles, mobile emergency care units and helicopter emergency medical services. Process: DNPR, The Danish Clinical Register of Emergency Surgery: Hospital contact in admission units: 8: Time to triage: Proportion of patients triaged within 30 minutes after arrival: Process: DNPR, regional clinical logistics systems: 9a: Time to physician: Proportion of patients seen by physician within 4 hours after arrival: ProcessThe aim of this study was to validate and compare two 5-level triage systems used in Danish emergency departments: “Danish Emergency Process Triage” (DEPT) based on a combination of vital. Triage is a process that is critical to the effective management of modern emergency departments. e. All EDs used red triage (Danish Emergency Process Triage) as activation criteria for MEP calls. The use of triage in Danish emergency departments. Eligible patients were all adult acute patients (≥18 years) arriving to the ED within the study period. A severity of disease classification system for use in intensive care units; AUC: Area Under the Curve; DEPT: Danish emergency process triage. Patients were evaluated primarily by a specialised nurse, and the ED practised a five-level Danish Emergency Process Triage based on complaints and vital values. The nurses used an established algorithm known as the Danish Emergency Process Triage, or DEPT for short, to decide which patients were the sickest; the phlebotomists and medical students made. Method. It is introduced in several hospitals in Denmark. Participants. I DEPT tager man afsæt i anerkendte internationale triage-modeller, der er modificeret til danske forhold. cess Triage (ADAPT) and the Medical Emergency Triage and Treatment System (METTS) [11]. Patients arriving at the ED are triaged using the Danish Emergency Process Triage (DEPT) system, which is based on chief complaint-specific parameters and vital parameters (see online supplemental figure 1 for an overview of the DEPT system process). Background Triage and triage related work has been performed in Swedish Emergency Departments (EDs) since the mid-1990s. All patients triaged with one chief complaint using the Danish Emergency Process Triage system were included. About. The Danish Regions’ Paediatric Triage Model (displayed in Additional file 1) and the Danish Emergency Process Triage are integrated into the national ePMR system. The aim of this study was to validate and compare two 5-level triage systems used in Danish emergency departments: “Danish Emergency Process Triage” (DEPT) based on a combination of vital. The. We would like to show you a description here but the site won’t allow us. RETTS-A was not developed to be utilised as a sys-The investigators has developed a novel evidence-based triage algorithm with integrated individual clinical assesment. We would like to show you a description here but the site won’t allow us. The capacity of the ED depends on available resources (i. The Copenhagen Triage Algorithm (CTA) is a simplified triage system with a clinical assessment. And his temperature is as high as 38,5°C. Multiple logistic regression was used to predict the primary endpoint, 30-day mortality. In Denmark, all healthcare services, including emergency medical services are publicly funded and free of charge. EWSs (National Early Warning Score 2 [NEWS2], modified NEWS score without temperature [mNEWS], Quick Sepsis Related Organ Failure Assessment [qSOFA], Rapid Emergency Triage and Treatment System [RETTS], and Danish Emergency Process Triage [DEPT]) were calculated using first vital signs measured by ambulance personnel. b The severity score is made according to the Danish Emergency Process Triage (DEPT) criteria used for patients with acute illness. Triage standard North Zealand University Hospital introduced the use of formalised triage in 2009 and since 2011 Danish Emergency Process Triage (DEPT)3 has been the triage standard. Menu. Centers are randomly assigned to perform either CTA or. The aim of this study was to validate and compare two 5-level triage systems used in Danish emergency departments: “Danish Emergency Process Triage” (DEPT) based on a combination of vital. A version of RETTS©, called Rapid Emergency Triage and Treatment System – Hospital Unit West (RETTS-HEV) has also been applied and studied [21, 22]. The purpose has been to identify critically ill patients and thereby reduce the waiting time for initial assessment and treatment. Each year 800 000 people die by suicide worldwide, and for each suicide, there are over 20 attempts (World Health Organization, 2020). Statistics. When do you expect to come to the ED?”The aim of this study was to validate and compare two 5-level triage systems used in Danish emergency departments: “Danish Emergency Process Triage” (DEPT) based on a combination of vital. The five-level Danish triage manual resembles the Manchester triage manual [19, 20]. Triage is the variable defining a maximum time limit for medical assessment, and the Danish Emergency Process Triage system 23, 24, 25 (Table 1) is the priority tool used to triage patients. However, ADAPT have been triage standard in a modified version called Danish Emergency Process Triage (DEPT) in Denmark since 2011 . Further research has shown that morbidity can be predicted with computerized algorithms based on both clinical markers and physicians’ DSR even in ED patients with nonspecific complaints [ 8 ]. The aim of this study was to validate and compare two 5-level triage systems used in Danish emergency departments: “Danish Emergency Process Triage” (DEPT) based on a combination of vital. The trial was conducted at Hospital Sønderjylland, which comprises two emergency departments (Aabenraa and Sønderborg) with a hospital coverage of approximately 225. In the Danish Emergency Process Triage (DEPT), which has been implemented in most Danish EDs [9], patient-reported pain is validated by a nurse to ensure that it is neither over nor underreported. Region Midt har i tillæg udarbejdet procesafsnit til de enkelte kontaktårsagskort. Acute care patient pathways in the emergency department, particularly for evening and night, withDanish Emergency Process Triage. According to two national surveys from 2005 to 2011, triage was carried out with different triage scales and without guidelines or formal education. Proces beskriver de HAPT is inspired by the Swedish Adaptive Process Triage model, ADAPT , and has subsequently evolved into the 'Danish Emergency Process Triage' , which is currently under implementation at several hospitals across the country. Systemet inddrager i højere grad end tidligere sygeplejerskers kliniske vurdering, som i kombination med en algoritme, der tager udgangspunkt i patientens vitalparametre, er grundlaget for den rækkefølge. All patients triaged with one chief complaint using the Danish Emergency Process Triage system were included. 27 The main complaint is registered before any diagnostic proceedings are performed. Highly Influenced. Method. number of nurses on duty according to the duty roster and number of available beds). DEPT consists of a combined assessment of vital signs and symptoms and classifies patients into categories: Red (highest risk of death the next 7 days), Orange, YellowPatients are initially evaluated by specialised nurses, and the ED uses a five-level adaptive process triage based on complaints and vital signs [20,21]. In Sweden, METTS subsequently became the Rapid Emergency Tri-In our patients, perhaps surprisingly, ongoing pain was thus a marker for better prognosis. Studies of the Danish emergency process triage (DEPT), the Canadian triage and acuity scale (CTAS), and the emergency severity index (ESI) have reported only moderate agreement between EMS clinicians and ED nurses when utilising identical triage systems [13,14,15]. Full triage was applied in 77. The response rate was 100% (n = 20). 24 25. Validation of systematic triage is sparse and in this study we compared the systematic triage tool Danish Emergency Process Triage (DEPT) with a quick clinical assessment by inexperienced hospital staff. 000) admitted to the ED in two large acute hospitals. Effective triage. Patients are initially triaged by an experienced nurse using the Danish Emergency Process Triage system (DEPT) [14]. Included in the analysis were 6290 patients seen in the ED from September 2013 through December 2013, all of whom were evaluated using both a formalized triage process (the Danish Emergency. Currently there are no national recommendations regarding triage models for use in the emergency department (ED). The frequency of young people presenting to general wards and emergency departments for self-harm has increased in the past 20 years (Borschmann & Kinner, 2019). I Aarhus benyttes "Danish Emergency Process Triage" (DEPT) systemet, der baserer sig på måling af vitalparametre (blodtryk, puls, bevidsthedsniveau m. In 2011 HAPT was customized for local conditions and named Danish Emergency Process Triage (DEPT) . The objective of this study was to compare two such triage systems for assessing vital parameters - a single-parameter system, T-vital, as used in Danish Emergency Process Triage, and a multiple. Adaptive process triage (ADAPT) was the most frequently used validated triage system (25% (n = 5)), while 40%. Study record managers: refer to the Data Element Definitions if submitting registration or results information. All patient visits to the ED from September 2013 to December 2013 except minor. Different scales and algorithms are used in triage, so it is essential to clearly communicate the acuity categories assigned to patients. We used the vital signs from DEPT triage, consisting of respiratory frequency, pulse, saturation, temperature, blood pressure, and Glasgow coma scale (GCS) to triage the patients into. 5%). Background. Patients could only participate once but if a nurse. This study was designed as a single-centre, non-inferiority, open-label, randomized controlled trial. However, the national implementation has been performed despite low scientific foundation for triage as a method, mainly related to the absence of adjustment to. A Danish ED is equivalent to an acute. poster at the Danish Emergency Medicine Conference, Odense, Denmark, 20-21 November. Soluble urokinase plasminogen activator receptor (suPAR) is a prognostic and nonspecific biomarker associated with short-term mortality in emergency department (ED) patients. e. Moreover, several studies have demonstrated that combing suPAR with the NEWS or the Danish Emergency Process Triage (DEPT) improved its predictive ability for mortality (Rasmussen et al. Europe PMC. Centers are randomly assigned to perform either CTA or Danish Civil Registration System of all ED contacts from July 1, 2016 through June 30, 2017. For details on the DEPT triage system see Additional file 1 . We include patients ≥16 years (n = 50. In Sweden, METTS subsequently. Triage-algoritmer bruges verden over til at risikovurdere og prioritere patienter på Akutafdelingerne. The ED is semilarge, with 29 000 annual visits. Triage system developed in Denmark. The lowest triage level is received care for minor cut or concern by either a nurse or a physician with no examinations. Moreover, several studies have demonstrated that combing suPAR with the NEWS or the Danish Emergency Process Triage (DEPT) improved its predictive ability for mortality (Rasmussen et al. Introduction Triage systems with limited room for clinical judgment are used by emergency departments (EDs) worldwide. 4% of the cases, and older patients were triaged at the scene as an 'unspecific condition' more frequently than younger patients. Triage systems aim, not only to ensure clinical justice for the patient, but also to provide an effective tool for departmental organisation, monitoring and evaluation. This was a substudy of patients included in the Copenhagen Triage Algorithm (CTA) trial, which was described elsewhere [2, 6]. level yellow (needing urgent treatment) was the most common triage category in patients admitted to the ED at a. Et dansk triagesystem har akronymet DEPT for Danish Emergency Process Triage ". deptriage. In Sweden, METTS subsequently became the Rapid Emergency Tri-Iversen et al. The need to prioritize these patients is stressed by the considerable demand for emergency care, frequent ED overcrowding and limited resources. These Swedish triage scales spread to adjacent countries; a modified Danish version of ADAPT, Danish Emergency Process Triage (DEPT) , and METTS in Norway . 12, 13 Based on presenting complaints and vital signs, DEPT categorizes the patient into five degrees: red (life-threatening); orange (critical); yellow (stable but potentially unstable); green (stable); and blue (unaffected). Oct 17, 2018, 10:59 pm. The use of triage in Danish emergency departments. triage was used as activation criteria for MEP calls. DEPT (Danish Emergency Process) Triage: Each patien t is assigned a triage leve l for each of the two main descriptors: 1) Vital signs and 2) presenting complaint. triage system used was a Danish adaptation of the Swedish triage system, ADAPT. interviews were conducted with 15 emergency nurses. Patients arriving at the ED are triaged using the Danish Emergency Process Triage (DEPT) system, which is based on chief complaint-specific parameters and vital parameters (see online supplemental figure 1 for an overview of the DEPT system process). Patients classified as red need immediate treatment whereas blue patients are non-urgent and not admitted to hospital. 6% of the EDs, trigger calls for MEP were activated > 300 times annually. ". Furthermore, a new, simplified triage algorithm has been. It is based on triage using vital signs (airway. 2011 Oct;58(10):A4301. Wireklint et al. as used in Danish Emergency Process Triage, and a multiple-parameter system, T-EWS, which weBackground: Five-level triage systems are being utilized in Danish emergency departments with and without the use of presenting symptoms. ". EWSs (National Early Warning Score 2 [NEWS2], modified NEWS score without temperature [mNEWS], Quick Sepsis Related Organ Failure Assessment. The prognostic value of suPAR was compared to the prognostic value of triage category based on the information from the systematic triage tool, Danish Emergency Process Triage (DEPT) in prediction of 30-days mortality. Study record managers: refer to the Data Element Definitions if submitting registration or results information. g. Process: DNPR, The Danish Clinical Register of Emergency Surgery: Hospital contact in admission units: 8: Time to triage: Proportion of patients triaged within 30 minutes after arrival: Process: DNPR, regional clinical logistics systems: 9a: Time to physician: Proportion of patients seen by physician within 4 hours after arrival: ProcessDanish emergency process triage (DEPT). Objective To compare the Danish Emergency Process Triage (DEPT) with a quick clinical assessment (Eyeball triage) as predictors of short-term mortality in patients in the. 4 Lindberg Søren Østergaard, Lerche la Cour J, Folkestad L, Hallas P, Brabrand M. The chief complaint assigned by the triaging nurse was used as exposure, and 30-day mortality and 30-day readmission were the primary outcomes. Only some patients are acutely seriously ill, and a few of these show only discrete signs and symptoms of their condition. All patients triaged with one chief complaint using the Danish Emergency Process Triage system were included. Over the last 20 years, triage systems have been standardised in a number of countries and. The triage algorithms are also developed to identify patients at low risk, who safely can be assigned to the waiting room. An early warning score and an alcohol-withdrawal score were likewise measured regularly in accordance with both local recommendations and. 12, 13 Based on presenting complaints and vital signs, DEPT categorizes the patient into five degrees: red (life-threatening); orange (critical); yellow (stable but potentially unstable); green (stable); and blue (unaffected). Methods The investigation was designed as a prospective cohort study conducted at North Zealand University Hospital. We include patients ≥16 years (n = 50. Search for terms In the Danish Emergency Process Triage (DEPT) pain is used as an independent contributor for triaging patients and is validated by the Numerical Pain Rating scale, NRS-11. Triage performance in emergency medicine: a systematic review. ADAPT was the primary triage system in 25% of the EDs, while 40% used non-validated triage systems. Methods The Copenhagen Triage Algorithm (CTA) study is a prospective two-center, cluster-randomized, cross-over, non-inferiority trial comparing CTA to the Danish Emergency Process Triage (DEPT). Arrival time was grouped into 3 categories to distinguish among daytime, evening time, and nighttime: 7 am to 3 pm , 3 pm to 1 am , and 1 am to 7 am. I DEPT tager man afsæt i anerkendte internationale triage-modeller, der er modificeret til danske forhold. About Europe PMC; Preprints in Europe PMCTRIAGE III is an interventional trial in Denmark where suPAR is used to improve DEPT (Danish Emergency Process Triage) used by the ED physicians. (OPUS Arbejdsplads, CSC) and merged with triage data. In addition, the same nurse registered the patient. The Copenhagen Triage Algorithm study is a prospective two-center, cluster-randomized, cross-over, non-inferiority trial comparing CTA to the Danish Emergency Process Triage (DEPT). Methods The Copenhagen Triage Algorithm (CTA) study is a prospective two-center, cluster-randomized, cross-over, non-inferiority trial comparing CTA to the Danish Emergency Process Triage (DEPT). All patients triaged with one chief complaint using the Danish Emergency Process Triage system were included. A severity of disease classification system for use in intensive care units; AUC: Area Under the Curve; DEPT: Danish emergency process triage. g. The CTA Study is a randomized trial comparing CTA to the standard Danish Emergency Process Triage (DEPT) in an unselected population. Participants. Ranges of vital signs for paediatric patients are identical in the two triage systems, and the triage score is represented by colours: green for ‘not urgent’, yellow for ‘less. , 2018. 24 25 Participants Eligible patients were all adult acute patients (≥18 years) arriving to the ED within the study period. Patients could only participate once but if a nurse. We found that triage was used at 75% (n = 15) of the EDs. Triage standard North Zealand University Hospital introduced the use of formalised triage in 2009 and since 2011 Danish Emergency Process Triage (DEPT)3 has been the triage standard. The aim is to identify patient at risk of deterioration or death and/or with a imminent need of treatment. , 2010). Objective To compare the Danish Emergency Process Triage (DEPT) with a quick clinical assessment (Eyeball triage) as predictors of short-term mortality in patients in the emergency department (ED). formalised triage in 2009 and since 2011 Danish Emergency Process Triage (DEPT)3 has been the triage standard. DEPT is a five-step triage system that prioritizes patients according to the degree of life or truancy threat and thereby is indicative of how fast they are to be seen by a physician. Methods The Copenhagen Triage Algorithm (CTA) study is a prospective two-center, cluster-randomized, cross-over, non-inferiority trial comparing CTA to the Danish Emergency Process Triage (DEPT). Odense, Denmark. In Denmark triage has been broadly implemented over the last decade [11]. Baseline characteristics and comorbidity of Emergency Department patients in relation to Danish Emergency Process Triage (DEPT). The use of triage in Danish emergency departments. Methods The investigation was designed as a prospective cohort study conducted at North Zealand University Hospital. Triage was done using the Danish Emergency Process Triage (DEPT). , RETTS and the Danish Emergency Process Triage), which prioritize patients with ongoing pain higher than those with abated pain (6, 7). Advanced Searchc Triage score acc ording to the Danish Regions’ P aediatric Triage Model, and if this eld on the prehospital ePMR was empty, then according to the Danish Emergency Process T riage (DEPT)Danish Civil Registration System of all ED contacts from July 1, 2016 through June 30, 2017. patients in level 1-5 triage DEPT is a 5-stage triage system with 5 degrees of urgency Structure: Overall, DEPT is made up of several elements. HAPT is inspired by the Swedish Adaptive Process Triage model, ADAPT , and has subsequently evolved into the 'Danish Emergency Process Triage' , which is currently under implementation at several hospitals across the country. Patients with minor injuries were excluded. 20-21 November 2014. Hide glossary Glossary. Adaptive process triage (ADAPT) was the most frequently used validated triage system (25% (n = 5)), while 40%. Measurement of suPAR in relation to the triage process may allow a more accurate identification of ED. 23 The highest triage level is received care in trauma room and not expected to be discharged within 24 hours. The Danish Regions’ Paediatric Triage Model (displayed in Additional file 1) and the Danish Emergency Process Triage are integrated into the national ePMR system. The objective of this study was to compare two such triage systems for assessing vital parameters - a single-parameter system, T-vital, as used in Danish Emergency Process Triage, and a multiple-parameter system, T-EWS, which we based on Early Warning Score (EWS) - and correlate the triage scores to in. A framework for a medical emergency decision support system that addresses the challenges of pre-hospital emergency treatment through the use of the patient’s electronic health record (EHR) and artificial intelligence techniques during the decision making process is provided. dette materiale med kontaktårsager fra Danish Emergency Process Triage (DEPT), som er et triageringsredskab tilpasset danske forhold efter de svenske triageringsredskaber ADAPT og METTS. They studied a general ED population and not only trauma. For details on the DEPT triage system see Additional file 1. Formalized triage in the emergency department (ED) is not widely used in Denmark; this study explores the effects of introducing a five-level process triage system in a Danish ED. Most triage models have been developed on the basis of expert opinion and they are not based on data from large prospective cohorts [15]. The prognostic value of suPAR was compared to the prognostic value of triage category based on the information from the systematic triage tool, Danish Emergency Process Triage (DEPT) in prediction of 30-days mortality. Danish Civil Registration System of all ED contacts from July 1, 2016 through June 30, 2017. The objectives were as follows: (a) What is the agreement of triage between prehospital providers and ED nurses, when using Danish Emergency Process Triage (DEPT) correctly? (b) Which part of the triage process yields the highest agreement regarding the final triage?METHODS: The study was a prospective and observational efficacy study. All patients triaged with one chief complaint using the Danish Emergency Process Triage system were included. Danish Civil Registration System of all ED contacts from July 1, 2016 through June 30, 2017. Search worldwide, life-sciences literature Search. The five-level Danish triage manual resembles the Manchester triage manual [19, 20]. About Europe PMC; Preprints in Europe PMCThe aim of this study was to validate and compare two 5-level triage systems used in Danish emergency departments: “Danish Emergency Process Triage” (DEPT) based on a combination of vital. DEPT - Depth. Danish Emergency Process Triage to determine treat-ment urgency (Nordberg et al. The triage system ranks patients into five colour-coded triage categories. Methods The Copenhagen Triage Algorithm (CTA) study is a prospective two-center, cluster-randomized, cross-over, non-inferiority trial comparing CTA to the Danish Emergency Process Triage (DEPT). Search for termsIn the Danish Emergency Process Triage (DEPT) pain is used as an independent contributor for triaging patients and is validated by the Numerical Pain Rating scale, NRS-11. the Danish Emergency Process Triage (DEPT) (using only vital signs), the Modified Early Warning Score (MEWS), the HOTEL score, the Simple Clinical Score (SCS) and PARIS score. The aim of this study was to validate and compare two 5-level triage systems used in Danish emergency departments: “Danish Emergency Process Triage” (DEPT) based on a combination of vital signs and presenting symptoms and a locally adapted version of. In our patients, perhaps surprisingly, ongoing pain was thus a marker for better prognosis. We include patients ≥16 years (n=50. The aim of this study was to validate and compare two 5-level triage systems used in Danish emergency departments: “Danish Emergency Process Triage” (DEPT) based on a combination of vital. Patients with minor injuries were excluded. In brief, the CTA trial was a cluster-randomised, controlled trial comparing the new evidence-based triage algorithm CTA to the Adaptive Process Triage (ADAPT) in two large EDs in the Capital Region of Copenhagen. The models have then beenObjective To compare the Danish Emergency Process Triage (DEPT) with a quick clinical assessment (Eyeball triage) as predictors of short-term mortality in patients in the emergency department (ED). This study was part of a prospective cohort study carried out at Hillerød University Hospital (TRIAGE-study). 000) admitted to the ED in two large acute hospitals. In the Danish Emergency Process Triage tool, a chief complaint labelled “Oedema” could potentially shift these proportions. We found that triage was used at 75%. EWSs (National Early Warning Score 2 [NEWS2], modified NEWS score without temperature [mNEWS], Quick Sepsis Related Organ Failure Assessment [qSOFA], Rapid Emergency Triage and Treatment System [RETTS], and Danish Emergency Process Triage [DEPT]) were calculated using first vital signs measured by ambulance personnel. 16 They reported that what they referred to as ‘eyeball triage’, that is, clinicians’ triage decisions in our study, was superior to formalised triage using the Danish Emergency Process Triage. Most triage models have been developed on the basis of expert opinion and they are not based on data from large prospective cohorts [15]. Systematic process triage is a relatively unknown concept in Denmark. The increasing number of patients can result in crowding and prolonged waiting time when the. Most ED’s use a slightly modified ver-sion of ADAPT called Danish Emergency Process Triage (DEPT) [11–14]. DEPT - Danish Emergency Process Triage. . , 2018. Patients with minor injuries were excluded. •. RETTS-A was not developed to be utilised as a system assessing. b The severity score is made according to the Danish Emergency Process Triage (DEPT) criteria used for patients with acute illness. 3 DEPT is the most used triage system in Denmark and is similar to other modern triage system. See moreThe Copenhagen Triage Algorithm (CTA) aims to be a faster and better way to identify acutely ill patients as well as the less urgent patients in the ED. Rapid Emergency Triage and. Four hospitals (23. BP, HR,. Patient triaged at the highest and lowest triage level as per the Danish Emergency Process Triage were excluded. Ranges of vital signs for paediatric patients are identical in the two triage systems, and the triage score is represented by colours: green for ‘not urgent’, yellow for ‘less. Triage-algoritmerne er også. In the Danish Emergency Process Triage (DEPT), which has been implemented in most Danish EDs , patient-reported pain is validated by a nurse to ensure that it is neither over nor underreported, resulting in a patient receiving a higher triage priority than warranted or, alternatively, that a patient might be overlooked in the ED. DEPT is a Danish adaption and modification of the “Adaptive Process Triage” (ADAPT) developed in Sweden in 2006 [ 20 ]. The chief complaint assigned by the triaging nurse was used as exposure, and 30-dayTherefore, we gathered in-depth knowledge of Danish emergency department nurses' experiences caring for patients who self-harm and obtained their suggestions on future nursing practices. In the Danish Emergency Process Triage (DEPT), which has been implemented in most Danish EDs , patient-reported pain is validated by a nurse to. 6% of the EDs, trigger calls for MEP were activated > 300 times annually. Triage system developed in Denmark. Efficient triage should not only identify those patients that require urgent care, but also as many patients as possible who do not require it and who can be safely managed later or electively. In 2011 HAPT was customized for local conditions and named Danish Emergency Process Triage (DEPT) . About Europe PMC; Preprints in Europe PMCWe performed a cross-sectional study on triage at all EDs in the 20 Danish hospitals that have been designated for emergency care. Der findes intet etableret triage-system, som i sig selv samtidig opfylder kvalitetsstandarderne og funktionalitetskravene i DDKM samt de videnskabelige selskabers forskellige behandlingsrekommandationer [15]. Danish emergency departments: “Danish Emergency Process Triage” (DEPT) based on a combination of vital signs and presenting symptoms and a locally adapted version of DEPT (VITAL-TRIAGE) using vital signs only. Patient triaged at the highest and lowest triage level as per the Danish Emergency Process Triage were excluded. compared the accuracy of triage decisions by nurses who adhered to the Danish Emergency Process Triage (DEPT) scale with a non-systematic ‘eyeball triage’ performed by phlebotomists and medical students working as phlebotomists from the Department of Clinical Biochemistry. v. Studies of the Danish emergency process triage (DEPT), the Canadian triage and acuity scale (CTAS), and the emergency severity index (ESI) have reported only moderate agreement between EMS clinicians and ED nurses when utilising identical triage systems [13– 15]. Furthermore, a new, simplified triage algorithm. Background The Danish Regions Pediatric Triage model (DRPT) was introduced in 2012 and subsequent implemented in most Danish acute pediatric departments. This is in contrast to the guidelines in some ED triage systems (e. [11, 12]. Advanced searchIn the Danish Emergency Process Triage (DEPT) pain is used as an independent contributor for triaging patients and is validated by the Numerical Pain Rating scale, NRS-11. These Swedish triage scales spread to adjacent countries; a modified Danish version of ADAPT, Danish Emergency Process Triage (DEPT) [12], and METTS in Norway [13]. Five-level triage systems are being utilized in Danish emergency departments with and without the use of presenting symptoms. Objective To compare the Danish Emergency Process Triage (DEPT) with a quick clinical assessment (Eyeball triage) as predictors of short-term mortality in patients in the emergency department (ED). 23 The highest triage level is received care in trauma room and not expected to be discharged within 24 hours. Search for termsIn the Danish Emergency Process Triage (DEPT) pain is used as an independent contributor for triaging patients and is validated by the Numerical Pain Rating scale, NRS-11. In brief, the CTA trial was a cluster-randomised, controlled trial comparing the new evidence-based triage algorithm CTA to the Adaptive Process Triage (ADAPT) in two large EDs in the Capital Region of Copenhagen. A simple clinical assessment is superior to systematic triage in prediction of mortality in the emergency departmentTo svenske modeller Rapid Emergency Triage and Treatment System og Adaptive Process Triage (ADAPT) er sidenhen blevet udviklet [4]. However, ADAPT have been triage standard in a modified version called Danish Emergency Process Triage (DEPT) in Denmark since 2011 . The triage categories are red, orange, yellow, green and blue. Prior to introduction of systematic triage, patients were prioritized in Emergency Departments based on clinical assessment. The Copenhagen Triage Algorithm (CTA) aims to be a faster and better way to identify acutely ill patients as well as the less urgent patients in the ED. 000 inhabitants. We include patients ≥16 years (n=50. Patients arriving at the ED are triaged using the Danish Emergency Process Triage (DEPT) system, which is based on chief complaint-specific parameters and vital parameters (see online supplemental figure 1 for an overview of the DEPT system process). Studies of the Danish emergency process triage (DEPT), the Canadian triage and acuity scale (CTAS), and the emergency severity index (ESI) have reported only moderate agreement between EMS clinicians and ED nurses when utilising identical triage systems [13– 15]. Blood. In the Danish Emergency Process Triage (DEPT), which has been implemented in most Danish EDs [9], patient-reported pain is validated by a nurse to ensure that it is neither over nor underreported. An early warn-ing score and an alcohol-withdrawal score were likewise measured regularly in accordance with both local recommendations and the patient’s clinical con-dition. The aim of this study was to validate and compare two 5-level triage systems used in Danish emergency departments: “Danish Emergency Process Triage” (DEPT) based on a combination of vital signs and presenting symptoms and a locally adapted version of DEPT (VITAL-TRIAGE) using vital signs only. Objective To compare the Danish Emergency Process Triage (DEPT) with a quick clinical assessment (Eyeball triage) as predictors of short-term mortality in patients in the. In Denmark triage has been broadly implemented over the last decade [11]. 5%). Currently there are no national recommendations regarding triage models for use in the emergency department (ED). Material and methods: We performed a cross-sectional study on triage at all EDs in the 20 Danish hospitals that have been designated for emergency care. For details on the DEPT triage system see Additional file 1 . All patients triaged with one chief complaint using the Danish Emergency Process Triage system were included. The models have then beenFrom 6th Danish Emergency Medicine Conference Odense, Denmark. Menu. We found that triage was used at 75% (n = 15) of the EDs; among these only 53% (n = 8/15) triaged all patients. Dan Med Bull 2011; 58:A4301. Methods The investigation was designed as a prospective cohort study conducted at North Zealand University Hospital. Prior studies have assessed the congruence between nurse's assessment of their patients' pain intensity and the patients' own pain perception with mixed results. The need to prioritize these patients is stressed by the considerable demand for. Patients with minor injuries were excluded. All EDs used red triage (Danish Emergency Process Triage) as activation criteria for MEP calls. Methods: The Copenhagen Triage Algorithm (CTA) study is a prospective two-center, cluster-randomized, cross-over, non-inferiority trial comparing CTA to the Danish Emergency Process Triage (DEPT). Oct 17, 2018, 10:59 pm. The vitals measured at admission assigns the patient to a triage category, and based upon the clinical appearance of the patients, the triage nurse can adjust the assigned triage category to better reflect the patient. Methods The Copenhagen Triage Algorithm (CTA) study is a prospective two-center, cluster-randomized, cross-over, non-inferiority trial comparing CTA to the Danish Emergency Process Triage (DEPT). Methods The trial was a non-inferiority, two-center cluster-randomized crossover study where CTA was compared to a local. RETTS© is a process-orientated five. DEPT is used both pre- and in-hospital to differentiate between stable and life-threatening conditions. Prior studies have assessed the congruence between nurse's assessment of their patients' pain intensity and the patients' own pain perception with mixed results. Table 1 shows the five-level Danish Emergency Proces Triage (DEPT) used in the ED, patients are categorised into five triage levels based on vital signs and a presenting complaint algorithm . The aim of this study was to validate and compare two 5-level triage systems used in Danish emergency departments: “Danish Emergency Process Triage” (DEPT) based on a combination of vital. DANISH EMERGENCY PROCESS TRIAGE. This study explores the effects of introducing a five-level process triage system in a Danish ED by conducting semi-structured qualitative interviews with 15 emergency nurses. Kasper Karmark Iversen. Adaptive process triage (ADAPT) was the most frequently used validated triage system (25% (n = 5)), while 40% (n = 8) used non-validated. , 2010). Four medium-sized EDs from different regions across the country cooperated in a joint venture to develop a new triage model, Danish Emergency. [11, 12]. 23 The highest triage level is received care in trauma room and not expected to be discharged within 24 hours. Statistics. TRIAGE III is an interventional trial in Den-mark where suPAR is used to improve DEPT (Danish Emergency Process Triage) used by the ED physicians. e. Et dansk triagesystem har akronymet DEPT for Danish Emergency Process Triage ". Adaptive process triage (ADAPT) was the most frequently used validated triage system (25%. 2011. These Swedish triage scales spread to adjacent countries; a modified Danish version of ADAPT, Danish Emergency Process Triage (DEPT) [12], and METTS in Norway [13]. Most emergency departments (ED) use risk scoring systems to perform triage, [1, 2] and widely used conventional triage algorithms are 5-level scales relying on measurements of vital signs and the presenting complaint [1, 2]. ese Swedish tri-age scales spread to adjacent countries; a modied Dan ish version of ADAPT, Danish Emergency Process Triage (DEPT) [12], and METTS in Norway [13]. From 6th Danish Emergency Medicine Conference Odense, Denmark. 1Adaptive process triage (ADAPT) is a triage system developed in Sweden in 2006. The Copenhagen Triage Algorithm study is a prospective two-center, cluster-randomized, cross-over, non-inferiority trial comparing CTA to the Danish Emergency. In Sweden, METTS subsequently. Most ED's use a slightly modified version of ADAPT called Danish Emergency Process Triage (DEPT) [11] [12] [13][14]. The RETTS-HEV is a five-scale triage system being used in the ED of Herning, Denmark, since May 2010. The chief complaint was registered during triage according to the Hillerød Acute Process Triage protocol and categorized into 41 presenting complaints. In short, DEPT is a five-level triage system based on vital signs and one (or two) symptom-based cards (e. Objective To compare the Danish Emergency Process Triage (DEPT) with a quick clinical assessment (Eyeball triage) as predictors of short-term mortality in patients in the. Background: Five-level triage systems are being utilized in Danish emergency departments with and without the use of presenting symptoms. Hide glossary Glossary. They were included at first contact within the study. et nationalt tilgængeligt triageværktøj, der henvender sig til alle afdelinger med akut modtagefunktion. The use of triage in Danish emergency departments Dan Med Bull. The aim of this study was to validate and compare two 5-level triage systems used in Danish emergency departments: "Danish Emergency Process Triage". A multi-centre cohort study | Introduction: In the Region of Southern Denmark, the emergency departments categorise patients based on presenting symptoms and a proposed diagnostic package (n = 40. Dept - Danish Emergency Process Triage. Trained nurses perform triage before beginning diagnostics and before the patient is seen by a. Prior studies have assessed the congruence between nurse's assessment of their patients' pain intensity and the patients' own pain perception with mixed results. The videos were.