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[Triage systems in the emergency department].

Medizinische Klinik, Intensivmedizin und Notfallmedizin

Emergency Service, Hospital, Germany, Health Resources, utilization, Hospital Mortality, Humans, Intensive Care Units, National Health Programs, statistics & numerical data, Waiting Lists, Patient Admission, Prognosis, Quality Assurance, Health Care, Reproducibility of Results, Triage, methods, Utilization Review, Cross-Cultural Comparison

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      Abstract

      Emergency department (ED) triage systems facilitate the categorization of emergency patients according to their disease severity and determine both treatment priority and treatment location. Four different five-level triage systems are internationally accepted. The Australasian Triage Scale (ATS, Australasia) allows categorization based on symptoms using specific descriptors. The Manchester Triage System (MTS, UK) uses defined presentational flow charts combined with indicators. The Canadian Triage and Acuity Scale (CTAS, Canada) is based on the ATS, but also includes diagnoses. The Emergency Severity Index (ESI, USA) first excludes life-threatening and severe disease before stratification according to estimated resource utilization. The goal of all triage systems is to reduce the in-hospital mortality and to minimize time to treatment, length of stay, and resource utilization.

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      Journal
      22349480
      10.1007/s00063-011-0075-9

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