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These will be assessed by a Research Assistant (SG) via the written triage records.
Using a REDCap database [ 15] to collect abstraction data, the same three nurses independently reviewed all 3 cohorts of 50 triage records each.
This was a multicentre, retrospective, cross-sectional study of triage records for all unscheduled adult attendances in North Glasgow over 2 years.
Not only were there significantly more AAACN documentation elements present in the CDS triage records, the CDS documentation had more symptom features listed that could justify the disposition.
Student triage records indicate that in addition to discovery of hidden yet severe problems, presentations ranged from stable conditions in need of urgent attention to minor injuries and chronic conditions requiring attention and ongoing monitoring.
For example the sickest patients, with the highest probability of admission, sometimes bypassed triage altogether to go straight to the resuscitation room, and therefore their initial observations, though recorded, were not transcribed to the electronic triage records.
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In addition to the AAACN criteria, for each triage record the nurses also counted the entire documented positive and negative associated signs and symptoms related to symptom triage, total care points, and total warning symptoms given.
Triage Informatic Records were reviewed first, filtering records for clavicle fracture only.
We also recommend clinicians use any other means available, such as reviewing old hospital charts, triage visit records from emergency department visits, as well as having the family provide data whenever possible.
We analysed the electronic triage summary records of all people attending the emergency department of City Hospital, an inner city hospital in Birmingham, during one week in January 2005 (before the Act) and January 2006 (after the Act) to determine if their presenting complaint was alcohol related.
Twenty-two of these had admission to hospital time recorded and one further patient had triage time recorded, so these were used for the time of arrival at hospital.
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