Investigating the predictive validity of an emergency department mental health triage tool

Sands, Natisha, Elsom, Stephen, Berk, Michael, Hosking, Jennifer, Prematunga, Roshani and Gerdtz, Marie 2014, Investigating the predictive validity of an emergency department mental health triage tool, Nursing and health sciences, vol. 16, no. 1, pp. 11-18.

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Title Investigating the predictive validity of an emergency department mental health triage tool
Author(s) Sands, Natisha
Elsom, Stephen
Berk, Michael
Hosking, Jennifer
Prematunga, Roshani
Gerdtz, Marie
Journal name Nursing and health sciences
Volume number 16
Issue number 1
Start page 11
End page 18
Total pages 8
Publisher Wiley Publishing Asia
Place of publication Richmond, Vic.
Publication date 2014
ISSN 1441-0745
Keyword(s) Australasian Triage Scale
Emergency
Mental health triage
Predictor
Triage
Summary Emergency department mental health triage is a complex clinical task for which the evidence base is minimal. Research in the past decade has consistently identified issues associated with the accuracy and consistency of mental health triage assessment. In this study, we investigated the predictive validity of the clinical descriptors in the Victorian Emergency Department Mental Health Triage Tool. Using a naturalistic, retrospective study design, an audit of the emergency department triage database was undertaken on 12 months of continuous data for all mental health presentations (n = 1718). The main outcome measure was urgency categorization. The study findings indicate that triage nurses can accurately identify the urgency of mental health presentations using defined clinical criteria. A significant finding was that patients with acute psychotic symptoms were more likely to be triaged as high urgency (code 2); however, the Australasian Triage Scale, in use in all Australian and many international emergency departments, provides no mental health-specific descriptors in high-urgency categories (1 and 2).
Language eng
Field of Research 111005 Mental Health Nursing
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2013, Wiley Publishing Asia
Persistent URL http://hdl.handle.net/10536/DRO/DU:30060471

Document type: Journal Article
Collection: School of Nursing and Midwifery
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Created: Mon, 17 Feb 2014, 13:25:50 EST by Natisha Sands

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