• Giorgio Gadda, Anne Destrebecq, Giovanna Bollini, and Stefano Terzoni.
• Direttore DITRA Azienda Ospedaliera Ospedale Niguarda Cà Granda Milano.
• Prof Inferm. 2009 Oct 1;62(4):227-31.

AbstractIn literature there are no studies regarding the quality evaluation of the whole triage process; however, since it is necessary to evaluate what really happens everyday in the Emergency Rooms, as well as verifying the daily level of throughput, there is a strong need for an appropriate tool. Measuring the quality of triage means improving the caring process. This article presents a new measurement grid, aimed at realizing a Quality Evaluation of Nursing Care. Currently, the most widespread systems used for the QENC are the Australian Triage Scale, the Canadian triage and Acuity Scale and the Italian Group of Triage Scale. The global/biphasic triage system was used in our study because it seems the most accurate, according to literature. There are several indicators that evaluate many aspects of the triage process; every single indicator has a score. The sum of the scores defines the quality level of the nursing triage process. Our paper discusses the application of this score in a major Milan hospital, based upon a preliminary study.

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