Validity of the South African Triage Scale in a rural district hospital

This study aims to assess the validity of the SATS in a rural district hospital context.MethodsThis is a cross-sectional study. All patients presenting to the Zithulele Hospital emergency centre from 1 October 2015 to 31 December 2015 were triaged using the SATS system, routinely collected data was used to determine the correlation between assigned acuity and outcome to determine rates of under- and over-triage. Patient demographics were collected and waiting times were compared to existing standards of the SATS tool.ResultsOf the 4002 patients presenting to the emergency centre during the study period, 2% were triaged as emergency patients, 15% as very urgent, 38% as urgent and 45% as routine. The assigned acuities correlate well with outcome (f = 0.37; p < 0.0001) and an acceptable rate of over-triage (49%) and under-triage (9%) was found. Waiting time targets were poorly achieved with only 49% of emergency, 23% very urgent, 46% urgent and 69% routine patients seen within ideal target times.DiscussionThe SATS is a valid tool to implement in a rural district emergency centre. Strict waiting time goals may not be achievable in this setting without structural and resource allocation changes to allow for improvements in the surge capacity of staff to manage urgent and emergency patients.
Source: African Journal of Emergency Medicine - Category: Emergency Medicine Source Type: research