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Utilization of an Electronic Triage System by Emergency Department Nurses

Authors Alumran A, Alkhaldi O, Aldroorah Z, Alsayegh Z, Alsafwani F, Almaghraby N

Received 23 February 2020

Accepted for publication 20 March 2020

Published 31 March 2020 Volume 2020:13 Pages 339—344

DOI https://doi.org/10.2147/JMDH.S250962

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


Arwa Alumran,1 Ohoud Alkhaldi,1 Zainab Aldroorah,1 Zainab Alsayegh,1 Fatimah Alsafwani,1 Nisreen Almaghraby2

1Health Information Management and Technology Department, College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia; 2Emergency Department, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia

Correspondence: Arwa Alumran Email aalumran@iau.edu.sa

Introduction: Emergency departments use triage systems to prioritize patients according to the severity of their condition. The Electronic Canadian Triage and Acuity Scale (E-CTAS) is a popular system that categorizes patients into five levels to manage patient flow and prioritize patient access to health-care services.
Methods: We assessed the factors that influence E-CTAS usage in emergency departments in Eastern Saudi Arabia. Seventy-one nurses were included from two emergency departments that adopted E-CTAS. We used the technology acceptance model (TAM) to assess the influencing factors. The TAM was reliable in the study setting (Cronbach’s α = 0.87).
Results: All of the TAM domains were significantly related to the usage of E-CTAS: perceived ease of use, perceived usefulness, importance of training, social influence, behavior intention, and attitude. We also showed that E-CTAS use significantly increased with years of experience and training.
Discussion: Many factors influenced the use of this electronic triage system. Focusing on these factors in future electronic triage system implementations might increase the hospital staff’s compliance, thus improving accuracy and better organizing the patient flow in emergency departments.

Keywords: emergency department, electronic triage, nurse, technology acceptance model, TAM, the Canadian Triage and Acuity Scale, CTAS, Transformation Program 2020, triage

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