Evaluating the effects of triage education on triage accuracy within the emergency department: An integrative review

Introduction: Triage accuracy can affect patient outcomes. Education to ensure nurses provide the most accurate triage scores is paramount for patient safety. The objective was to investigate whether ongoing triage education increases triage accuracy, knowledge or behaviour. Method: An integrative review was conducted by searching five databases to identify studies that included triagebased education. A systematic search strategy was completed followed by analysis with critical appraisal using the Critical Appraisal Skills Programme, a TIDieR Checklist and thematic analysis. Findings: Four thousand five hundred seventy-six studies were retrieved, with 34 studies selected for inclusion. Thirty-one studies were quantitative, and three were mixed methods. 18 out of 34 studies showed improvement in triage accuracy. Seven showed increased knowledge. Six studies showed no improvement in triage accuracy. Sixteen studies assessed triage behaviour and showed improvement post-intervention, with five showing no changes. Only three studies compared interventions. Fifty-three opportunities for changes to triage accuracy, knowledge or behaviour were found, 41 showed improvements. Conclusion: Triage education interventions can improve accuracy, knowledge and behaviour, but whether improvements are sustained needs further research.