The relationship between patient overcrowding and accuracy of triage in the emergency room at PKU Muhammadiyah Gamping Hospital
Keywords:
Patient overcrowding, triage accuracy, Emergency DepartmentAbstract
Introduction: Patient overcrowding in the Emergency Department (ED) may influence the accuracy of triage,
which is crucial in determining the priority of emergency care. Errors in triage can delay treatment, increase
complications, and even cause death. Objective: To examine the relationship between patient density and triage
accuracy in the ED of PKU Muhammadiyah Gamping Hospital. Methods: This quantitative correlational study
used a cross-sectional design involving 32 ED nurses selected through total sampling. Instruments included
triage accuracy observation sheets and the National Emergency Department Overcrowding Scale (NEDOCS).
Data were analyzed using Spearman’s rank correlation test with α = 0.05. Results and Discussion: A significant
relationship was found between patient density and triage accuracy (p = 0.012; r = 0.437). In busy conditions, 17
respondents (53.1%) performed triage and all were accurate (0% errors). In very busy but not overcrowded
conditions, 15 respondents (46.9%) were involved, with 9 (28.1%) accurate and 6 (18.8%) inaccurate. Overall,
26 nurses (81.3%) performed triage correctly, while 6 (18.8%) made errors. Conclusion and Recommendations:
Patient density is significantly related to triage accuracy in the ED. Nurses are expected to maintain quick and
accurate decision-making even under busy or overcrowded conditions to ensure patient safety.
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