Article Data

  • Views 1026
  • Dowloads 170

Original Research

Open Access

Awareness of importance of triaging in emergency department in Kingdom of Saudi Arabia

  • Kareemah Salem Alshurtan1,*,
  • Fahad Hamadan Alshammari2
  • Jamal Ahmed Almarshadi2
  • Sulaiman Ali Alghaslan3
  • Khalid Falah Alqahtani3

1Consultant of adult critical care & Internal medicine, University of Ha’il, 55476 Ha’il, Saudi Arabia

2Emergency department, King Khalid Hospital KKHH, 55476 Ha’il, Saudi Arabia

3College of medicine, University of Ha’il, 55476 Ha’il, Saudi Arabia

DOI: 10.22514/sv.2024.006 Vol.20,Issue 1,January 2024 pp.112-119

Submitted: 18 April 2023 Accepted: 07 June 2023

Published: 08 January 2024

*Corresponding Author(s): Kareemah Salem Alshurtan E-mail:


The emergency department (ED) is an important component of a healthcare system. Increased rates of visiting the ED, even for non-urgent cases, makes it necessary to prioritize patients who require immediate care over those who can wait. This process is called triage. However, although triage helps to deliver efficient service for the more needy patients, it results in delays for others, who may be left unsatisfied as a result. The aim of this research is therefore to assess the public awareness about triage in the ED and its importance in delivering improvements in healthcare in the Kingdom of Saudi Arabia. To this end, a cross-sectional research method was adopted to conduct a study on the Saudi population between the periods from 01 November 2022 to 31 November 2022. The study used a self-administrated, validated and translated electronic questionnaire. SPSS software version 23 was used for data analysis. The study included 2056 participants, who reported the major causes for the last ED visit to be abdominal pain (26.4%) and headaches (14.4%). The mean ± standard deviation (SD) score of knowledge was 8.79 ± 2.13. Moreover, this mean significantly differed between educational levels (p ˂ 0.001), current jobs (p = 0.001), and residence (p ˂ 0.001). The majority (82.9%) reported that increasing the working hours of primary healthcare (PHC) centers would reduce the ED’s crowdedness. The data thus showed there was inadequate knowledge and some gaps regarding triage in the ED among the public population in Saudi Arabia. Educational level, current job and residence were determinants for the level of knowledge. Allocating specialized physicians, improving the primary health care centers facilities, as well as increasing the working hours of the Primary Health Care (PHC) will reduce pressures on EDs.


Awareness; Triage; ED; Importance

Cite and Share

Kareemah Salem Alshurtan,Fahad Hamadan Alshammari,Jamal Ahmed Almarshadi,Sulaiman Ali Alghaslan,Khalid Falah Alqahtani. Awareness of importance of triaging in emergency department in Kingdom of Saudi Arabia. Signa Vitae. 2024. 20(1);112-119.


[1] Alrajhi KN, Aljerian NA, Alazaz RN, Araier LB, Alqahtani LS, Almushawwah SO. Effect of waiting time estimates on patients satisfaction in the emergency department in a tertiary care center. Saudi Medical Journal. 2020; 41: 883–886.

[2] Alhaqbani R, Bahmaid R, Almutairi M, Almasoudi W, Elmasarwa A, Alshehri A. Patient’s conception and attitude regarding triage system and waiting time at emergency department at Riyadh, Saudi Arabia. Saudi Journal of Emergency Medicine. 2022; 3: 130–137.

[3] Almulhim N, Almulhim F, Al Gharash A, Alghannam Z, Al-ghamdi RS, Alghamdi MH, et al. Preference for visiting emergency department over primary health care center among population in Saudi Arabia. Cureus. 2021; 31: e20073.

[4] Alhijli F, Mahmoud M, Alotabi Y, Alanazi S, Alghamdi A, Alrasheed M, et al. Knowledge and attitude towards emergency department utilization in Riyadh. Journal of Family Medicine and Primary Care. 2022; 11: 3021.

[5] Calder-Sprackman S, Kwok ESH, Bradley R, Landreville J, Perry JJ, Calder LA. Availability of emergency department wait times information: a patient-centered needs assessment. Emergency Medicine International. 2021; 2021: 1–6.

[6] Al-Otmy SS, Abduljabbar AZ, Al-Raddadi RM, Farahat F. Factors associated with non-urgent visits to the emergency department in a tertiary care centre, western Saudi Arabia: cross-sectional study. BMJ Open. 2020; 10: e035951.

[7] Alnasser S, Alharbi M, AAlibrahim A, Aal Ibrahim A, Kentab O, Alassaf W, et al. Analysis of emergency department use by non-urgent patients and their visit characteristics at an academic center. International Journal of General Medicine. 2023; 16: 221–232.

[8] Alhabdan N, Alhusain F, Alharbi A, Alsadhan M, Hakami M, Masuadi E. Exploring emergency department visits: factors influencing individuals’ decisions, knowledge of triage systems and waiting times, and experiences during visits to a tertiary hospital in Saudi Arabia. International Journal of Emergency Medicine. 2019; 12: 35.

[9] Alsulimani LK. Public awareness of triage in emergency departments in Saudi Arabia in the era of COVID-19. Saudi Journal of Emergency Medicine. 2022; 3: 120–129.

[10] Kuręda G, Lisowska A. Knowledge and opinions of patients attending a hospital emergency. Medical Science Pulse. 2021; 14: 1–8.

[11] Almass A, Aljohani HM, Alhaqbani RM, Alromih AM, Hadal S, Abozaid HS. Patient satisfaction with quality of care at the Kingdom of Saudi Arabia. Cureus. 2022; 14: e32102.

[12] Seibert T, Veazey K, Leccese P, Druck J. What do Patients Want? Survey of patient desires for education in an urban university hospital. Western Journal of Emergency Medicine. 2014; 15: 764–769.

[13] Grafstein E, Wilson D, Stenstrom R, Jones C, Tolson M, Poureslami I, et al. A regional survey to determine factors influencing patient choices in selecting a particular emergency department for care. Academic Emergency Medicine. 2013; 20: 63–70.

[14] Uscher-Pines L, Pines J, Kellermann A, Gillen E, Mehrotra A. Deciding to visit the emergency department for nonurgent conditions: a systematic review of the literature. The American Journal of Managed Care. 2013; 19: 47.

[15] Kheirbek RE, Beygi S, Zargoush M, Alemi F, Smith AW, Fletcher RD, et al. Causal analysis of emergency department delays. Quality Management in Health Care. 2015; 24: 162–166.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.

Index Copernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.

Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.

Scopus: CiteScore 1.0 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.

Submission Turnaround Time