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All Journal Indonesian Journal of Health Sciences Research and Development (IJHSRD)
Wahyu Ade Wardani
Universitas Muhammadiyah Banjarmasin
Health Professions Public Health

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COMPARATIVE ANALYSIS OF THE EFFECTIVENESS OF THE START AND CTAS TRIAGE SYSTEMS IN DISASTER MANAGEMENT IN EMERGENCY DEPARTEMENT: A SYSTEMATIC LITERATURE REVIEW : DISASTER MANAGEMENT Wahyu Ade Wardani; Al Mohades; Zaqyyah Huzaifah
INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD) Vol. 8 No. 1 (2026): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
Publisher : STIKes Mandala Waluya Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/ijhsrd/Vol8.Iss1/365

Abstract

Background: Emergency departments (ED) are often overwhelmed during mass casualty incidents (MCI). The trade-off between the speed of Simple Triage and Rapid Treatment (START) and the accuracy of the Canadian Triage and Acuity Scale (CTAS) poses a management dilemma. This study aims to evaluate and compare the effectiveness of START and CTAS in ED. Methods: A systematic literature review (SLR) was conducted using the PRISMA guidelines. Sixteen publications from PubMed, Google Scholar, ScienceDirect, and PMC were evaluated with five main articles analyzed for direct comparison. Results: The study shows that START is proven to be much faster (average of 33 seconds/patient) with high sensitivity in critical patients but has a high risk of under triage, whereas CTAS takes longer (138 seconds/patient) but excels in clinical accuracy and resource allocation precision. There is no single ideal instrument for MCI. Conclusion: The implementation of a dual triage model using START at the ED entrance followed by CTAS in the care area is highly recommended to optimally balance response speed and patient safety.
Co-Authors Al Mohades Zaqyyah Huzaifah