O'Neill Kathleen A, Molczan Kenneth
DuPont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19083, USA.
Pediatr Emerg Care. 2003 Aug;19(4):285-90. doi: 10.1097/01.pec.0000086245.54586.58.
Emergency care continues to be a challenge for the pediatric population. Pediatric emergency department (ED) visits have escalated to over 12.5 million/y. To provide quality care, the provider must strive to meet ED efficiency, patient safety, and federal regulations. One of the most critical and challenging areas is pediatric triage. International healthcare systems in Canada and Australia have designed national triage systems to address the needs of patient acuity, improve patient safety, and enhance customer satisfaction. The United States continues to have various triage systems that include 3-level, 4-level, and 5-level systems in a variety of ED settings. This paper describes a pediatric triage system in the United States with a 2-tier process for high volume and 5 levels of acuity for time to treatment with over 30,000 ED visits per year.
急诊护理对儿科人群来说仍然是一项挑战。儿科急诊科（ED）的就诊人数已攀升至每年超过1250万次。为了提供高质量的护理，医护人员必须努力实现急诊科的效率、患者安全以及符合联邦法规。最关键且具有挑战性的领域之一是儿科分诊。加拿大和澳大利亚的国际医疗系统已经设计了全国分诊系统，以满足患者病情严重程度的需求、提高患者安全并提升客户满意度。美国仍然存在各种分诊系统，在不同的急诊科环境中有三级、四级和五级系统。本文介绍了美国的一种儿科分诊系统，该系统具有针对高就诊量的两层流程以及五级病情严重程度分级，每年急诊科就诊量超过30000次。
