Crellin Dianne J, Johnston Linda
The School of Nursing, The University of Melbourne, and Department of Emergency Medicine, Royal Children's Hospital, Melbourne.
Contemp Nurse. 2003 Aug;15(1-2):48-60. doi: 10.5172/conu.15.1-2.48.
The Australasian Triage Scale (ATS) is used in Australian emergency departments (ED) to describe patient priority on arrival. This study aimed to determine the level of inter-rater consistency with which the scale is applied to paediatric presentations. Additionally, it sought to document the level of certainty with which nurses apply the scale.
An anonymous survey of emergency nurses responsible for paediatric triage decisions using written patient profiles.
The level of agreement between nurses applying the ATS to paediatric presentations can be described as poor and appears lower than the consistency with which it is applied to adult presentations.
Inconsistent allocation of ATS category implies variable patient waiting times, which may have detrimental effects on patient condition. Hence, efforts must be made to address the inconsistency that exists in paediatric triage decision-making.
澳大利亚分诊量表（ATS）用于澳大利亚急诊科描述患者到达时的优先级别。本研究旨在确定该量表应用于儿科患者时评估者间的一致性水平。此外，研究还试图记录护士应用该量表时的确定程度。
对负责使用书面患者资料进行儿科分诊决策的急诊护士进行匿名调查。
护士将ATS应用于儿科患者时的一致性水平较差，且似乎低于应用于成人患者时的一致性。
ATS分类的不一致意味着患者等待时间不同，这可能对患者病情产生不利影响。因此，必须努力解决儿科分诊决策中存在的不一致问题。
