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本文引用的文献

1
The Canadian Triage and Acuity Scale for children: a prospective multicenter evaluation.加拿大儿童分诊与 acuity 量表：一项前瞻性多中心评估。
Ann Emerg Med. 2012 Jul;60(1):71-7.e3. doi: 10.1016/j.annemergmed.2011.12.004. Epub 2012 Feb 2.
2
The effect of health payment reforms on cost containment in Taiwan hospitals: the agency theory perspective.台湾医院健康支付改革对成本控制的影响：委托代理理论视角
J Health Care Finance. 2011 Fall;38(1):11-31.
3
Comparison between Canadian Triage and Acuity Scale and Taiwan Triage System in emergency departments.加拿大分诊与 acuity 量表与台湾急诊分诊系统比较。
J Formos Med Assoc. 2010 Nov;109(11):828-37. doi: 10.1016/S0929-6646(10)60128-3.
4
Validation of the Taiwan triage and acuity scale: a new computerised five-level triage system.验证台湾分诊和严重度分级量表：一种新的计算机化的五分制分诊系统。
Emerg Med J. 2011 Dec;28(12):1026-31. doi: 10.1136/emj.2010.094185. Epub 2010 Nov 12.
5
The impact of universal National Health Insurance on population health: the experience of Taiwan.全民健康保险对人口健康的影响：台湾的经验。
BMC Health Serv Res. 2010 Aug 4;10:225. doi: 10.1186/1472-6963-10-225.
6
Factors that influence the accuracy of triage nurses' judgement in emergency departments.影响急诊科分诊护士判断准确性的因素。
Emerg Med J. 2010 Jun;27(6):451-5. doi: 10.1136/emj.2008.059311.
7
Practice variation in the management for nontraumatic pediatric patients in the ED.急诊科非创伤性儿科患者管理中的实践差异。
Am J Emerg Med. 2010 Mar;28(3):275-83. doi: 10.1016/j.ajem.2008.11.021.
8
Reliability and validity of the emergency severity index for pediatric triage.儿科分诊紧急严重指数的可靠性和有效性。
Acad Emerg Med. 2009 Sep;16(9):843-9. doi: 10.1111/j.1553-2712.2009.00494.x.
9
Reliability and validity of triage systems in paediatric emergency care.儿科急诊分诊系统的可靠性和有效性。
Scand J Trauma Resusc Emerg Med. 2009 Aug 27;17:38. doi: 10.1186/1757-7241-17-38.
10
Validity of the Canadian Paediatric Triage and Acuity Scale in a tertiary care hospital.加拿大儿科分诊及 acuity 量表在三级护理医院中的有效性。 （注：原文中“acuity”可能有误，推测可能是“Acuity Scale”即“ acuity scale” ，直译为“ acuity量表” ，这里按推测完整翻译为“分诊及 acuity 量表” ，具体需结合完整文本进一步确认。）
CJEM. 2009 Jan;11(1):23-8. doi: 10.1017/s1481803500010885.

五级儿科分诊系统的效果：对台湾急诊部资源利用的分析。

Effectiveness of a five-level Paediatric Triage System: an analysis of resource utilisation in the emergency department in Taiwan.

机构信息

Department of Emergency Medicine, Chang Gung Memorial Hospital Linkou and College of Medicine, Chang Gung University, Tao-Yuan, Taiwan.

出版信息

Emerg Med J. 2013 Sep;30(9):735-9. doi: 10.1136/emermed-2012-201362. Epub 2012 Sep 14.

DOI:10.1136/emermed-2012-201362
PMID:22983978
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3756519/
Abstract

OBJECTIVES

To examine the effectiveness of a five-level Paediatric Triage and Acuity System (Ped-TTAS) by comparing the reliability of patient prioritisation and resource utilisation with the four-level Paediatric Taiwan Triage System (Ped-TTS) among non-trauma paediatric patients in the emergency department (ED).

METHODS

The study design used was a retrospective longitudinal analysis based on medical chart review and a computer database. Except for a shorter list of complaints and some abnormal vital sign criteria modifications, the structure and triage process for applying Ped-TTAS was similar to that of the Paediatric Canadian Emergency Triage and Acuity Scale. Non-trauma paediatric patients presenting to the ED were triaged by well-trained triage nurses using the four-level Ped-TTS in 2008 and five-level Ped-TTAS in 2010. Hospitalisation rates and medical resource utilisation were analysed by acuity levels between the contrasting study groups.

RESULTS

There was a significant difference in patient prioritisation between the four-level Ped-TTS and five-level Ped-TTAS. Improved differentiation was observed with the five-level Ped-TTAS in predicting hospitalisation rates and medical costs.

CONCLUSIONS

The five-level Ped-TTAS is better able to discriminate paediatric patients by triage acuity in the ED and is also more precise in predicting resource utilisation. The introduction of a more accurate acuity and triage system for use in paediatric emergency care should provide greater patient safety and more timely utilisation of appropriate ED resources.

摘要

目的

通过比较非创伤性儿科患者在急诊室（ED）中使用五级儿科分诊和 acuity 系统（Ped-TTAS）与四级儿科台湾分诊系统（Ped-TTS）的患者优先排序和资源利用的可靠性，来检验五级儿科分诊和 acuity 系统的有效性。

方法

本研究设计采用回顾性纵向分析，基于病历回顾和计算机数据库。除了投诉清单较短和一些异常生命体征标准修改外，应用 Ped-TTAS 的结构和分诊过程与儿科加拿大紧急分诊和 acuity 量表相似。非创伤性儿科患者由经过培训的分诊护士使用四级 Ped-TTS 于 2008 年和五级 Ped-TTAS 于 2010 年在 ED 进行分诊。通过对比研究组之间的 acuity 水平分析住院率和医疗资源利用情况。

结果

四级 Ped-TTS 和五级 Ped-TTAS 之间在患者优先排序方面存在显著差异。五级 Ped-TTAS 观察到在预测住院率和医疗费用方面具有更好的区分能力。

结论

五级 Ped-TTAS 能够更好地通过 ED 中的 acuity 来区分儿科患者，并且在预测资源利用方面更加准确。引入更准确的 acuity 和分诊系统用于儿科急救护理，应能提供更大的患者安全性和更及时地利用适当的 ED 资源。