Vatnøy Torunn Kitty, Fossum Mariann, Smith Nina, Slettebø Shild
Department of Health and Nursing Science, University of Agder, Grimstad, Norway.
Int Emerg Nurs. 2013 Apr;21(2):89-96. doi: 10.1016/j.ienj.2012.06.004. Epub 2012 Jul 15.
Standardised triage systems have been implemented in emergency departments (EDs) to improve the efficacy of assessment strategies as performed by registered nurses (RNs). However, the exact effect the standardised triage systems have on the decision-making process remains unclear.
To evaluate decision making in the triage setting before and after implementation of the Medical Emergency Triage and Treatment System Adult in one hospital's ED.
A descriptive intervention design with a quantitative approach. A total of 655 patients before and 413 patients after the intervention were included. A questionnaire was used to evaluate how the RNs assessed the patients before intervention while the emergency patient records were used for data collection after intervention.
Before the intervention, a majority of the assessments were founded on signs and symptoms and medical diagnoses, whereas vital parameters were rarely used. After the intervention, nearly two thirds of the patients were assessed according to a triage system with vital parameters and standardised algorithm for symptoms and signs included in the assessment procedure.
Implementing a standardised triage system, including vital parameters and standardised algorithms for signs and symptoms, increased the use of vital parameters and signs and symptoms for decision making and acuity assignment.
急诊部门（EDs）已实施标准化分诊系统，以提高注册护士（RNs）执行评估策略的效率。然而，标准化分诊系统对决策过程的确切影响仍不明确。
评估一家医院急诊部门实施成人医疗紧急分诊与治疗系统前后分诊环境中的决策情况。
采用定量方法的描述性干预设计。干预前共纳入655例患者，干预后纳入413例患者。干预前使用问卷评估注册护士对患者的评估方式，干预后使用急诊患者记录进行数据收集。
干预前，大多数评估基于体征和症状以及医学诊断，而生命体征参数很少使用。干预后，近三分之二的患者根据包含生命体征参数以及评估程序中症状和体征标准化算法的分诊系统进行评估。
实施包括生命体征参数以及症状和体征标准化算法的标准化分诊系统，增加了在决策和 acuity 分配中对生命体征参数以及症状和体征的使用。 （注：“acuity”这里可能是“急症程度”之类的意思，结合语境不太明确准确意思，未做更精准翻译）
