Jönsson Kenneth, Fridlund Bengt
University of Borås, School of Health Sciences, Borås, Sweden.
Int Emerg Nurs. 2013 Jul;21(3):204-9. doi: 10.1016/j.ienj.2012.07.002. Epub 2012 Aug 9.
Priority or triage has always occurred in emergency care. Today it is performed by both nurses in emergency departments (EDs) and ambulance services (ASs) to ensure patient safety. Recent studies have shown that nurses are unlikely to change their first impressions and patients suffering from blunt trauma are undertriaged. Our study aimed to compare and evaluate the adherence to correct triage level documentation, between nurses in the ED and the AS, according to current regulations. Of 592 analysed triage records from a university, a central and a district hospital, the adherence was 64% by ED nurses and 43% by AS nurses (p<0.001), but individual percentages ranged from 27% to 88%. Patient safety is jeopardised when nurses do not adhere to the triage system and do not correctly document the triage level. Internal feedback and control are two approaches to improve the patient outcome, indicating that organisational actions must be taken.
优先级判定或分诊在急诊护理中一直存在。如今，急诊科（ED）的护士和救护服务（AS）人员都要进行此项工作，以确保患者安全。最近的研究表明，护士不太可能改变他们的第一印象，钝器伤患者存在分诊不足的情况。我们的研究旨在根据现行规定，比较和评估急诊科护士和救护服务人员在正确分诊级别记录方面的依从性。在一所大学医院、一家中心医院和一家区级医院分析的592份分诊记录中，急诊科护士的依从率为64%，救护服务人员的依从率为43%（p<0.001），但个人依从率范围在27%至88%之间。当护士不遵守分诊系统且未正确记录分诊级别时，患者安全会受到威胁。内部反馈和控制是改善患者治疗结果的两种方法，这表明必须采取组织行动。
