Jobé J, Ghuysen A, D'Orio V
Service des Urgences, CHU Sart Tilman, Liège, Belgique.
Rev Med Liege. 2018 May;73(5-6):229-236.
To cope with overcrowding, a consequence of their constant growth, emergency departments have implemented operational strategies based on triage systems. Despite its interest, nurse triage has been limited by several hindrances, and new strategies are emerging. Among those, advanced nurse triage, allowing a nurse to initiate the diagnostic process just after categorization of the patient, seems to be promising. A study on advanced nurse triage for patients presenting with chest pain has been conducted in the emergency department of the CHU of Liège. The encouraging results obtained following this new system demonstrate a reduction of the delay to management of patients, and a reduction of the total length of stay in the emergency unit mainly during overcrowding periods. Advanced nurse triage, in addition to a conventional triage during overcrowding periods, improves management of patients in terms of time and reduces the total time spent in the emergency department.
为应对因持续增长导致的过度拥挤问题，急诊科已实施基于分诊系统的运营策略。尽管护士分诊有其益处，但仍受到诸多阻碍，新的策略也不断涌现。其中，高级护士分诊允许护士在对患者进行分类后立即启动诊断流程，似乎颇具前景。列日大学医院急诊科针对胸痛患者开展了一项关于高级护士分诊的研究。采用这一新系统后取得的令人鼓舞的结果表明，患者的治疗延迟有所减少，且在急诊室的总停留时间缩短，尤其是在过度拥挤时期。除了在过度拥挤时期进行常规分诊外，高级护士分诊在时间方面改善了患者管理，并减少了在急诊科花费的总时间。
