Tam Hon Lon, Chung Siu Fung, Lou Chi Kin
Kiang Wu Nursing College of Macau, Est. Repouso No. 35, R/C, Macau, S.A.R., China.
Flinders University, Sturt Road, Bedford Park, 5042, Adelaide, South Australia.
BMC Emerg Med. 2018 Dec 20;18(1):58. doi: 10.1186/s12873-018-0215-0.
In the emergency department, it is important to identify and prioritize who requires an urgent intervention in a short time. Triage helps recognize the urgency among patients. An accurate triage decision helps patients receive the emergency service in the most appropriate time. Various triage systems have been developed and verified to assist healthcare providers to make accurate triage decisions. The triage accuracy can represent the quality of emergency service, but there is a lack of review studies addressing this topic.
A literature search was conducted in four electronic databases where 'emergency nursing' and 'triage accuracy' were used as keywords. Studies published from 2008 January to 2018 August were included as potential subjects. Nine studies were included in this review after the inclusion and exclusion criteria were applied.
Written case scenarios and retrospective review were commonly used to examine the triage accuracy. The triage accuracy from studies was in moderate level. The single-center studies which held better results than those from multi-center studies revealed the need of triage training and consistent training between emergency departments.
Regular refresher triage training, collaboration between emergency departments and continuous monitoring were necessary to strengthen the use of triage systems and improve nurse's triage performance.
在急诊科，重要的是要在短时间内识别出需要紧急干预的患者并确定其优先级。分诊有助于识别患者的紧急程度。准确的分诊决策有助于患者在最合适的时间获得紧急服务。已经开发并验证了各种分诊系统，以协助医疗服务提供者做出准确的分诊决策。分诊准确性可以代表紧急服务的质量，但缺乏针对该主题的综述研究。
在四个电子数据库中进行文献检索，以“急诊护理”和“分诊准确性”作为关键词。纳入2008年1月至2018年8月发表的研究作为潜在研究对象。应用纳入和排除标准后，本综述纳入了九项研究。
书面病例场景和回顾性审查常用于检查分诊准确性。研究中的分诊准确性处于中等水平。单中心研究的结果优于多中心研究，这表明需要进行分诊培训以及急诊科之间的持续培训。
定期进行分诊复习培训、急诊科之间的协作以及持续监测对于加强分诊系统的使用和提高护士的分诊表现是必要的。
