Faculty of Health Science, University of Maribor, Maribor, Slovenia.
Emergency Department, University Clinical Centre Maribor, Maribor, Slovenia.
J Clin Nurs. 2023 Sep;32(17-18):5461-5477. doi: 10.1111/jocn.16622. Epub 2023 Jan 18.
Triage is a dynamic environment in which large numbers of people can present. It presents a vulnerable assessment point, as a triage nurse must assess a patient's urgency level and analyse their health status and expected resource needs. Given the critical nature of triage, it is necessary to understand the factors contributing to patient safety.
To identify and examine the factors contributing to patient safety during the triage process.
A systematic review of the literature was undertaken, and a thematic analysis of the factors contributing to patient safety during the triage process. PubMed, CINAHL, Web of Sciences, Science Direct, SAGE, EMBASE and reference lists of relevant studies published in English until March 2022 were searched for relevant studies. The search protocol has been registered at the PROSPERO (CRD42019146616), and the review was conducted using the PRISMA criteria.
Out of 5366 records, we included 11 papers for thematic synthesis. Identified factors contributing to patient safety in triage are related to the emergency's work environment, such as patient assessment, high workload, frequent interruptions and staffing, and personal factors such as nurse traits, experience, knowledge, triage fatigue and work schedule.
This review shows that patient safety is influenced by the attitude, capabilities and experiences of triage nurses, the time when nurses can dedicate themselves to the patient and triage the patient without disruption. It is necessary to raise awareness among nursing administrators and healthcare professionals to provide a safe triage environment for patients.
This review highlights the evidence on the factors contributing to patient safety in the triage process. Further research is needed for this cohort of triage nurses in the emergency department concerning ensuring patient safety.
No patient or public contribution was required to design or undertake this review.
分诊是一个人员众多的动态环境。这是一个脆弱的评估点，因为分诊护士必须评估患者的紧急程度，分析他们的健康状况和预期的资源需求。鉴于分诊的关键性，有必要了解导致患者安全的因素。
确定并研究导致分诊过程中患者安全的因素。
对文献进行系统回顾，并对导致分诊过程中患者安全的因素进行主题分析。检索了 PubMed、CINAHL、Web of Sciences、Science Direct、SAGE、EMBASE 以及截至 2022 年 3 月以英文发表的相关研究的参考文献，以寻找相关研究。检索方案已在 PROSPERO（CRD42019146616）上注册，该综述按照 PRISMA 标准进行。
在 5366 条记录中，我们纳入了 11 篇论文进行主题综合。确定的导致分诊中患者安全的因素与急诊工作环境有关，如患者评估、工作量大、频繁中断和人员配备以及护士特质、经验、知识、分诊疲劳和工作安排等个人因素。
本综述表明，患者安全受到分诊护士的态度、能力和经验的影响，护士能够投入时间为患者服务并在不受干扰的情况下对患者进行分诊。有必要提高护理管理人员和医疗保健专业人员的认识，为患者提供安全的分诊环境。
本综述强调了导致分诊过程中患者安全的因素的证据。需要对急诊科的这一组分诊护士进行进一步的研究，以确保患者安全。
设计或进行这项综述不需要患者或公众的参与。
