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院前分诊在紧急医疗服务系统中的应用:范围综述。

Prehospital triage in emergency medical services system: A scoping review.

机构信息

Department of Nursing, Chung-Ang University, 84 Heukseok-Ro, Dongjack-Gu, Seoul, Republic of Korea.

出版信息

Int Emerg Nurs. 2023 Jul;69:101293. doi: 10.1016/j.ienj.2023.101293. Epub 2023 May 5.

Abstract

BACKGROUND

During the prehospital phase, paramedics consider patients' condition according to illness, injury, disease and decide on transport to an appropriate hospital according to severity. This can affect patient survival and treatment prognosis, because despite intervention at this early stage, problems such as incorrect triage of severity and inappropriate hospital selection may occur, indicating a need for improvement in the process.

PURPOSE

The aim of this review is to identify the overall trend of research conducted on prehospital triage by analyzing the emergency medical services system and presenting future studies to practitioners and researchers.

METHODS

A scoping review was conducted of existing literature on research trends in relation to prehospital triage. The studies reviewed were identified using electronic databases such as PubMed, CINAHL, Cochrane Library, Web of Science, and Scopus.

RESULTS

Ninety-eight documents were finally selected and analyzed that focused on prehospital triage status, process accuracy, tools, guidelines, and protocols.

CONCLUSION

Research is proposed that focuses on various non-traumatic patient types, prehospital triage education, and development of training programs to reduce errors in the emergency patient handover process between prehospital and hospital health professionals and to improve patient health and quality of life.

摘要

背景

在院前阶段,护理人员根据疾病、损伤、病症来评估患者的状况,并根据严重程度决定将其送往合适的医院。这可能会影响患者的生存和治疗预后,因为尽管在这个早期阶段进行了干预,但仍可能出现严重程度分诊不正确和医院选择不当等问题,表明该过程需要改进。

目的

本综述旨在通过分析紧急医疗服务系统,确定院前分诊研究的总体趋势,并为从业者和研究人员呈现未来的研究。

方法

对与院前分诊相关的现有文献进行了范围综述研究。使用 PubMed、CINAHL、Cochrane 图书馆、Web of Science 和 Scopus 等电子数据库来识别所审查的研究。

结果

最终选择并分析了 98 篇重点关注院前分诊现状、过程准确性、工具、指南和方案的文献。

结论

建议开展研究,重点关注各种非创伤性患者类型、院前分诊教育以及培训计划的制定,以减少院前和医院卫生专业人员在急诊患者交接过程中的错误,并改善患者的健康和生活质量。

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