Fitzgerald G J, Robertson C E, Little K, Dove A F
Arch Emerg Med. 1986 Dec;3(4):225-30. doi: 10.1136/emj.3.4.225.
The perceived urgency of 2000 consecutive patients attending the Accident and Emergency Department of the Royal Infirmary, Edinburgh, was assessed using a Linear Analogue Scale. Each patient was assessed by the receptionist, the receiving nurse and the treating doctor. The distribution of urgency rating produced for this patient group was shown to be comparable for each status of assessor, and to correlate with other outcome criteria such as admission and referral rates. The linear scale was also shown to correlate with retrospective assessment using a time-guided category scale. The accident and emergency department workload is predominantly of low urgency (90% less than 5 on a 0-10 scale). Older patients tend to have higher urgency ratings than younger patients and those referred by ambulance, either via general practitioner or 999 calls, have similarly higher urgency distributions. This study provides a basis for the development of a guided category scale for functional triage of accident and emergency departments. Other scoring systems have attempted to similarly quantify the medical component of the workload (Coira & Rothstein, 1983; Peel et al., 1962). However, the complexity of many of these scales, together with the difficulty in usage of so many different scales, begs a reappraisal of the overall triage of patients attending the emergency department. The aim of this study was to look at the perceived urgency distribution of patients presenting to the emergency department. We wished to compare the relative assessment of urgency by various levels of treating staff and to compare those assessments with the referral and outcome of these patients to provide the basis for the development of a comparative Triage Scale.
采用线性模拟量表对爱丁堡皇家医院急诊科连续就诊的2000例患者的紧急程度进行了评估。每位患者都由接待员、接诊护士和主治医生进行评估。结果显示，该患者群体的紧急程度评分分布在各评估人员的评估结果中具有可比性，并且与其他结果标准（如入院率和转诊率）相关。线性量表还显示与使用时间引导分类量表进行的回顾性评估相关。急诊科的工作量主要是低紧急程度的（在0至10分的量表上，90%的患者低于5分）。老年患者的紧急程度评分往往高于年轻患者，通过全科医生或拨打999呼叫救护车转诊的患者，其紧急程度分布也同样较高。本研究为制定急诊科功能性分诊的引导分类量表提供了依据。其他评分系统也试图对工作量的医疗部分进行类似的量化（科伊拉和罗斯坦，1983年；皮尔等人，1962年）。然而，许多此类量表的复杂性，以及使用如此多不同量表的困难，使得对急诊科患者的整体分诊需要重新评估。本研究的目的是观察到急诊科就诊患者的紧急程度分布情况。我们希望比较不同治疗人员对紧急程度的相对评估，并将这些评估与这些患者的转诊情况和结果进行比较，为制定比较性分诊量表提供依据。
