Mitchell Rob, White Libby, Elton Leigh, Luke Cliff, Bornstein Sarah, Atua Vincent
School of Public Health & Preventive Medicine, Monash University, Melbourne, Australia.
Emergency & Trauma Centre, Alfred Hospital, Melbourne, Australia.
Int J Emerg Med. 2024 Feb 14;17(1):21. doi: 10.1186/s12245-024-00583-8.
According to the World Health Organization's (WHO) Emergency Care Systems Framework, triage is an essential function of emergency departments (EDs). This practice innovation article describes four strategies that have been used to support implementation of the WHO-endorsed Interagency Integrated Triage Tool (IITT) in the Pacific region, namely needs assessment, digital learning, public communications and electronic data management.Using a case study from Vila Central Hospital in Vanuatu, a Pacific Small Island Developing State, we reflect on lessons learned from IITT implementation in a resource-limited ED. In particular, we describe the value of a bespoke needs assessment tool for documenting triage and patient flow requirements; the challenges and opportunities presented by digital learning; the benefits of locally designed, public-facing communications materials; and the feasibility and impact of a low-cost electronic data registry system.Our experience of using these tools in Vanuatu and across the Pacific region will be of interest to other resource-limited EDs seeking to improve their triage practice and performance. Although the resources and strategies presented in this article are focussed on the IITT, the principles are equally relevant to other triage systems.
根据世界卫生组织（WHO）的急救系统框架，分诊是急诊科（ED）的一项基本功能。这篇实践创新文章介绍了在太平洋地区用于支持实施经世卫组织认可的机构间综合分诊工具（IITT）的四种策略，即需求评估、数字学习、公共宣传和电子数据管理。通过来自太平洋小岛屿发展中国家瓦努阿图维拉中心医院的案例研究，我们反思了在资源有限的急诊科实施IITT所吸取的经验教训。特别是，我们描述了用于记录分诊和患者流程要求的定制需求评估工具的价值；数字学习带来的挑战和机遇；本地设计的面向公众的宣传材料的益处；以及低成本电子数据登记系统的可行性和影响。我们在瓦努阿图及整个太平洋地区使用这些工具的经验将对其他寻求改善分诊实践和绩效的资源有限的急诊科具有参考价值。尽管本文介绍的资源和策略侧重于IITT，但这些原则同样适用于其他分诊系统。
