Tsiftsis Dimitrios, Tasioulis Andreas, Bampalis Dimitrios
Emergency Department, Nikaia General Hospital, 184 54 Nikaia, Greece.
Emergency Department, General Hospital of Larisa, 413 34 Larisa, Greece.
Healthcare (Basel). 2025 May 6;13(9):1070. doi: 10.3390/healthcare13091070.
Emergency department (ED) triage is the cornerstone of ED operations. Many different triage systems have been proposed and implemented globally. To date, an ideal triage system has not yet been identified. As the burden on EDs rises, with overcrowding being recognized as a universal problem, ED triage needs to be restructured to address this reality. Extensive and critical literature research over the years has identified the strengths and weaknesses of current ED triage implementations. A novel multi-layer triage system was introduced and implemented in Greek Eds, combining the strengths of various triage and early warning systems and scores to minimize under-triage and the adverse downstream effects it creates on patient outcomes. Acknowledging that no triage system can be universally adapted in different settings, the structural concepts of this triage system address most of the triage problems currently reported in the literature.
急诊科分诊是急诊 operations 的基石。全球范围内已经提出并实施了许多不同的分诊系统。迄今为止，尚未确定理想的分诊系统。随着急诊科负担的增加，过度拥挤已被视为一个普遍问题，急诊分诊需要进行重组以应对这一现实。多年来广泛而关键的文献研究已经确定了当前急诊分诊实施的优点和缺点。一种新颖的多层分诊系统在希腊的急诊科中引入并实施，它结合了各种分诊和早期预警系统及评分的优点，以尽量减少分诊不足及其对患者结局产生的不利下游影响。认识到没有一种分诊系统可以在不同环境中普遍适用，这种分诊系统的结构概念解决了文献中目前报道的大多数分诊问题。
