A Regional Survey of Triage Criteria for Nursing Staff in the Emergency Department

急診護理人員對於檢傷分類評估之地區性研究

紀志賢(Chih-Hsien Chi) ； 嚴元隆(Yuan-Long Yen) ； 陳怡(Yi Chen) ； 董明銓(Ming-Chuang Tong) ； 李孟峰(Meng-Fong Lee)

《Journal of Emergency Medicine, Taiwan》 7卷4期 (2005/12) Pp. 198-208

摘要

背景：由於台灣全民健保的資源限制以及急診病患人數的增加，有必要對現行急診檢傷分類系統之定義進行評估。
方法：以150位急診護理人員爲對象，根據日常的實務經驗以問卷調查方式來評估現行檢傷分類之內容。再利用臨床以及統計之標準判讀其一致性。
結果：有效反應者總計129份，檢傷一級之一致性介於56.6%至100%，檢傷二級爲24.6%至79.8%，檢傷三級爲38.8%至88.4%之間。
結論：台灣現行之檢傷系統分類標準需要急診醫學相關專業人員進行全面性的評估與修改，以確保檢傷分類實施時可以達到更一致之標準。

關鍵字

檢傷分類 ； 急診

並列摘要

Background: The importance of accurate triage becomes more apparent as emergency department (ED) volumes increase and resources from National Health Insurance decrease. In Taiwan, only limited literature has been available regarding triage performance. In this study, we conducted a survey that focused on triage criteria definitions within the Taiwan triage system.
Methods: One hundred and fifty ED nursing stalls were included. The respondents were asked to re-categorize the triage categories according to their daily practice experience. Clinical and statistical criteria were used for interpreting levels of examiner agreement.
Results: There were 129 evaluable responses. The percentage of agreement ranged from 56.6% to 100% for level I categories, from 24.6% to 79.8% for level Ⅱ, and from 38.8% to 88.4% for level Ⅲ.
Conclusion: We suggest the Emergency Medicine expert panel instigate a full-scale study and evaluation of current Taiwan triage tools to ensure that ED triage criteria are applied in a more consistent manner.

並列關鍵字

triage ； emergency department