A comparative study on emergency triage efficiency between emergency rapid triage system and emergency severity classification of 4 level
10.3760/cma.j.issn.1672-7088.2017.35.005
- VernacularTitle:急诊快速预检评分法与急诊病情四级分类法的效能对比研究
- Author:
Wenling ZHANG
1
,
2
;
新疆医科大学护理学院
;
Jing CAO
;
Lin JIANG
;
Zhenghui DONG
Author Information
1. 830054 乌鲁木齐,新疆医科大学第一附属医院急救创伤中心门诊
2. 新疆医科大学护理学院
- Keywords:
Emergency triage;
Acuity level;
Efficiency
- From:
Chinese Journal of Practical Nursing
2017;33(35):2738-2742
- CountryChina
- Language:Chinese
-
Abstract:
Objective To probe into the emergency triage efficiency between emergency rapid triage system (ERTS) and emergency severity classification of 4 level. Methods A total of 46965 emergency patients from January to December in 2015 were selected as the research object and utilized a data of patients from the electronic triage system, and triaged the emergency patients by means of ERTS retrospectively. A comparison was performed in patient visits, outcome and hospital rates between ERTS and emergency severity classification of 4 level. Results In both of these triage systems, almost 80％of patients are assigned to the lowest acuity (levelⅢandⅣ). The visits of patients with gradeⅢand grade IV diseases were 71.5％(33580/46965), 50.5％(23717/46965) in ERTS and 12.1％(5683/46965), 35.1％(16485/46965) in emergency severity classification of 4 level respectively. The outcomes of patient under the ERTS were better than emergency severity classification of 4 level at levelⅠandⅡ(χ2=11.79, 1100.62, P<0.05). At levelⅠandⅡ, ERTS in the patient's disease hospital admission rates were 70.5％(311/441), 72.6％(5274/7264), which higher than emergency severity classification of 4 level, 62.5％(371/594), 45.2％(2785/6161), the difference was statistically significant (χ2=7.32, 1043.13, P<0.05). At level Ⅲ and Ⅳ, ERTS in the patient's disease hospital admission rates were 9.6％(3676/38288), 7.9％(77/972) , which lower than emergency severity classification of 4 level, 19.3％(4578/23719) , 9.9％(1632/16491), the difference was statistically significant (χ2=1153.10, 4.05, P<0.05). Conclusions ERTS significantly improves the sensitivity and accuracy of emergency triage compared to emergency severity classification of 4 level. ERTS has obvious significance in the emergency patient distribution, and also has a certain advantage in the patient outcomes and hospitalization rates. It can be used as a auxiliary tool.
