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Acil Servis Personelinin Triaj Uygulamasına Bakış Açısı

Year 2017, Volume: 18 Issue: 1, 27 - 32, 01.04.2017

Abstract

Amaç: Üniversite hastaneleriyle ortak hizmet veren Sağlık Bakanlığı Hastaneleri’nde triaj hizmeti vermesi planlanan personelin eğitim öncesinde bu uygulamaya bakış açısının değerlendirilmesidir. Gereç ve Yöntemler: Bu çalışmaya gönüllü 33 çalışan dahil edildi. Anket formu sosyo-demografik bilgiler, acil sağlık hizmetleri ve triaja ilişkin konularda görüş isteyen 19 sorudan oluşan yargısal anket ölçeğiyle hazırlanmıştır. Bulgular: Örneklem grubunun %75,8’i kadın ve yaş ortalaması 28,94±6,11 idi. Çalışmaya dahil olan tüm katılımcılar acil servisin toplum tarafından gereksiz kullanıldığını belirtti. Acil servise herhangi bir nedenle başvuran hastaların ne kadarının acil kriterlerine uygun olduğu sorgulandığında ise %54,5 katılımcı bu oranın %10 ve daha az olduğunu bildirildi. Grubun %54,5’i, triaj uygulamasının acil servis kalabalığını azaltacağını düşünmekteydi.Sonuç: Triajın acil serviste uygulanması hem öncelikli hastaların bakımı hem de sağlık çalışanlarının sunduğu hizmetin kalitesini açısından önemlidir. Bu konuda çalışanların eğitimi kadar toplumsal bazlı bilgilendirmenin de yapılması gerekmektedir

References

  • 1. Waeckerle JF. Disaster planning and response. N Engl J Med 1991; 324: 815-21.
  • 2. Kennedy K, Aghababian RV, Gans L, Lewis CP. Triage: Techniques and applications in decision making. Ann Emerg Med 1996; 28: 136-44.
  • 3. Weinerman ER, Edwards HR. “Triage” system shows promise in management of emergency department load. Hospitals 1964; 38: 55-62.
  • 4. Wuerz R, Fernandes CM, Alarcon J. Inconsistency of emergency department triage. Emergency Department Operations Research Working Group. Ann Emerg Med 1998; 32: 431-5.
  • 5. Parenti N, Ferrara L, Bacchi Reggiani ML, Sangiorgi D, Lenzi T. Reliability and validity of two four-level emergency triage systems. Eur J Emerg Med 2009; 16: 115-20.
  • 6. Travers DA, Waller AE, Bowling JM, Flowers D, Tintinalli J. Fivelevel triage system more effective than three-level in tertiary emergency department. J Emerg Nurs 2002; 28: 395-400.
  • 7. Yataklı Sağlık Tesislerinde Acil Servis Hizmetlerinin Uygulama Usul ve Esasları Hakkında Tebliğ. Madde 8/Ek 7. 16.10. 2009 Resmi Gazete Sayı: 27378.
  • 8. Razzak JA, Kellermann AL. Emergency medical care in developing countries: is it worth while? Bull World Health Organ 2002; 80: 900-5.
  • 9. Kellermann AL. Crisis in the emergency department. N Engl J Med 2006; 355: 1300-3.
  • 10. www.saglik.gov.tr./SHGM/belge/1-16057/istatistik-analiz-vebilgi-sistemleri-daire-baskanligi.htlm. Ulaşım 27-11-2015, 15:16.
  • 11. Lin CH, Kao CY, Huang CY. Managing emergency department overcrowding via ambulance diversion: a discrete event simulation model. J Formos Med Assoc 2015; 114: 64-71.
  • 12. Aydın T, Aydın ŞA, Köksal Ö, Özdemir F, Kırlaç S, Bulut M. Evaluation of features of patients attending the emergency department of Uludag University Medicine Faculty Hospital and emergency department practices. Eurasian J Emerg Med 2010; 9: 163-8.
  • 13. Acil Sağlık Hizmetlerinin Sunumu, Genelge, 2008/13, Resmi Gazete, Sayı: 26918, Son erişim tarihi: 01-11-2015. Ulaşım: http://www.resmigazete.gov.tr/eskiler/2008/06/20080626-3. htm
  • 14. Nau J, Halfens R, Needham I, Dassen T. The De-Escalating Aggressive Behaviour Scale: development and psychometric testing. J Adv Nurs 2009; 65: 1956-64.
  • 15. Gülalp B, Karcioğlu O, Köseoğlu Z, Sari A. Dangers faced by emergency staff: experience in urban centers in southern Turkey. Ulus Travma Acil Cerrahi Derg 2009; 15: 239-42.
  • 16. James A, Madeley R, Dove A. Violence and aggression in the emergency department. Emerg Med J 2006; 23: 431-4.
  • 17. Çamcı O, Kutlu Y. Kocaeli’nde sağlık çalışanlarına yönelik işyeri şiddetinin belirlenmesi. Psikiyatri Hemşireliği Dergisi 2011; 2: 9-16.
  • 18. Annagür B. Sağlık çalışanlarına yönelik şiddet: risk faktörleri, etkileri, değerlendirilmesi ve önlenmesi. Psikiyatride Güncel Yaklaşımları 2010; 2: 161-73.
  • 19. Sprivulis PC, Da Silva JA, Jacobs IG, Frazer AR, Jelinek GA. The association between hospital overcrowding and mortality among patients admitted via Western Australian emergency departments. Med J Aust 2006; 184: 208-12.
  • 20. Schull MJ, Vermeulen M, Slaughter G, Morrison L, Daly P. Emergency department overcrowding and thrombolysis delays in acute myocardial infarction. Ann Emerg Med 2004; 44: 577-85.

Perspectives of Emergency Department Staff on Triage Practice

Year 2017, Volume: 18 Issue: 1, 27 - 32, 01.04.2017

Abstract

Objective: The aim of this study was to evaluate pre-training perspectives of the staff, who were scheduled to undertake triage in hospitals of Ministry of Health, working in collaboration with university hospitals on the triage system. Materials and Methods: This study included 33 workers who volunteered to participate. A questionnaire consisting of 19 questions on demographic characteristics and perspective on triage system was prepared. Results: Of the sample group, 75.8% were female and the average age was 28.94±6.11 years. All participants in the study considered that emergency department was overused by the society. When the percentage of patients who were admitted to the emergency department for causes complying with the emergency criteria was questioned, 54.5% stated that 10% or less of the admissions were actual emergency cases. Triage practice was suggested by 54.5% of the participants to reduce crowding in emergency departments. Conclusion: Triage practice which allows correct identification of patients who need the most urgent intervention in emergency departments is important in terms of both giving the right care to the right patients and quality of service provided by healthcare workers. Community-based education as well as training of workers on this subject is a necessity.

References

  • 1. Waeckerle JF. Disaster planning and response. N Engl J Med 1991; 324: 815-21.
  • 2. Kennedy K, Aghababian RV, Gans L, Lewis CP. Triage: Techniques and applications in decision making. Ann Emerg Med 1996; 28: 136-44.
  • 3. Weinerman ER, Edwards HR. “Triage” system shows promise in management of emergency department load. Hospitals 1964; 38: 55-62.
  • 4. Wuerz R, Fernandes CM, Alarcon J. Inconsistency of emergency department triage. Emergency Department Operations Research Working Group. Ann Emerg Med 1998; 32: 431-5.
  • 5. Parenti N, Ferrara L, Bacchi Reggiani ML, Sangiorgi D, Lenzi T. Reliability and validity of two four-level emergency triage systems. Eur J Emerg Med 2009; 16: 115-20.
  • 6. Travers DA, Waller AE, Bowling JM, Flowers D, Tintinalli J. Fivelevel triage system more effective than three-level in tertiary emergency department. J Emerg Nurs 2002; 28: 395-400.
  • 7. Yataklı Sağlık Tesislerinde Acil Servis Hizmetlerinin Uygulama Usul ve Esasları Hakkında Tebliğ. Madde 8/Ek 7. 16.10. 2009 Resmi Gazete Sayı: 27378.
  • 8. Razzak JA, Kellermann AL. Emergency medical care in developing countries: is it worth while? Bull World Health Organ 2002; 80: 900-5.
  • 9. Kellermann AL. Crisis in the emergency department. N Engl J Med 2006; 355: 1300-3.
  • 10. www.saglik.gov.tr./SHGM/belge/1-16057/istatistik-analiz-vebilgi-sistemleri-daire-baskanligi.htlm. Ulaşım 27-11-2015, 15:16.
  • 11. Lin CH, Kao CY, Huang CY. Managing emergency department overcrowding via ambulance diversion: a discrete event simulation model. J Formos Med Assoc 2015; 114: 64-71.
  • 12. Aydın T, Aydın ŞA, Köksal Ö, Özdemir F, Kırlaç S, Bulut M. Evaluation of features of patients attending the emergency department of Uludag University Medicine Faculty Hospital and emergency department practices. Eurasian J Emerg Med 2010; 9: 163-8.
  • 13. Acil Sağlık Hizmetlerinin Sunumu, Genelge, 2008/13, Resmi Gazete, Sayı: 26918, Son erişim tarihi: 01-11-2015. Ulaşım: http://www.resmigazete.gov.tr/eskiler/2008/06/20080626-3. htm
  • 14. Nau J, Halfens R, Needham I, Dassen T. The De-Escalating Aggressive Behaviour Scale: development and psychometric testing. J Adv Nurs 2009; 65: 1956-64.
  • 15. Gülalp B, Karcioğlu O, Köseoğlu Z, Sari A. Dangers faced by emergency staff: experience in urban centers in southern Turkey. Ulus Travma Acil Cerrahi Derg 2009; 15: 239-42.
  • 16. James A, Madeley R, Dove A. Violence and aggression in the emergency department. Emerg Med J 2006; 23: 431-4.
  • 17. Çamcı O, Kutlu Y. Kocaeli’nde sağlık çalışanlarına yönelik işyeri şiddetinin belirlenmesi. Psikiyatri Hemşireliği Dergisi 2011; 2: 9-16.
  • 18. Annagür B. Sağlık çalışanlarına yönelik şiddet: risk faktörleri, etkileri, değerlendirilmesi ve önlenmesi. Psikiyatride Güncel Yaklaşımları 2010; 2: 161-73.
  • 19. Sprivulis PC, Da Silva JA, Jacobs IG, Frazer AR, Jelinek GA. The association between hospital overcrowding and mortality among patients admitted via Western Australian emergency departments. Med J Aust 2006; 184: 208-12.
  • 20. Schull MJ, Vermeulen M, Slaughter G, Morrison L, Daly P. Emergency department overcrowding and thrombolysis delays in acute myocardial infarction. Ann Emerg Med 2004; 44: 577-85.
There are 20 citations in total.

Details

Other ID JA27SR37KT
Journal Section Research Article
Authors

Özlem Bilir This is me

Gökhan Ersunan This is me

Asım Kalkan This is me

Arif Onur Eden This is me

Publication Date April 1, 2017
Published in Issue Year 2017 Volume: 18 Issue: 1

Cite

EndNote Bilir Ö, Ersunan G, Kalkan A, Eden AO (April 1, 2017) Perspectives of Emergency Department Staff on Triage Practice. Meandros Medical And Dental Journal 18 1 27–32.