Accident and emergency medicine--II.
نویسندگان
چکیده
The principle ofprioritization by degree ofurgency obviously benefits patients whose condition is critical. This practice should be instilled in all who work in accident and emergency medicine. The Patients' Charter" highlights the importance of triage and states that patients should be seen immediately and their need for treatment assessed. Triage derives from the French word meaning 'to sort' and the term is familiar both to doctors working in the forces and to those in accident and emergency medicine.30'-305 In the context of health care provision, triage has been utilized for decades by the armed forces to sort battle casualties into orders of priority for the purpose of treatment. Subsequently, the system has proven to be of great benefit to patients treated by the emergency services. The practice oftriage has been shown to decrease waiting time and to utilize resources more effectively, thus increasing patient satisfaction. As a consequence of having been triaged, anxiety is reduced and the patient and accompanying family members are happy that the victim has been assessed by a suitably qualified person.306308 A recent publication, however, has expressed some reservations.309 Triage should allow for the early identification of complications as well as providing an opportunity to educate the patient in the correct use of the facilities in that the so-called 'inappropriate' attender can be directed to his or her general practitioner where this is the correct course of action.3'10314 At present there is no uniform national policy on triage and the responsibility for running local schemes is accepted by the health authority with protocols and guidelines drawn up at that level.315 There exists a need for a more formal system of education for the post-registered nurse in the function of triage.307316 The method of education existing at present ranges from a series of postal 'triage dilemmas' to a formal programme in triage complete with written examination.317'318 Studies show that nurses consistently give patients a higher priority than do clinicians.319320
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ورودعنوان ژورنال:
- Postgraduate medical journal
دوره 68 804 شماره
صفحات -
تاریخ انتشار 1992