Challenges of Implementing Correct Triage: A Systematic Review Study.

Background and Aim: Proper triage of patients to receive medical services can manage their referral to medical centers, reduce mortality, and increase the quality of services provided. Due to the importance of this issue, some of the triage challenges were reviewed and described here. Methods: In th...

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Published in:Journal of Military Medicine Vol. 24; no. 2; pp. 1096 - 1106
Main Authors: Dolatabadi, Zahra Abbasi, Zakerimoghadam, Masoumeh, Bahrampouri, Saiedeh, Jazini, Akram, Foodani, Mahdi Nabi
Format: research systematic review tables/charts Journal Article
Published: Baqiyatallah University of Medical Sciences 2022
Online Access:View this record in EBSCOhost
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      dt: 2022
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        10.30491/JMM.24.2.1096
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        atl: Challenges of Implementing Correct Triage: A Systematic Review Study.
      aug:
        au:
          Dolatabadi, Zahra Abbasi
          Zakerimoghadam, Masoumeh
          Bahrampouri, Saiedeh
          Jazini, Akram
          Foodani, Mahdi Nabi
        affil: Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
      sug:
        subj:
          Triage
          Implementation Science
          Health Services Accessibility
          Human
          Systematic Review
          PubMed
          Algorithms
          Prehospital Care
          Referral and Consultation
          Mortality Prevention and Control
          Quality Improvement
          Emergencies
          Professional Knowledge
          Artificial Intelligence
          Health Resource Utilization
      ab: Background and Aim: Proper triage of patients to receive medical services can manage their referral to medical centers, reduce mortality, and increase the quality of services provided. Due to the importance of this issue, some of the triage challenges were reviewed and described here. Methods: In the present systematic review study, to extract related studies, keywords Triage, Challenge, Pre-Hospital Emergency, and Hospital-Emergency were searched in both Persian and English in domestic and foreign databases including Pubmed, Scopus, Science Direct, SID, Magiran during 2011 to August 2021. Twenty articles were included in the study based on inclusion criteria. Results: Out of 6080 retrieved articles, 20 articles were reviewed. In the analysis, seven categories in the triage field challenges around the world were obtained, including 1- Incidence of miss triage and wastage of valuable emergency resources, 2- Insufficient knowledge about Existing types of triage algorithms, 3- Multiplicity of triage algorithms, creation of new algorithms and their unfamiliarity for health care personnel 4- Ethical problems for triage users 5- Lack of computer tools and artificial intelligence or their inefficiency 6- Distance between knowledge and practice of Healthcare personnel, and 7. Lack of codified simulated training courses. Conclusion: There are several challenges to performing triage in pre-hospital and hospital emergencies. Given the devastating effects of these challenges on patient service delivery, appropriate actions need to be taken by decision-makers to address them.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: Arabic
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