scholarly journals Comparative Analysis Of Triage Systems At Emergency Departments Of Different Countries: Implementation In Kazakhstan

2021 ◽  
Vol 10 (3) ◽  
Author(s):  
Lyudmila Pivina ◽  
Assylzhan M. Messova ◽  
Yersin T. Zhunussov ◽  
Zhanar Urazalina ◽  
Zhanna Muzdubayeva ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Emergency Departments ◽  
Severity Index ◽  
Evidence Based ◽  
Emergency Severity Index ◽  
Reliable System ◽  
Efficient System ◽  
Literary Sources ◽  
Short Time ◽  
Based Medicine

Medical sorting is aimed at assessment of disease severity and has to be carried out within a short time to determine the priorities for patient care and transportation to the most appropriate place for future treatment. The goal of this study was to provide an integrative review by analyzing the publications on the most common triage systems worldwide in order to select and implement the most reliable system at emergency departments. We searched for publications relevant to our comparative analysis in evidence-based medicine databases. A total of 1,740 literary sources were identified, of which 42 were selected for analysis. Comparative analysis of different triage systems may help implementing the most efficient system in Kazakhstan. The Emergency Severity Index is considered the most reliable and accurate tool used in international practice, and it could provide a basis for introduction of triage system at emergency departments in Kazakhstan.

scholarly journals (A260) Triage Decision-Making in Intoxication

2011 ◽  
Vol 26 (S1) ◽  
pp. s71-s72
Author(s):  
A. Mirhaghi ◽  
G.R. Mohammadi ◽  
M. Asghari
Keyword(s):  
Decision Making ◽  
Critical Review ◽  
Gold Standard ◽  
Severity Index ◽  
Evidence Based ◽  
Emergency Severity Index ◽  
Manchester Triage System ◽  
Respiratory Status ◽  
Triage Protocol ◽  
Conscious Level

Background and AimsDecision-making is the major component in triaging EDs patients. EDs Triage systems have applied different approaches to triaging intoxicated patients. Pros & Cons for these approaches need to be identified. Aim is to analysis management of intoxicated patients during various triage process.MethodsCritical review includes five triage systems, Emergency Severity Index, Australasian Triage Scale, Canadian triage and Acuity Scale, Manchester Triage System and 5-tier Triage protocol. These systems have been analyzed via meta-synthesis in terms of evidence-based criteria, inclusiveness, specific application and practicability.ResultsGeneral physiologic signs & symptoms were the gold standard for determining acuity in patients that have been applied by all triage systems. Conscious level, air way, respiratory status and circulation assessment were identified as major criteria in decision-making. 5-tier Triage protocol showed the most comprehensiveness characteristics to prioritizing intoxicated patients.DiscussionResources necessary for evidence-based performance to support nursing decisions in triaging intoxicated patients needs fundamentally to be developed. It`s necessary to develop National Triage Scale to approach intoxicated patients effectively.

scholarly journals VIOLATING THE BASIC TENETS OF CARE – LOOKING BACK ON YEARS OF EVIDENCE BASED MEDICINE FROM AN ONCOLOGIST'S VIEWPOINT

2020 ◽  
pp. 86-88
Author(s):  
Bishan Basu
Keyword(s):  
Medical Practice ◽  
Evidence Based Medicine ◽  
Healthcare Systems ◽  
Evidence Based ◽  
Short Time Span ◽  
Short Period ◽  
History Of ◽  
Pros And Cons ◽  
Short Time ◽  
Based Medicine

Evidence-Based Medicine (EBM) came into fashion nearly three decades ago. However, over this short period, this system of medical philosophy has come to dominate the medical practice worldwide. Never in the history of medicine could a single way of medical practice could dominate the healthcare systems of diverse countries like EBM did, that too within such short time span. But, it is high time we should ponder over the pros and cons of EBM and if this way of medical practice is to be allowed to continue, we should consider integration of additional inputs from the traditional ways of medicine. Though article focusses upon the cancer care, the conclusions derived can be applied to any other disciplines of healthcare.

Triage scales, used in inpatient emergency departments (review article)

2021 ◽  
Vol 7-8 (217-218) ◽  
pp. 45-52
Author(s):  
Nurgul Kulmanova ◽  
◽  
Muhtar Saduov ◽  
Keyword(s):  
Emergency Department ◽  
Emergency Departments ◽  
Treatment Effectiveness ◽  
Negative Impact ◽  
Medical Condition ◽  
Waiting Times ◽  
Relevant Literature ◽  
Medical Personnel ◽  
Severity Index ◽  
Emergency Severity Index

The article describes different types of sorting scales used in inpatient emergency departments in different countries. Triage scales are designed to optimize patient waiting times according to the severity of their medical condition in order to treat the most intense symptom as quickly as possible and reduce the negative impact on the prognosis of a long delay before starting treatment. The aim of the study is to analyze the literature data describing the scales for triage in the emergency department, their comparative characteristics, and assessment of their reliability and reliability. Material and methods. An online literature research was conducted in databases such as Pubmed, Web of Science and Scopus, as well as on-line publications in Russian and English languages. The following terms were used to search for relevant literature sources: emergency department, triage, emergency severity index. A total of 813 literary sources were found, 37 of which were selected for further analysis. Inclusion criteria: studies performed in people, published in English, Russian, as well as full versions of articles. Exclusion criteria: summary of reports, newspaper publications, personal messages. Results and discussion. Analysis of the literature data allows us to judge a variety of approaches and systems of medical sorting of patients requiring emergency medical care, especially in cases of mass disasters and injuries. Analysis of existing sorting scales has shown that these scales are fivestep and adapted to the region and the health system, but there is no single universal scale. Conclusion. The introduction of structured triage by specially trained medical personnel in the emergency Department helps to accurately identify patients whose lives are at risk, especially during periods of insufficient treatment effectiveness. Therefore, five-level triage systems are recommended by national and international societies of emergency medicine. Keywords: triage, system triage, emergency severity index, emergency department.

Implementing the Emergency Severity Index Triage System in Jamaican Accident and Emergency Departments

2019 ◽  
Vol 45 (2) ◽  
pp. 124-131
Author(s):  
Simone French ◽  
Georgiana Gordon-Strachan ◽  
Kevon Kerr ◽  
Jacquiline Bisasor-McKenzie ◽  
Lambert Innis ◽  
...  
Keyword(s):  
Emergency Departments ◽  
Severity Index ◽  
Emergency Severity Index ◽  
Triage System ◽  
Accident And Emergency

scholarly journals Chronic mesenteric ischemia: current state of the problem

2020 ◽  
pp. 166-172
Author(s):  
A. I. Dolgushina ◽  
I. I. Shaposhnik ◽  
A. A. Seljanina ◽  
A. S. Kuznecova ◽  
V. V. Genkel
Keyword(s):  
Mesenteric Ischemia ◽  
Primary Diagnosis ◽  
Research Articles ◽  
Evidence Based ◽  
Chronic Mesenteric Ischemia ◽  
The Past ◽  
Current State ◽  
Literary Sources ◽  
Pubmed Database ◽  
Based Medicine

Chronic mesenteric ischemia until now represent the difficult tasks of primary diagnosis and ambiguous approaches to therapy. This review analyzes domestic and foreign research articles from the PubMed database, the eLibrary scientifi c digital library over the past decades. A review of literary sources allowed to provide modern data on the epidemiology, diagnosis and treatment of chronic mesenteric ischemia from the standpoint of evidence-based medicine.

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