Triage Strategies for COVID-19 Cases: A Scope Review.

In the midst of the pandemic caused by the new coronavirus (SARS-CoV-2), researchers and governmental and non-governmental institutions are mobilizing to implement strategies to face cases of COVID-19. Aim: This study aimed to map the triage strategies for cases of COVID-19, with the purpose of identifying sources in the literature that make it possible to explore the understanding of the strategies in different contexts. A scope review was conducted with searches in the CINAHL Database, PubMed, LILACS and hand-search, considering studies carried out with users of health services and documents published by governmental and non-governmental institutions, between the years 2019 and 2020, resulting in 40 articles for full reading. To explore the key concept, thematic analysis was carried out at two levels: (1) triage strategies, (2) forms and experiences of triage. Five triage strategies were mapped: health services triage; digital triage by remote use of technologies; community triage; home visit triage and airport and port triage. The forms and experiences of mapped triages involved risk classification, diagnosis and definition of conducts or combined. The use of strategies with remote technological resources stands out, as well as the adaptation of existing scales with simple algorithms as a tendency.

Uso da problematização com apoio do Arco de Maguerez como estratégia de educação permanente para a promoção da segurança do paciente / Use of problematization with the support of Maguerez Arc as a permanent education strategy for the promotion of patient safety

Relato de experiência sobre o planejamento e a implementação de oficinas guiadas pela Metodologia da Problematização, apoiada no Arco de Maguerez, realizadas em uma Fundação Estatal, responsável pela gestão de alguns serviços de saúde da Prefeitura de Curitiba-PR, Brasil. Os objetivos das oficinas foram promover a discussão sobre a segurança do paciente entre gestores e trabalhadores da saúde; e elaborar estratégias em prol da melhoria nos processos de trabalho com foco no cuidado seguro. A estratégia pedagógica adotada apoiou-se no Arco de Maguerez, que é constituído pelas etapas: 1- Observação da Realidade; 2- Pontos-chave; 3- Teorização; 4- Hipóteses de Solução; 5- Aplicação à realidade. Como resultados os participantes apresentaram planos de ação para os seus locais de atuação, definindo as medidas a serem desenvolvidas para promover a segurança do paciente. O uso da Metodologia da Problematização se mostrou viável nas ações educativas aplicadas no contexto relatado, capaz de aproximar as lideranças dos problemas factíveis e fomentar a elaboração de soluções compatíveis às necessidades dos serviços (AU).

To report the experience of planning and implementation of workshops guided by the Methodology of Problematization, supported by the Arc of Maguerez, held in a State Foundation, responsible for the management of some health services of the City Hall of Curitiba-PR, Brazil. The objectives of the workshops were to promote the discussion on patient safety among managers and health workers; and to develop strategies for the improvement of the work processes focused on safe care. The pedagogical strategy adopted was based on the Arc of Maguerez, which consists of the following stages: 1- Observation of the Reality; 2- Key points; 3- Theorization; 4- Solution hypotheses; 5- Application to reality. As a result, the participants presented action plans for their places of action, defining the measures to be developed to promote patient safety. The use of the Problem-Solving Methodology proved to be feasible in the educational actions applied in the context described, capable of approaching the leaders to the feasible problems, and fomenting the elaboration of solutions that are consistent with the services needs (AU).