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Triage implementation in resource-limited emergency departments: sharing tools and experience from the Pacific region.
Mitchell, Rob; White, Libby; Elton, Leigh; Luke, Cliff; Bornstein, Sarah; Atua, Vincent.
Affiliation
  • Mitchell R; School of Public Health & Preventive Medicine, Monash University, Melbourne, Australia. robert.mitchell@monash.edu.
  • White L; Emergency & Trauma Centre, Alfred Hospital, Melbourne, Australia. robert.mitchell@monash.edu.
  • Elton L; Emergency & Trauma Centre, Alfred Hospital, Melbourne, Australia.
  • Luke C; National Critical Care & Trauma Response Centre, Darwin, Australia.
  • Bornstein S; Vila Central Hospital, Port Vila, Vanuatu.
  • Atua V; Respond Global, Noosa, Australia.
Int J Emerg Med ; 17(1): 21, 2024 Feb 14.
Article in En | MEDLINE | ID: mdl-38355441
ABSTRACT
According to the World Health Organization's (WHO) Emergency Care Systems Framework, triage is an essential function of emergency departments (EDs). This practice innovation article describes four strategies that have been used to support implementation of the WHO-endorsed Interagency Integrated Triage Tool (IITT) in the Pacific region, namely needs assessment, digital learning, public communications and electronic data management.Using a case study from Vila Central Hospital in Vanuatu, a Pacific Small Island Developing State, we reflect on lessons learned from IITT implementation in a resource-limited ED. In particular, we describe the value of a bespoke needs assessment tool for documenting triage and patient flow requirements; the challenges and opportunities presented by digital learning; the benefits of locally designed, public-facing communications materials; and the feasibility and impact of a low-cost electronic data registry system.Our experience of using these tools in Vanuatu and across the Pacific region will be of interest to other resource-limited EDs seeking to improve their triage practice and performance. Although the resources and strategies presented in this article are focussed on the IITT, the principles are equally relevant to other triage systems.

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Int J Emerg Med Year: 2024 Type: Article Affiliation country: Australia

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Int J Emerg Med Year: 2024 Type: Article Affiliation country: Australia