急診預檢的分級就診存在之風險與建議【月旦時論】 試閱
Risk and Suggestions in the Implementation of Emergency Pre-Examination and Triage
急診預檢分診是急就診的首要環節。既應實現急診患者的有效分級就診，同時也應保障患者安全。但實踐中存在分診人員不符合相應資質、分診標準欠缺統一規範、分診處置執行難度較大和分診紀錄缺乏便攜性的風險。透過分析風險點，建議醫護結合完善分診人力配備、統一規範分級標準並加強培訓、動態評估候診患者病情、建立急診與全科醫學科門診的便捷通路、完善可移動式分診記錄模式。
Emergency pre-examination and triage is the primary link of emergency treatment. It should not only realize the effective triage of emergency patients, but also ensure the safety of patients. But in practice, there are the risks that the triage personnel do not meet the corresponding qualification, the standard of triage is not uniform, the triage disposal is difficult to carry out, and the record of triage is not portable. Through the analysis of risk points, it is suggested that improve the triage personnel allocation by uniting of doctors and nurses, standardize the standard of triage and strengthen the training, dynamically estimate the condition of patients waiting for treatment, establish the convenient access for emergency and general practice outpatient clinics, and improve the movable triage record mode.
108-119
