Algorithm-Directed Triage of Pediatric Patients: A Prospective Study

Autor: Wilson, Frank P., Wilson, Linda Ornelas, Butler, Adrienne B., Canales, Luis
Zdroj: JAMA: Journal of the American Medical Association; April 1980, Vol. 243 Issue: 15 p1528-1531, 4p
Abstrakt: An Army corpsman used physician-written triage algorithms to rate the urgency of the chief complaints of 2,000 pediatric outpatients. His ratings agreed with subsequent ratings by physicians in 84% of cases. The corpsman assigned a higher care urgency classification in 15% of cases and a lower classification in only 1.2% of cases. No danger to patients resulted from the algorithm-directed screening. Use of a "nonprofessional" as a triage agent spares the pediatrician, pediatric nurse practitioner, and nurse for providing health care. With increasing use of acute care facilities by patients without appointments, physician-written algorithms allow triage agents who lack formal medical training to determine safely the need for care of patients.(JAMA 243:1528-1531, 1980)
Databáze: Supplemental Index