Increased Response Time and Triage Accuracy with Resetting of Systems and Spatial in a Hospital Emergency Room

Authors

Keywords:

Accuracy, emergency room, response time, triage

Abstract

The triage system in the emergency room is crucial for categorizing patients based on the level of emergency and finding out further medical services for the patients. An accurate triage system will accelerate the IGD response time and result in better ER quality. The purpose of this study was to determine the factors influencing the accuracy of the triage location in the Emergency Room of a type C hospital as well as the relationship between the activation of the triage area and the emergency response time. The sample consisted of 30 patients before and 30 patients after the activation of the triage area. According to the priority level, the sample was then divided into ten patients each. This research used field experimental design with a Participatory Action Research approach. The results showed that the accuracy of the triage implementation in the Emergency Room of this hospital was influenced by the facilities and infrastructure, human resources, and the flow of patients in the emergency room. Based on the Wilcoxon test, there is an increase in P1 and P3 patient response time before and after triage activation but not significant. The increase in response time in P2 patients before and after the activation of the triage area is significant with p-value <0.046. This study concludes that the right triage system can increase emergency response time.

Downloads

Download data is not yet available.

References

Dewi RSS. Sikap dan Pengetahuan Perawat Berhubungan dengan Pelaksanaan Triage. Jurnal Kebidanan. 2017; 9(2): 101-212.

Oredsson S, Jonsson H, Rognes J, et al. A Systematic Review of Triage-Related Interventions to Improve Patient Flow in Emergency Departments. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2011; 19(1): 1–9.

Platts-Mills TF, Travers D, Biese K, et al. Accuracy of The Emergency Severity Index Triage Instrument for Identifying Elder Emergency Department Patients Receiving An Immediate Life-Saving Intervention. Academic Emergency Medicine. 2010; 17(3): 238-243.

Ainiyah N, Ahsan, and Fathoni M. Analisis Faktor Pelaksanaan Triage di Instalasi Gawat Darurat. Jurnal Ners. 2015; 10(1): 147–157.

Febrina W and Sholehat IO. Experience of Nurse Assosiate to Implement Triage in Emergency Room Installation. Jurnal Endurance. 2018; 3(1): 138–145.

Rumampuk JF and Katuuk ME. Hubungan Ketepatan Triase Dengan Response Time Perawat Di Instalasi Gawat Darurat Rumah Sakit Tipe C. Jurnal Keperawatan. 2019; 7(1): 1-9.

Storm-Versloot MN, Vermeulen H, Van Lammeren N, Luitse JSK, and Goslings JC. Influence of the Manchester Triage System on Waiting Time, Treatment Time, Length of Stay and Patient Satisfaction; A Before and After Study. Emergency Medicine Journal. 2014; 31(1): 13–18.

Evie S, Wihastuti TA, and Suharsono T. Analisis Faktor yang Berhubungan dengan Pelaksanaan Triage Perawat Pelaksana di Ruang IGD Rumah Sakit Tipe C Malang. Jurnal Ilmiah Kesehatan Keperawatan. 2016; 12(3): 144–153.

Kementerian Kesehatan Republik Indonesia. Pedoman Teknis Bangunan Rumah Sakit Ruang Gawat Darurat. Direktorat Bina Pelayanan Penunjang Medik dan Sarana Kesehatan. Jakarta: Direktorat Jenderal Bina Pelayanan Kesehatan Direktorat Bina Pelayanan Publik dan Sarana Kesehatan; 2012.

Kementerian Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia Nomor 47 Tahun 2018 tentang Pelayanan Kegawatdaruratan. Jakarta: Kementerian Kesehatan RI; 2018.

Apriani and Febriani S. Hubungan Kegawatdaruratan dengan Waktu Tanggap pada Pasien Jantung Koroner. Jurnal Kesehatan. 2015; 8(3): 471–477.

Downloads

Published

2021-04-09

Issue

Supplement 1, 2021

Section

Supplement

License

Authors who publish with this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).