The effectiveness of the current triage practice under the Hong Kong Accident and Emergency Triage Guidelines.
Introduction The Accident and Emergency (A&E) department is one of the most busy department in most of the Hong Kong public hospital. In the A&E department, there are many patients attend to them daily so to be able to ensure that patient in a more serious problem can be able to get higher priority in the hospital, Hospital Authority (HA) utilizes the triage system to classify patients who is in A&E into different categories. The triage system is “a process to tackle the mismatch between limited resources and potentially unlimited demand for medical services” (Fan, M. M. W. (2013)). Since the A&E department is always overcrowded, …show more content…
Effectiveness is the degree to which objectives are achieved and the extent to which targeted problems are solved. (Business Dictionary, 2017) I think the triage practice is effective. In this essay, I am going to discuss why I think the effectiveness of the triage practice is enough in three aspects, which are the treatment of the patients in A&E, the inner-rater reliability between the staffs in A&E and errors made in triage .
The treatment of the cases in A&E is on time and the waiting time is also being improved. In this paragraph, I am going to discuss on the treatment of the patients in A&E. As we all know, the A&E service is always over-crowded around the world, especially for Hong Kong. The general publics mostly focus on the waiting time of each hospital and the time of the hospital to treat the urgent or emergency cases. The waiting time in A&E department in most of the Hong Kong public hospitals are always said to be long. According to a research done in HA, the …show more content…
The medical staffs working in the A&E department distinguish patients into different triage categories under the Hong Kong A&E triage guideline. The guideline simply is to instruct the medical staffs the definition of each of the 5 triage categories and the priority, place and intensity of care of each triage categories. It is important to know if different groups of nurses can be able to make the same decisions under the Hong Kong A&E triage guideline. Nurses making the same decision can prove that the instructions in the guideline is suitable for Hong Kong’s real condition. To be able to validate the guideline, Mandy Fan that had done a research. There is a 100 of patients is being included in this research. They are all patients who attended to the A&E department on one day in February 2012. The main outcome measures of this research is the inter-rater reliability of 2 pairs of nurses groups as compared with an expert panel. The result is that the overall inter-rater reliability and validity of the guideline is acceptable because of the weighted kappa coefficient is approximately 0.70 for the two pairs of nurses and patients in level 1 to 5. When only patients in level 3 and 4 is included, the weighted kappa coefficient decreased to approximately 0.60. This results shows that the two groups of nurses and the expert group do not make the same
Introduction The Accident and Emergency (A&E) department is one of the most busy department in most of the Hong Kong public hospital. In the A&E department, there are many patients attend to them daily so to be able to ensure that patient in a more serious problem can be able to get higher priority in the hospital, Hospital Authority (HA) utilizes the triage system to classify patients who is in A&E into different categories. The triage system is “a process to tackle the mismatch between limited resources and potentially unlimited demand for medical services” (Fan, M. M. W. (2013)). Since the A&E department is always overcrowded, …show more content…
Effectiveness is the degree to which objectives are achieved and the extent to which targeted problems are solved. (Business Dictionary, 2017) I think the triage practice is effective. In this essay, I am going to discuss why I think the effectiveness of the triage practice is enough in three aspects, which are the treatment of the patients in A&E, the inner-rater reliability between the staffs in A&E and errors made in triage .
The treatment of the cases in A&E is on time and the waiting time is also being improved. In this paragraph, I am going to discuss on the treatment of the patients in A&E. As we all know, the A&E service is always over-crowded around the world, especially for Hong Kong. The general publics mostly focus on the waiting time of each hospital and the time of the hospital to treat the urgent or emergency cases. The waiting time in A&E department in most of the Hong Kong public hospitals are always said to be long. According to a research done in HA, the …show more content…
The medical staffs working in the A&E department distinguish patients into different triage categories under the Hong Kong A&E triage guideline. The guideline simply is to instruct the medical staffs the definition of each of the 5 triage categories and the priority, place and intensity of care of each triage categories. It is important to know if different groups of nurses can be able to make the same decisions under the Hong Kong A&E triage guideline. Nurses making the same decision can prove that the instructions in the guideline is suitable for Hong Kong’s real condition. To be able to validate the guideline, Mandy Fan that had done a research. There is a 100 of patients is being included in this research. They are all patients who attended to the A&E department on one day in February 2012. The main outcome measures of this research is the inter-rater reliability of 2 pairs of nurses groups as compared with an expert panel. The result is that the overall inter-rater reliability and validity of the guideline is acceptable because of the weighted kappa coefficient is approximately 0.70 for the two pairs of nurses and patients in level 1 to 5. When only patients in level 3 and 4 is included, the weighted kappa coefficient decreased to approximately 0.60. This results shows that the two groups of nurses and the expert group do not make the same