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Triagering och patientsäkerhet på akutmottagning.: En kvantitativ litteraturstudie
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
2022 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Triagering har en väsentlig roll vid bedömning av patienter på akutmottagningar. Triagerbedömningar görs genom att följa en triageskala enligt RETTS och utförs i de flesta fall av en sjuksköterska som är utbildad inom triage. Det finns olika triagesystem i olika delar av världen. En korrekt triagebedömning är grunden för tiden till att patienten får träffa en läkare på akutmottagningen. 

Syfte: Syftet med studien är att undersöka och beskriva triagering på akutmottagningen, och eventuell betydelse för patientsäkerheten.

Metod: För att besvara syftet valdes att genomföra en systematisk litteraturstudie. Sökningar gjordes i CINAHL och PubMed. Totalt elva kvantitativa artiklar inkluderades och data valdes ut med validerat undersökningsinstrument och mall för kvalitetsgranskning.

Resultat: Resultatet delades in i tre huvudkategorier som täcker in artiklarnas innehåll. System och Nivåer, Faktorer vid triagering och Förmåga vid triagering.

Slutsats: Studien visade på att triagering på akutmottagning påverkar patientsäkerheten. Klinisk erfarenhet av triagering, utbildning och följsamhet till triagesystem är viktiga faktorer för att kunna triagera korrekt. Patientsäkerheten är hotad vid felaktig triagering.

Abstract [en]

Background: Triage has a key role in assessing patients in the emergency departments. Triage assessment is done by following the triage scale RETTS and is conducted in most of the cases by a nurse who is educated within triage. There are several different triage systems in the world. A correct triage assessment is the base for how long a patient will wait before seeing a doctor in the emergency department. 

Aim: The aim of the study was to investigate and describe triage assessment at emergency departments, and what that means for patient safety.   

Method: To answer the purpose for the study a systematic literature study was chosen. Searches were carried out with the databases CINAHL and PubMed. A total of eleven quantitative studies were included. And data was selected with a validated search instrument and a template of quality review.

Result: The result was sorted in three main categories that cover the contents of the articles. System and Level, Factors in triage and Ability in triage.. 

Conclusion: The Study showed that triaging in the emergency department affects patient safety. Clinic experience of triaging, education and adherence to the triage system are important factors to be able to correctly triage patients. Patient Safety is threatened when patients are wrongly triaged.

Place, publisher, year, edition, pages
2022. , p. 25
Keywords [en]
Emergency department, nurse, patient safety, triage, triage level
Keywords [sv]
Akutmottagning, patientsäkerhet, sjuksköterska, triage, triagenivå
National Category
Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-112825OAI: oai:DiVA.org:lnu-112825DiVA, id: diva2:1657735
Educational program
Specialist Nursing Programme, with Specialism in Emergency Care, 60 credits
Supervisors
Examiners
Available from: 2022-05-12 Created: 2022-05-12 Last updated: 2022-05-12Bibliographically approved

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CiteExportLink to record
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