病人的特点会影响分诊错误吗？准实验研究

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing Pub Date : 2025-06-28 DOI:10.1016/j.ienj.2025.101647

Arian Zaboli , Davide Battisti , Marta Ziller , Gianni Turcato , Silvia Camporesi

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引用次数: 0

摘要

急诊科（ED）的分类错误率在10%到30%之间。尽管进行了大量的研究，但仍不清楚患者的某些特征是否与分类错误有关。评估患者特征是否与分诊错误有关，以及日常审核是否能减少其影响。方法于2019年6月至2021年6月在意大利急诊科进行准实验研究，重建患者特征并评估其与分诊错误的关系。在干预期之后，对分诊护士进行了一系列审计，研究分析了与患者相关的变量是否仍然与错误相关，或者它们是否发生了变化。结果共纳入1773例患者，干预前904例，干预后869例。在干预前，多项逻辑回归显示年龄和陪同急诊科与较低的过度分类几率相关。干预后，只有游客与分类不足相关，而之前的显著变量都不存在关联。结论：该研究表明，某些患者的社会人口学特征与分诊错误有关，并强调需要专门的研究来评估哪些变量与错误有关。日常审计是提高分诊准确性和促进急诊护理公平性的一种有前途的策略。

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Can Patients’ characteristics influence triage Errors? A Quasi-Experimental study

Background

Triage error rates in emergency departments (ED) range from 10% to 30%. Despite numerous studies, it remains unclear whether certain patient characteristics are associated with triage errors. To evaluate whether patient characteristics are associated with triage errors, and whether daily auditing reduces their impact.

Methods

A quasi-experimental study was conducted from June 2019 to June 2021 in an Italian ED. Patient characteristics were reconstructed and their association with triage errors was evaluated. Following an intervention period, during which serial audits were provided to triage nurses, the study analyzed whether patient-related variables remained associated with errors or if they changed.

Results

The study enrolled 1,773 patients, with 904 in the pre-intervention period and 869 in the post-intervention period. In the pre-intervention period, multinomial logistic regression showed age and being accompanied to the ED were associated with lower odds of over-triage. Post-intervention, only being a tourist was associated with under-triage, and none of the previously significant variables remained associated.

Conclusions

The study demonstrated that certain patient socio-demographic characteristics are associated with triage errors and highlighted the need for dedicated studies to evaluate which variables are linked to errors. Daily auditing emerges as a promising strategy to improve triage accuracy and promote equity in emergency care.

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.