한국형 응급환자 분류도구의 소아 적용을 위한 델파이 조사 연구
A Delphi study for the application of Korean Triage and Acuity Scale to children
노현, 정구영, 안기옥, 김자경, 손희정, 조찬우,
소속 상세정보
노현 ( Noh Hyun )
순천향대학교 부천병원 응급의학과
정구영 ( Jung Koo-Young )
이화여자대학교 의과대학 응급의학교실
안기옥 ( Ahn Ki-Ok )
명지병원 응급의학과
김자경 ( Kim Ja-Kyoung )
강원대학교 의학전문대학원 소아청소년과학교실
손희정 ( Son Hee-Jeong )
강원대학교 의학전문대학원 마취통증의학교실
조찬우 ( Jo Chan-Woo )
강원대학교 의학전문대학원 의료관리학교실
KMID : 0385920190300010083
Abstract
Objective: We investigated the opinions of experts to identify problems and prepare an improvement plan when applying the Korean Triage and Acuity Scale (KTAS) to pediatric patients in the emergency department.
Method: The experts comprised 15 researchers at a pediatric emergency center designated by the Ministry of Health and Welfare and research team members of the Korean Society of Pediatric Emergency Medicine. The first survey was an open-ended question about the problems, application results, and remedies of applying KTAS to children through email. The problems were categorized by topic, and degree of agreement was presented using a 9-point Likert scale.
Results: In the first survey, 67% of experts participated and 18 problems were identified. In the second survey, 73% of experts participated and eight problems were identified in four categories, validity, reliability, feasibility and other opinions. All experts pointed out that resources were not considered during pediatric triage in the KTAS. Ninety-one percent of experts said that peak expiratory flow rate measurement and Glasgow Coma Scale evaluation were unlikely to be feasible. Moreover, 91% experts were concerned that the triage level could be distorted if KTAS was interlocked with medical costs. Eighty-two percent of the respondents pointed to the high triage result of febrile children and the difference in pain score between the evaluators, etc.
Conclusion: Based on the problems pointed out by experts and the reality of Korea’s emergency departments, it is necessary to consider revision of KTAS for children.
키워드
Triage; Child; Emergencies
원문 및 링크아웃 정보
등재저널 정보