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| A survey on the emergency triage in China government hospitals for 3 years |
| Zhang Hui, YuXue-zhong, Zhu Hua-dong, Jin Kui, Yu Shan-shan, Lu Xin, Yao Hu |
| Department of Emergency, Peking Union Medical College Hospital, Beijing 100730, China |
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Abstract Objective To investigate the situation of the four-level adult emergency triage in China government hospitals to help making decision for emergency medicine quality improving. Methods Data from sampling hospitals ER were collected on the site www.ncis.com medical quality data sample investigate items. And the data were approved and analyzed by National Emergency Quality Control Centre. Results The patients quantity with triage of Ⅰ,Ⅱ,Ⅲ and Ⅳ (fatal, critical, urgent, nonurgent) grades were analyzed from the year 2014 to 2016. The ratio of grade Ⅰ patients was (2.12±0.16)% vs. (3.00±0.15)% vs. (2.70±0.18)%.The ratio of grade Ⅱ patients was (7.57±0.40)% vs. (8.80±0.29)% vs. (7.30±0.24)%. The ratio of grade Ⅲ patients was （41.88±1.16）% vs. (37.84±0.74)% vs. (36.04±0.71)%. The ratio of grade Ⅳ patients was (48.43±1.28)% vs. (50.36±0.83)% vs. (53.96±0.80)%. They were stable for the three years and there were no significant differences between them. In grade Ⅱ hospitals the ratio of grade Ⅰ patients was (1.84±0.25)% vs. (3.18±0.23)% vs. (2.82±0.28)% and the ratio of grade Ⅳ patients was (52.63±1.99)% vs. (53.79±1.13)% vs. (58.07±1.03)%. In grade Ⅲ hospitals the ratio of grade Ⅰ patients was (2.32±0.21)% vs. (2.82±0.18)% vs. (2.53±0.18)% and the ratio of grade Ⅳ patients was (45.44±1.66)% vs. (46.52±1.22)% vs. (48.01±1.24)%. The ratio of grade Ⅳ patients in grade Ⅱ hospitals was significantly higher than that in grade Ⅲ hospitals (P<0.05). Conclusion The triage situation kept stable during the year 2014 to 2016. Nonurgent patients are the major parts of the patients which is a major cause of emergency overcrowding. This situation is more severe in grade Ⅱ hospitals than grade Ⅲ. This investigate could help improving the emergency medical quality and making the patients received safe and effective treatment.
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Corresponding Authors:
Yu Xue-zhong, E-mail：yxz@medmail.com.cn
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