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KMID : 0385920160270050414
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Journal of the Korean Society of Emergency Medicine
2016 Volume.27 No. 5 p.414 ~ p.421
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Developing and Application of a Novel Triage Tag
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Lee Seung-Dong
Chae Min-Jung
Hwang Sung-Yeon
Lee Tae-Rim
Cha Won-Chul
Shin Tae-Gun
Jo Ik-Joon
Song Keun-Jeong
Rhee Joong-Eui
Jeong Yeon-Kwon
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Abstract
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Purpose: Triage tags help prioritize the treatment for disaster patients based on the severity of the illness and help distribute limited resources during a time of disaster. In this study, we developed a novel triage tag and evaluated its feasibility during a hospital-based disaster drill.
Method: For the first stage, we developed a new triage tag. The most commonly used triage tags (Medical Emergency Triage-TAG and SMART tag) were analyzed. We reassembled their advantages and invented a novel triage tag (NT tag). The second stage involved an evaluation of the quality of NT tag. The NT tag was used in a hospital-based disaster drill held in a single center with 22 mock patients. After the drill, hospital staffs were asked to complete a questionnaire which included visibility, comprehensibility, and ease of use with respect to the new NT tag. A five-category Likert scale was used to quantify the answer.
Results: The NT tag was successfully developed considering 6 quality indexes: visibility, expandability, flexibility, solidity, space, and fixity. Forty-two out of ninety (46.7%) subjects answered the questionnaire. Approximately 21% of participants had previous disaster drill experience and 33% had previous education of the SMART triage system. The visibility scale of the severity category was on average 3.3 (standard deviation (SD): 1.0), the comprehensiveness of the severity category was 3.6 (SD:0.9), the ease to understand patient information was 2.2-4.2, the ease to follow up symptoms and vital signs was 2.3-4.1. Eighty and percent of participants preferred to use the NT tag in a future disaster situation or disaster drill.
Conclusion: We successfully developed a novel triage tag. The NT tag showed moderate feasibility.
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KEYWORD
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Disasters, Injuries, Triage
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