Assessment of Quality of Pediatric Emergency Triage and Its Associated Factors in Wolaita Zone, Ethiopia
Science Journal of Public Health
Volume 7, Issue 4, July 2019, Pages: 123-133
Received: Jun. 1, 2019;
Accepted: Jul. 23, 2019;
Published: Aug. 29, 2019
Views 455 Downloads 134
Daniel Baza Gargamo, Department of Nursing, Wolaita Sodo University, Wolaita Sodo, Ethiopia
Addishiwet Fantahun, Department of Nursing, Addis Ababa University, Addis Ababa, Ethiopia
Temesgen Lera Abiso, School of Public Health, Wolaita Sodo University, Wolaita Sodo, Ethiopia
Background: Most deaths of children in hospital frequently occur within the first 24 hours of admission. Immediate triage on arrival may prevent many of these deaths. Pediatric emergency triage assessment and treatment was introduced in 2014 in Ethiopia, however, there is no evidence which shows its quality and associated factors in the country. Objective:-This study aimed to assess the quality of pediatric emergency triage and its associated factors in selected hospitals of Wolaita zone 2017. Methods: A facility-based cross-sectional study design was used March to April 2017. A total of 178 health care workers (HCWs) were included in this study. The data was collected by using a self-administered questionnaire on the HCWs, and an observation checklist for hospitals assessment. We performed descriptive and multivariable logistic regression analyses; adjusted odds ratio and 95% CI were used to determine statistically significant associations. Results: This study indicated that 41.7% of HCWs did not correctly define triage, 81% did not know triage duration, 85.7% did not identify all triage categories and 64% did not categorize child with urgent signs. Conclusion: The overall quality of pediatric emergency triage service was poor.
Daniel Baza Gargamo,
Temesgen Lera Abiso,
Assessment of Quality of Pediatric Emergency Triage and Its Associated Factors in Wolaita Zone, Ethiopia, Science Journal of Public Health.
Vol. 7, No. 4,
2019, pp. 123-133.
Hasan Rajabi MS, Gholamreza Khademi. Emergency Management of Common Diseases in Children. Int J Pediatr, Vol3, Serial No19, Jun 22, 2015; Vol. 3 (N. 4-1): 789-98). Epub jun 22, 2015.
Harry Campbell TD, Martin Weberc, Mike English et al. Global Initiatives for Improving Hospital Care for Children: State of the Art and Future Prospects. 2007.
Baker T. Critical care in low-income countries. Tropical Medicine and International Health. February 2009; volume 14 no 2 (no. 2): pp 143–8.
Harmesh S. Bains RKS. A Simple Clinical Score “TOPRS” to Predict Outcome in Pediatric Emergency Department in a Teaching Hospital in India. Iran J Pediatr. 2012; Vol 22 (1): 97-101. Epub Jan 03, 2012.
WHO. Facilitator guide: Triage and Emergency Treatments: Quick Check Essentials. 2014. Epub june 2014.
Abbas Dadashzadeh FA, Azad Rahmani, Morteza Ghojazadeh. Factors affecting triage decision-making from the viewpoints of emergency department staff in Tabriz hospitals. Iran J Crit Care Nurs. 2014; vol. 6 (4): 261-6.
Organization wh. Updated guidelines on Paediatric emergency triage, assessment and treatment Care of critically ill children. Updated guideline. 2016.
K. Health FDRoEMoH. Emergency Triage Assessment and Treatment (ETAT + Ethiopia). 2014.
Temmy Sunyoto RVdB, Pola Valles, Reinaldo Gutierrez, Latifa Ayada et al. Providing emergency care and assessing a patient triage system in a referral hospital in Somaliland: a cross-sectional study. BMC Health Services Research. 2014; 14: 1472-6963.
Augustyn JE. Aninvestigation into the implimentation of emergency unit triage system in a selected private hospital. 2006.
Safari SR. Perceptions and challenges of emergency triage assessment and treatment guidelines in emergency departmenta at muhibilliI national hospital, Tanzania. 2012.
Ling XJ. Risk factors on length of stay in pediatric emergency observation unit of a tertiary children's hospital in. August 2011.
MEDICINE IFFE. Updated international standards of care for children in emergency departments. Version 20 June 2014. 2012.
Baker et al. BMC Health Services Research 2013. Emergency and critical care services in Tanzania: a survey of ten hospitals. BMC Health Services Research. 2013; 13 (140).
Acharya RP. Emergency department triage: an ethical analysis. BMC emergency medicine. 2011.
Tamburlini T. Improving the quality of paediatric care in peripheral hospitals in developing countries. 563-5.
Celestin Hategeka, Leah Mwai, and Lisine Tuyisenge. Implementing the Emergency Triage, Assessment and Treatment plus admission care (ETAT+) clinical practice guidelines to improve quality of hospital care in Rwandan district hospitals: healthcare workers’ perspectives on relevance and challenges. 2017; 17 (256).
Aloyce R. Assessment of knowledge and skills of triage amongst nurses working in the emergency centres in Dar es Salaam, Tanzania. African Journal of Emergency Medicine. 2013; 4: 14-8. Epub july, 2013.
Rahmati H, Azmoon M, Kalantari Meibodi M, Zare N. Effects of Triage Education on Knowledge, Practice and Qualitative Index of Emergency Room Staff: A Quasi-Interventional Study. Bull Emergency Trauma. 2013; 1 (2): 69.
Radesi L. Identifying Barriers to Successful Interventions for Pediatric Septic Found Shock Patients in Non-Pediatric Emergency Departments. Med Pub Journals. 2015; 7.
Qureshi. Triage systems: a review of the literature with reference to Saudi Arabia. Eastern Mediterranean Health Journal. 2010; Vol. 16 (no. 6).
David P South all BMP, Sue Wieteska, Martin P Samuels. Paediatric emergency care in resource-limited settings. April 2013; Vol 381.
Paediatric Department CoM, Blantyre, Malawi. Triaging children. 2013; 103 (3).
Heather L. Crouse etal. Impact of an Emergency Triage Assessment and Treatment (ETAT)-based triage process in the paediatric emergency department of a Guatemalan public hospital. Paediatric int child health. 2016; 36 (3): 219-24.
Hansoti et al. Reliability and validity of pediatric triage tools evaluated in Low resource settings: a systematic review. BMC pediatrics. 2017; 17 (37).
Bilir Ö. Perspectives of Emergency Department Staff on Triage Practice. Meandros Med Dent J 2017.18: 27-32. Epub 27.05.2016.
H. Graham et al. Use of clinical guidelines: perspectives from clinicians in paediatric and maternity hospitals in Kabul, Afghanistan. Eastern Mediterranean Health Journal. 2015; 21 (2). Epub 04/12/14.=27.
Hategeka C, Shoveller J, Tuyisenge L Kenyon C, Cechetto DF, Lynd LD. Pediatric emergency care capacity in a lowresource setting: An assessment of district hospitals in Rwanda. PLOS one doi: 10.1371/journal. Pone.0173233. March 3, 2017; 10.
Hoque et al. An assessment of the quality of care for children in eighteen randomly selected district and subdistrict hospitals in Bangladesh. BMC Pediatrics. 2012; 12: 1471-2431.
Ouma N. Effect of an emergency care training on management of acute childhood diarrea in Nakuru district, KENYA. 2010.
Tette et al. Under-five mortality pattern and associated risk factors: a case-control study at the Princess Marie Louise Children’s Hospital in Accra, Ghana. BMC pediatrics. 2016; 16 (148).