Portal de Murcia
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Emergency services are on numerous occasions with an overload which can mean a reduction in the quality of care, which could be overcome in some cases through proper triage, an effective management system of care work in services emergency that would better respond to the health needs of the patient.
The Catholic University of Murcia, through his research group 'learning in real and simulated clinical settings', in collaboration with the emergency department of the Hospital Virgen de la Arrixaca of Murcia, it is developing a project' Design and Validation a teaching based on clinical simulation model, aimed at training nursing triage Emergency Severity Index (ESI). "
In it they are working Tomas Hernandez Ruipérez, Section Chief of the Emergency Department of the University Hospital Virgen de la Arrixaca, and whose doctoral thesis is part of this;
Maria de Gracia Adánez Martinez, Deputy Emergency Department of the hospital and also a professor at the UCAM;
Bartolome Garcia Perez, head of the Clinical Short Stay Unit of the Virgen de la Arrixaca Chair and Chief of Internal Medicine at the University, and Jose Luis Diaz Agea and Cesar Leal Costa, professors of the Faculty of Nursing at the UCAM.
Furthermore, all except Bartolome Garcia, are instructors in Clinical Simulation.
For Dr. Grace Adánez "with triage of emergency what is sought is to order the attendance of all patients presenting to the emergency department in relation to its severity and need immediate treatment, ie, screen out patients who are ill or they may be wrong, of those who can expect to be served. "
News of the project
According to the researchers they note, after many years working with the classic medical triage system, they have been showing a series of problems that can be solved by implementing a structured triage.
Likewise they indicate that this is the first job where training in triage is approached as a learning tool using clinical simulation and the ESI system (Emergency Severity Index), through a phased program in three phases: knowledge, skill and applicability.
The study also involved nurses with minimum one year experience in the emergency to which, after training in triage ESI, a simulation sessions triage with simulated patients initially underwent, and in the last phase patients a real scenario.
This project includes a phase of skill acquisition, based on principles of clinical simulation and developed in the laboratories of the UCAM.
"With it we establish, first, the relevance of the clinical simulation as a teaching tool in the training programs structured triage techniques, especially in the ESI triage system," says Dr. Tomas Hernandez section chief Emergency Department of the Arrixaca.
The proposed improvement in triage system that collects this project is based on: uniformity and objectivity;
training of nursing personnel;
case analysis, and improvement of care flows.
The project has already completed its first phase, which is proved their effectiveness;
and now missing demonstrate, in the Spanish context, this system of triage affects the proper functioning of a hospital emergency room, helping to safeguard patient safety.
The results of this work have been published in journals such as Emergency.
Source: UCAM
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