Ethics in Implementing Emergency Patient Triage
Keywords:
triage, emergency, ethicsAbstract
Triage implementation in the Emergency Department (ED) of a hospital is a very important process in emergency patient management, involving technical skills, but also requiring a deep understanding of medical ethics. Methods: This literature review was used with a descriptive approach. The eligibility criteria for the literature were developed based on the Preferred Items for Systematic Reviews and Meta-Analysis (PRISMA) framework, in addition the literature was limited to the range of 2019-2024. Results: Study selection of 439 articles, with 14 articles from PubMed, 200 from Scopus, 200 from Google Scholar, and 25 from the ScienceDirect database. After full-text assessment, 7 articles were included for analysis. Discussion: Triage in emergency patient care is an important process that involves prioritizing patient care based on the severity of their condition. Conclusion: The application of ethics in emergency patient triage requires the integration of the principles of equity, severity-based prioritization, reducing the risk of error, and empathetic communication. Simulation-based training, improving human resources, and educating the public about the importance of ethics-based triage are important steps to ensure justice and patient safety in emergency situations.
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AlShatarat, M., Rayan, A., Eshah, N. F., Baqeas, M. H., Jaber, M. J., & ALBashtawy, M. (2022). Triage Knowledge and Practice and Associated Factors Among Emergency Department Nurses. SAGE Open Nursing, 8. https://doi.org/10.1177/23779608221130588
Aprilia Ayu Firnanda, Nurul Fajreini, A. S. (2023). Pendekatan Etika dalam Pengambilan Keputusan oleh Nadhir Wakaf. J Publ Sist Inf Dan Manaj Bisnis., 3(1), 181–191.
Artanti, S., & Haryatmo, S. (2022). Efektifitas Pelatihan Australasian Triage Scale Terhadap Pengetahuan Perawat Unit Gawat Darurat Dalam Melakukan Triase. Jurnal Kesehatan, 11(2). https://doi.org/10.46815/jk.v11i2.101
Arundyna H. (2024). Optimalisasi Ketepatan Triase oleh Petugas Kesehatan Melalui. Matern Neonatal Heal J., 5(1), 26–32.
Arundyna, H. (2024). Optimalisasi Ketepatan Triase oleh Petugas Kesehatan Melalui. Maternatal & Neonatal Health Journal, 5, 26–32.
Atmojo JT, Widiyanto A, Y. T. (2019). Reliabilitas Sistem Triase Dalam Pelayanan Gawat Darurat. Intan Husada J Ilmu Keperawatan., 7(2), 23–31.
Butler, C. R., Webster, L. B., Diekema, D. S., Gray, M. M., Sakata, V. L., Tonelli, M. R., & Vranas, K. C. (2022). Perspectives of Triage Team Members Participating in Statewide Triage Simulations for Scarce Resource Allocation during the COVID-19 Pandemic in Washington State. JAMA Network Open, 5(4), E227639. https://doi.org/10.1001/jamanetworkopen.2022.7639
Henky H. (2018). Pelayanan Etika Klinis. Jurnal Etika Kedokteran Indonesia., 2(2), 59.
Kavakli, O., & Konukbay, D. (2024). How simulation training for nursing students in emergency internships affects triage decision-making and anxiety: A quasi-experimental study. Heliyon, 10(15), e35626. https://doi.org/10.1016/j.heliyon.2024.e35626
Khairina, I., Malini, H., & Huriani, E. (2018). Faktor-Faktor yang Berhubungan dengan Pengambilan Keputusan Perawat Dalam Ketepatan Triase Di Kota Padang. Indonesian Journal for Health Sciences, 2(1), 1. https://doi.org/10.24269/ijhs.v2i1.707
Kirana GR, N. R. (2023). Penilaian Kinerja Dokter RS Medika Utama Blitar Berdasarkan 6 Kompetensi Umum Dokter.. JPKM J Profesi Kesehatan Masyarakat, 4(2), 103–111.
Knotz, C. M., Gandenberger, M. K., Fossati, F., & Bonoli, G. (2021). Public attitudes toward pandemic triage: Evidence from conjoint survey experiments in Switzerland. Social Science and Medicine, 285(June), 114238. https://doi.org/10.1016/j.socscimed.2021.114238
Korengkeng, L. C., & Lainsamputty, F. (2022). Karakteristik pasien dan hubungannya dengan kepuasan terhadap pelayanan di instalasi gawat darurat. Al-Asalmiya Nursing: Jurnal Ilmu Keperawatan (Journal of Nursing Sciences), 11(1), 17–28. https://doi.org/10.35328/keperawatan.v11i1.2110
Levis-Elmelech, T., Schwartz, D., & Bitan, Y. (2022). The effect of emergency department nurse experience on triage decision making. Human Factors in Healthcare, 2(November 2021), 100015. https://doi.org/10.1016/j.hfh.2022.100015
Maves, R. C., Downar, J., Dichter, J. R., Hick, J. L., Devereaux, A., Geiling, J. A., Kissoon, N., Hupert, N., Niven, A. S., King, M. A., Rubinson, L. L., Hanfling, D., Hodge, J. G., Marshall, M. F., Fischkoff, K., Evans, L. E., Tonelli, M. R., Wax, R. S., Seda, G., … Christian, M. D. (2020). Triage of Scarce Critical Care Resources in COVID-19 An Implementation Guide for Regional Allocation: An Expert Panel Report of the Task Force for Mass Critical Care and the American College of Chest Physicians. Chest, 158(1), 212–225. https://doi.org/10.1016/j.chest.2020.03.063
Minggawati ZA, Faried A, P. A. (2018). Perbandingan Metode Triase Modifikasi Empat Tingkat Dengan Triase Lima Tingkat Emergency Severity Index ( Esi ). Jurnal Kesehatan Aeromedika., IV(2), 71–75.
Musthofa F, Maulana S, R. H. (2020). Digitalisasi Model dan Desain Triase Pandemi Influenza H1N1; Fokus pada Pencegahan Penularan di Sistem Pelayanan Kesehatan. Nucleus. Nucleus, 1(2), 95–101.
Nurlina D, Rifai A, J. J. (2019). Faktor-Faktor Yang Memengaruhi Kepuasan Pasien Instalasi Gawat Darurat Rumah Sakit TNI AD Tk Iv 02.07.04 Bandar Lampung Tahun 2017. Jurnal Ilmu Kesehatan Dan Masyarakat, 8(3), 78–88.
Olofinbiyi, O. B., Dube, M., & Mhlongo, E. M. (2020). A perception survey on the roles of nurses during triage in a selected public hospital in kwazulu-natal province, south africa. Pan African Medical Journal, 37(9), 1–12. https://doi.org/10.11604/pamj.2020.37.9.22211
Olofnbiyi, O. B., & Makhado, L. (2024). Nurses ’ Perception on the Hindrances of Triage System in. 2024. https://doi.org/10.1155/2024/8621065
Ozhanli, Y., & Akyolcu, N. (2020). Satisfaction of Patients with Triage and Nursing Practice in Emergency Departments. Florence Nightingale Journal of Nursing, 28(1), 49–60. https://doi.org/10.5152/fnjn.2020.18041
Prayoga, D. H., Manan, A., Basri, A. H., Ilmu, F., Program, K., Ilmu, S., & Universitas, K. (2024). Pengaruh Kemampuan Perawat dalam Pengambilan Keputusan Triase Pasien Gawat Darurat. 1, 1–4.
Rupina, S., Ngadiran, A., & Hotmaida, L. (2023). Pengalaman Perawat dalam Melaksanakan Triage di Instalasi Gawat Darurat Rumah Sakit Umum Santa Elisabeth Sambas. Jurnal Ilmu Kesehatan Immanuel, 17(2), 55–64.
Sevimli, Ş., Dursun, R., & Karadas, S. (2015). Health professionals of emergency service: An evaluation of disaster medicine and ethical values. Medicine and Law, 34(1), 39–54. https://doi.org/10.5152/jaem.2015.57805
Sjamsuhidajat R, Meilia PDI, Z. I. (2020). Etika Kedokteran dalam Kegiatan Tanggap Darurat Bencana. Jurnal Etika Kedokteran Indonesia., 4(1), 1.
Vinay, R., Baumann, H., & Biller-Andorno, N. (2021). Ethics of ICU triage during COVID-19. British Medical Bulletin, 138(1), 5–15. https://doi.org/10.1093/bmb/ldab009
Weruin UU. (2019). Teori-Teori Etika Dan Sumbangan Pemikiran Para Filsuf Bagi Etika Bisnis. Jurnal Muara Ilmu Ekon Dan Bisnis., 3(2), 313.
Yuliati Y, J. K. (2022). The Effect of Triage on Occupational Health at the Kembangan Hospital during the Covid19 Pandemic. 2022;4(2):45. J Keperawatan Galuh., 4(2), 45.
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