análisis situacional de la atención en la implementación de triaje en el servicio de emergencia pediátrica del Hospital José Carrasco Arteaga Cuenca 2013

Abstract

Introduction: The triage system reduces costs and also lowers the number of patients in the emergency rooms. This process is based on prioritizing the attention where the medical severity of the patient should serve as a guide at the moment of giving importance to their care.

Objective: To analyze the situation of the care to be able to implement for the triage in the emergency service of pediatrics in the hospital “Jose Carrasco Arteaga” Cuenca 2013.

Methodology: It’s a descriptive and retrospective study that revises clinical and virtual medical records that are in the system AS400; from the hospital Jose Carrasco Arteaga during the period of January-June 2013, evaluating the real time of waiting with the appropriate time through the diagnosis and medical severity.

Results: The average age of patients situated itself at 5.02 years of age with a standard deviation (STD): 4.1 years of age; the level of medical severity 5 was the most numerous with 59.6% observing a decreasing tendency for the other levels of medical severity arriving therefore to 1 with 0.3%; based on the levels of medical severity the waiting times to receive care was of: level 1 = 16.67; level 2 = 35.41 minutes; level 3 = 42.41 minutes; level 4 = 45.92 minutes and level 5 = 45.08 minutes.

Conclusion: For patients with levels of care 1 and 2, the waiting periods are over the minimum recommended placing them at risk in health, being able to avoid situations through a system of triage in the service, for which a plan of work needs to be implemented.

Key words: TRIAGE/CLASSIFICATION; PEDIATRICS/STATISTICS AND NUMERICAL DATA, SEVERITY INDEX OF THE ILLNESS, MEDICAL URGENCIES/EPIDEMIOLOGY.