台灣急診檢傷新趨勢－－五級檢傷分類系統

Current Trends in Emergency Triage in Taiwan: The Five-Level Triage System

理想的檢傷分類系統應可準確且快速地依照疾病嚴重度區分病患，進而得到適當的治療與醫療環境。近年來，世界各地之急診均面臨病患過度擁擠之現象，皆出現發展五級檢傷分類系統以解決現況。台灣四級檢傷分類系統使用至今，已不敷臨床使用；為因應時勢，國內預將台灣四級檢傷分類系統提升為五級，並建置具有信效度之電腦系統。本文綜觀相關文獻，闡述四級與五級檢傷分類系統之異同、探討檢傷分類系統信效度與成效，作為國內護理人員深思五級檢傷分類系統重要性之依據。

An ideal triage system should accurately and quickly sort patients according to seriousness of diseases, and ensure that patients in emergency departments (EDs) get adequate management in an appropriate medical environment. Recently, EDs throughout the world have been confronting overcrowding, and are developing a five-level triage system to solve the problems that this presents. Taiwan EDs have used the Taiwan triage system (TTS) since 1999 until recently. In order to follow the trend of the times, EDs in Taiwan adjusted the four-level TTS to a five-level system, and built a computer system which is reliable and effective. This article reviews the literature about emergency triage systems, and describes the differences between the four-level and five-level systems, exploring the reliability, effectiveness, and outcomes of triage systems. Taiwan nurses might treat this article as a basis for reflection on the importance of the five-level triage system.