Sjuksköterskors upplevelser av ett nytt triagesystem på en akutmottagning i förhållande till patientsäkerhet

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Sammanfattning: Background: An Emergency unit manages an extensive variety of patients with different conditions and ailments. It is the responsibility of the department to deal with, and treat, everything from minor to major conditions requiring immediate medical attention. Typically work is organized and prioritized with the support of a triagesystem. This prioritization is based on vital parameters, reason for visit and symptom. An emergency department at a university hospital in the Västra Götaland municipality, Sweden, chose to replace the existing triage system (RETTS) with a new one (GÖTT) at the beginning of 2020. This change may have affected the patient safety and as such it was important to investigate and evaluate the new triage system. Purpose: To investigate how nurses experienced triage, the triage system GÖTT and the impact of GÖTT on patient safety. Method: The authors chose a qualitative method with an inductive approach and semi-structured interviews as the data collection method. Twelve nurses in total participated in the study. The result was analyzed by using the manifest content analysis method described by Graneheim and Lundman (2004). Result: The interviews generated three main categories: The interpretation of symptoms and risks by the nurse, The nurses’ competence and ability as well as Decision making support and improvement work. Conclusion: Nurses that participated in the study described the necessity of a triage system in order to provide the right care within the right time frame. The new triage system GÖTT was described positively and as beneficial for patient safety as well as competence development. There are always risks inherent to triage and triage system that can affect patient safety negatively and they need to be constantly considered.

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