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All Journal Jurnal Kesehatan Jurnal Mandala Pengabdian Masyarakat Jurnal Ilmiah Kesehatan Promotif
Parinding, Yunus
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Health Professions Nursing Public Health Social Sciences

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THE RELIABILITY AND ACCURACY OF INTERNATIONAL TRIAGE SCALE IN THE EMERGENCY DEPARTMENT (ED): A LITERATURE REVIEW Parinding, Yunus
Jurnal Ilmiah Kesehatan Promotif Vol. 8 No. 2 (2024): Juni 2024
Publisher : Institut Toraja Raya Indonesia (ITRI)

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Abstract

A large number of patient visits to the Emergency Department (ED) will influence the outcome of the services provided. The triage scale is one method designed to manage patient screening for quality service improvement. Several triage scales are employed internationally in the EDs including the Australasian Triage Scale (ATS), the Manchester Triage System (MTS), the Canadian Triage and Accuracy Scale (CTAS), and the Emergency Severity Index (ESI). Several studies have a concern to identify the reliability of the triage scale, but only a few of them identified the accuracy of the triage scale. The purpose of this literature review was to identify the best reliability and accuracy among ATS, MTS, CTAS, and ESI based on the literature. The literature search was conducted on electronic databases EBSCO and PubMed with keywords including (triage OR emergency department triage) AND reliability AND ((the Canadian Triage and Accuracy Scale OR CTAS) AND (the Australasian Triage Scale OR ATS) AND (the Manchester Triage System OR MTS) AND the Emergency Severity Index OR ESI)). Assessment of articles was composed based on the PRISMA format with criteria including primary research articles containing the reliability and accuracy of the triage scale in English and published between 2009 – 2019. A total of 271 publications were identified and only 10 studies were included in this literature review. The results reveal that ATS has a moderate level of reliability (k = 04 – 0.57) with an accuracy of 46.2% – 58.3%, CTAS has a good level reliability (k = 0.770) with accuracy of 49%, MTS have good to excellent level of reliability (k = 0.61 – 0.95) with accuracy of 49%, and ESI have moderate to excellent level reliability (k = 0.45 – 0.94) with accuracy of 59.6 % – 72.5%. Based on this review, MTS and ESI are the triage scale with the highest reliability and accuracy. Therefore, MTS and ESI are highly recommended in the ED. However, each EDs need to pay attention to the characteristics, culture, and available resources before choosing and implementing an appropriate triage scale
Accuracy Patient Management in the Emergency Room: Social Cognitive Theory Insights Parinding, Yunus; Indasah, Indasah; Puspitasari, Yenny
Jurnal Kesehatan Vol 16 No 3 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i3.5400

Abstract

Emergency healthcare services play a crucial role in patient survival, particularly in emergency departments (ED) where timely and accurate decision-making is vital. This study aims to analyze the personal, behavioral, and environmental factors that influence the accuracy of patient management in emergency departments, using the Social Cognitive Theory framework. An observational, cross-sectional study was conducted among 107 emergency nurses from all hospitals in Toraja, selected using total sampling. Independent variables included personal, behavioral, and environmental aspects, while the dependent variable was patient management accuracy. Data were collected using a validated questionnaire and analyzed through univariate, bivariate, and multivariate linear regression using statistical application. The study was approved by the Health Research Ethics Committee (Approval No: 0723419/EC/KEPK/I/05/2025). Results indicated an R-squared value of 0.502, suggesting that 50.2% of the variance in patient management accuracy could be explained by the three independent variables. Multivariate analysis revealed that the behavioral factor had the most significant influence (p=0.000; B=0.567). Behavioral factors play the most significant role in determining the accuracy of patient management in emergency departments, followed by environmental and personal factors. Strengthening clinical skills, teamwork, and adherence to protocols is essential to improving emergency care outcomes. Hospitals should prioritize continuous training, competency-based evaluations, and supportive work environments to enhance behavioral performance among emergency nurses. Future research is recommended to employ longitudinal designs to understand causal pathways better and to include broader healthcare roles beyond nursing.
Sosialisasi SOP Tim Penanggulangan Bencana di RSUD Lakipadada Tana Toraja Parinding, Yunus; Nurwijayanti, Nurwijayanti
Jurnal Mandala Pengabdian Masyarakat Vol. 6 No. 2 (2025): Jurnal Mandala Pengabdian Masyarakat
Publisher : Progran Studi Farmasi Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35311/jmpm.v6i2.654

Abstract

Rumah Sakit Umum Daerah Lakipadada di Tana Toraja memiliki peran strategis sebagai rumah sakit rujukan utama dalam penanganan bencana, seperti tanah longsor dan kecelakaan massal. Sosialisasi mengenai Standar Operasional Prosedur Tim Penanggulangan Bencana dilakukan dengan tujuan meningkatkan kesiapsiagaan serta efektivitas tenaga medis dan non-medis dalam menghadapi situasi darurat. Kegiatan ini dilaksanakan pada 30 Desember 2024 di aula RSUD Lakipadada dengan metode ceramah, diskusi, serta pretest dan posttest untuk mengukur peningkatan pemahaman peserta. Hasil kegiatan menunjukkan adanya peningkatan rata-rata skor dari 7,09 pada pretest menjadi 8,33 pada posttest, yang menandakan adanya peningkatan pengetahuan peserta mengenai tugas, tanggung jawab, dan prosedur penanggulangan bencana. Peserta didominasi oleh tenaga perawat yang memiliki peran penting sebagai ujung tombak pelayanan rumah sakit. Meskipun tim telah memahami SOP dengan baik, ditemukan beberapa kekurangan seperti minimnya pelatihan triage dan keterbatasan ketersediaan alat pelindung diri. Oleh karena itu, direkomendasikan peningkatan pelatihan rutin, penyediaan alat evakuasi, serta evaluasi dan penyempurnaan SOP secara berkala. Kegiatan sosialisasi ini diharapkan dapat memperkuat kesiapsiagaan dan kemampuan rumah sakit dalam memberikan pelayanan kesehatan berkualitas kepada masyarakat, khususnya dalam kondisi bencana. Selain itu, kegiatan ini diharapkan dapat dijadikan agenda tahunan agar tim senantiasa siap dan terlatih menghadapi situasi darurat.
Co-Authors Indasah Nurwijayanti Kusumaningrum Yenny Puspitasari