J Korean Soc Emerg Med.
2019 Feb;30(1):83-93. 10.0000/jksem.2019.30.1.83.
A Delphi study for the application of Korean Triage and Acuity Scale to children
- Affiliations
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- 1Department of Emergency Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
- 2Department of Emergency Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
- 3Department of Emergency Medicine, Myongji Hospital, Goyang, Korea.
- 4Department of Pediatrics, Kangwon National University School of Medicine, Chuncheon, Korea.
- 5Department of Anesthesiology and Pain Medicine, Kangwon National University School of Medicine, Chuncheon, Korea.
- 6Department of Health Policy and Management, Kangwon National University School of Medicine, Chuncheon, Korea. joheuisug@gmail.com
- KMID: 2441129
- DOI: http://doi.org/10.0000/jksem.2019.30.1.83
Abstract
OBJECTIVE
We investigated the opinions of experts to identify problems and prepare an improvement plan when applying the Korean Triage and Acuity Scale (KTAS) to pediatric patients in the emergency department.
METHODS
The experts comprised 15 researchers at a pediatric emergency center designated by the Ministry of Health and Welfare and research team members of the Korean Society of Pediatric Emergency Medicine. The first survey was an open-ended question about the problems, application results, and remedies of applying KTAS to children through e-mail. The problems were categorized by topic, and degree of agreement was presented using a 9-point Likert scale.
RESULTS
In the first survey, 67% of experts participated and 18 problems were identified. In the second survey, 73% of experts participated and eight problems were identified in four categories, validity, reliability, feasibility and other opinions. All experts pointed out that resources were not considered during pediatric triage in the KTAS. Ninety-one percent of experts said that peak expiratory flow rate measurement and Glasgow Coma Scale evaluation were unlikely to be feasible. Moreover, 91% experts were concerned that the triage level could be distorted if KTAS was interlocked with medical costs. Eighty-two percent of the respondents pointed to the high triage result of febrile children and the difference in pain score between the evaluators, etc.
CONCLUSION
Based on the problems pointed out by experts and the reality of Korea's emergency departments, it is necessary to consider revision of KTAS for children.
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