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J Korean Soc Emerg Med > Volume 35(1); 2024 > Article
Journal of The Korean Society of Emergency Medicine 2024;35(1): 6-15.
한국형 병원전 응급환자 분류도구 시범사업 시행결과
강창신1 , 최한주2 , 김상일3 , 김용오2 , 김정윤4 , 김정호5 , 노현6 , 류현호7 , 위정희8 , 황규욱2 , 홍기정9 , 안재윤10 , 윤준성11 , 고은실12 , 이민희12 , 고성근12 , 이태영12 , 노을희12 , 박준범3
1충남대학교 의과대학 응급의학교실
2단국대학교 의과대학 응급의학교실
3순천향대학교 서울병원 응급의학과
4고려대학교 구로병원 응급의학과
5영남대학교 의과대학 응급의학교실
6순천향대학교 부천병원 응급의학과
7전남대학교 의과대학 응급의학교실
8가톨릭대학교 여의도성모병원 응급의학과
9서울대학교 의과대학 응급의학교실
10경북대학교병원 응급의학과
11가톨릭대학교 의과대학 응급의학교실
12국립중앙의료원 중앙응급의료센터
Pre-hospital Korean Triage and Acuity Scale: the results of first and second pilot projects
Changshin Kang1 , Han Joo Choi2 , Sang-Il Kim3 , Yong Oh Kim2 , Jung-Youn Kim4 , Jungho Kim5 , Hyun Noh6 , Hyun Ho Ryu7 , Jung Hee Wee8 , Gyuuk Hwang2 , Ki Jeong Hong9 , Jae Yun Ahn10 , Chun Song Youn11 , Eunsil Ko12 , Minhee Lee12 , Sung-keun Ko12 , Tae Young Lee12 , Eul Hee Roh12 , Joonbum Park3
1Department of Emergency Medicine, Chungnam National University College of Medicine, Daejeon, Korea
2Department of Emergency Medicine, Dankook University College of Medicine, Cheonan, Korea
3Department of Emergency Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea
4Department of Emergency Medicine, Korea University Guro Hospital, Seoul, Korea
5Department of Emergency Medicine, Yeungnam University College of Medicine, Daegu, Korea
6Department of Emergency Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea
7Department of Emergency Medicine, Chonnam National University College of Medicine, Gwangju, Korea
8Department of Emergency Medicine, Yeouido St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
9Department of Emergency Medicine, Seoul National University College of Medicine, Seoul, Korea
10Department of Emergency Medicine, Kyungpook National University Hospital, Daegu, Korea
11Department of Emergency Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
12National Emergency Medical Center, National Medical Center, Seoul, Korea
Correspondence  Joonbum Park ,Tel: 02-709-9117, Fax: 02-709-9083, Email: jesumania@gmail.com,
Received: October 11, 2023; Revised: October 31, 2023   Accepted: October 31, 2023.  Published online: February 28, 2024.
ABSTRACT
While the Korean Triage and Acuity Scale (KTAS) was introduced in 2016 as a tool to identify patients at risk of catastrophic events, including death in the ED, the triage system for the pre-hospital stage still lacks evidence. The pre-hospital stage is characterized by time-sensitive and complex scenarios, where rapid and accurate decision-making is paramount to optimize patient outcomes. Despite the vital role of pre-hospital care providers, the invalidated and subjective current triage system consisting of 4-stages is still used at the pre-hospital stage, and hence, it needs to be modified to be more objective, standardized, and reliable. To improve the Korean emergency medical system, the pre-hospital KTAS (Pre-KTAS) was developed in 2020, and then two pilot projects were conducted in 2022 and 2023. This paper not only reveals the results of the first and second pilot projects for Pre-KTAS but also highlights the potential benefits of using this newly developed triage tool in the pre-hospital setting. Furthermore, this paper suggests ways to improve the emergency medical system (EMS) in Korea by improving patient safety, resource allocation, and overall emergency response efficiency.
Key words: Emergency medical services; Triage; Patient safety
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