Publications by authors named "Sarah Bornstein"
According to the World Health Organization's (WHO) Emergency Care Systems Framework, triage is an essential function of emergency departments (EDs). This practice innovation article describes four strategies that have been used to support implementation of the WHO-endorsed Interagency Integrated Triage Tool (IITT) in the Pacific region, namely needs assessment, digital learning, public communications and electronic data management.Using a case study from Vila Central Hospital in Vanuatu, a Pacific Small Island Developing State, we reflect on lessons learned from IITT implementation in a resource-limited ED.
View Article and Find Full Text PDFIntroduction: Triage is widely regarded as an essential function of emergency care (EC) systems, especially in resource-limited settings. Through a systematic search and review of the literature, we investigated the effect of triage implementation on clinical outcomes and process measures in low- and middle-income country (LMIC) emergency departments (EDs).
Methods: Structured searches were conducted using MEDLINE, CENTRAL, EMBASE, CINAHL, and Global Health.
Background: The Interagency Integrated Triage Tool (IITT) is a three-tier triage instrument recommended by the World Health Organization, but only the pilot version of the tool has been comprehensively assessed for its validity and reliability. This study sought to evaluate the performance of the IITT in a resource-constrained emergency department (ED) during the COVID-19 pandemic.
Methods: This prospective observational study was conducted at ANGAU Memorial Provincial Hospital in Lae, Papua New Guinea.
Background: Triage implementation in resource-limited emergency departments (EDs) has traditionally relied on intensive in-person training. This study sought to evaluate the impact of a novel digital-based learning strategy focused on the Interagency Integrated Triage Tool, a three-tier triage instrument recommended by the World Health Organization.
Methods: A mixed methods study utilising pre-post intervention methods was conducted in two EDs in Papua New Guinea.
Objective: To determine the sensitivity of the Interagency Integrated Triage Tool to identify severe and critical illness among adult patients with COVID-19.
Methods: A retrospective observational study conducted at Port Moresby General Hospital ED during a three-month Delta surge.
Results: Among 387 eligible patients with COVID-19, 63 were diagnosed with severe or critical illness.
Objective: The Interagency Integrated Triage Tool (IITT) is a novel, three-tier triage system recommended by the World Health Organization. The present study sought to assess the validity and reliability of a pilot version of the tool in a resource-limited ED in regional Papua New Guinea.
Methods: This pragmatic prospective observational study, conducted at Mount Hagen Provincial Hospital, commenced 1 month after IITT implementation.
Background: The Interagency Integrated Triage Tool (IITT) is a three-tier triage system designed for resource-limited emergency care (EC) settings. This study sought to assess the validity and reliability of a pilot version of the tool in an urban emergency department (ED) in Papua New Guinea.
Methods: A pragmatic observational study was conducted at Gerehu General Hospital in Port Moresby, commencing eight weeks after IITT implementation.
Article Synopsis
- Emergency departments often face high patient demand, leading to the need for a triage system to prioritize care based on urgency.
- The Interagency Integrated Triage Tool (IITT) was tested in two emergency departments in Papua New Guinea as a part of a program to enhance emergency care resources.
- The implementation involved comprehensive training for staff, support materials, and data collection methods, with positive feedback from staff indicating its potential usefulness in similar resource-limited settings.