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Abstract

Emergency Departments (ED) operate under high-pressure conditions where rapid and accurate triage is essential to ensure optimal patient outcomes. This study aimed to evaluate whether the assignment of dedicated triage nurses could reduce triage procedure time in the ED. The study employed an observational cross-sectional design using secondary data extracted from the Hospital Information System (HIS) at XYZ Private Hospital, Bogor. The intervention involved assigning trained triage nurses for each shift starting in June 2024, replacing the previous practice of ad hoc triage by available nurses. The results showed a significant reduction in median triage time from 4 minutes and 11 seconds to 2 minutes and 23 seconds after the intervention (p-value = <0.001). These findings indicate that structural changes in workforce allocation can improve triage efficiency. However, other influencing factors such as daily visit volume, shift-based workload, and the complexity of clinical cases may also affect triage duration. This study did not disaggregate data by triage category or shift, suggesting the need for further research to assess the intervention's impact more comprehensively. With global Emergency Room (ER) visits increasing by 30%, the implementation of a fast and accurate triage system, led by well-trained nurses, is essential. Hospitals are advised to adopt triage nurse assignment policies, provide ATS-based training, and conduct routine monitoring and evaluation as part of continuous quality improvement in emergency care.

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Bahasa Abstract

Unit Gawat Darurat (UGD) beroperasi di bawah kondisi tekanan tinggi di mana triase yang cepat dan akurat sangat penting untuk memastikan hasil yang optimal bagi pasien. Penelitian ini bertujuan untuk mengevaluasi apakah penugasan perawat khusus triase dapat mengurangi waktu prosedur triase di UGD. Penelitian ini menggunakan desain cross-sectional observasional dengan menggunakan data sekunder yang diekstrak dari Hospital Information System (HIS) di Rumah Sakit Swasta XYZ, Bogor. Intervensi yang dilakukan adalah dengan menugaskan perawat triase terlatih untuk setiap shift mulai bulan Juni 2024, menggantikan praktik triase ad hoc yang dilakukan oleh perawat yang ada. Hasil penelitian menunjukkan penurunan yang signifikan dalam median waktu triase dari 4 menit 11 detik menjadi 2 menit 23 detik setelah intervensi (p-value = <0,001). Temuan ini menunjukkan bahwa perubahan struktural dalam alokasi tenaga kerja dapat meningkatkan efisiensi triase. Namun demikian, faktor-faktor lain yang mempengaruhi seperti volume kunjungan harian, beban kerja per shift, dan kompleksitas kasus klinis juga dapat mempengaruhi durasi triase. Penelitian ini tidak memilah data berdasarkan kategori triase atau shift, sehingga menunjukkan perlunya penelitian lebih lanjut untuk menilai dampak intervensi secara lebih komprehensif. Dengan meningkatnya kunjungan ke ruang gawat darurat secara global sebesar 30%, penerapan sistem triase yang cepat dan akurat, yang dipimpin oleh perawat yang terlatih, sangatlah penting. Rumah sakit disarankan untuk mengadopsi kebijakan penugasan perawat triase, memberikan pelatihan berbasis ATS, serta melakukan pemantauan dan evaluasi rutin sebagai bagian dari peningkatan kualitas yang berkesinambungan dalam pelayanan gawat darurat.

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