Hun-Sung Kim
Dark Data in Real-World Evidence: Challenges, Implications, and the Imperative of Data Literacy in Medical Research
Journal of Korean medical science
triage crucial patient screening within emergency departments eds worldwide one essential standard medical practices many developed countries however india need improvement triage utilization predominantly performed resident doctors medical officers leading uneven distribution clinical skills among healthcare providers hcps comprehensive analysis incorporating literature review data collection revealed mandatory screening conducted indian eds formal implementation standardized triage protocols remains limited like developed countries registered nurses nursing officers nos effectively trained directed play role dedicated triage personnel eds healthcare facilities india study aimed examine current state triage utilization impact distribution responsibilities among hcps indian eds online survey investigators assessed knowledge practical understanding clinical triaging among nos working various hospitals nationwide participants included 5029 nos working various parts india predominantly nursing graduates 8252 majority employed government healthcare settings 8401 five years cumulative working experience ed 7077 nurses showed inadequate knowledge awareness pediatric assessment triangle pat used quick initial evaluation 6218 among participants concerning complete triage process applicable especially pediatric ed settings even less satisfactory knowledge understanding eg identifying primary 2827 secondary 2269 survey components via focused history examination properly using temperature assessment 2332 instant blood glucose level assessment 2295 triage knowing various types internationally accepted triage systems edbased health facilities emergency severity index esi canadian triage acuity scale ctas australasian triage scale ats 1587 anova post hoc analysis revealed intergroup performance study participants maximum correct responses knowledgedetermining specified subset questionnaire depicts significantly higher role graduate nursing degree diploma general nursing midwifery gnmauxiliary nursing midwifery anm qualification working government hospital versus private setup ed working experience 5 years 5 years participants study 50 evaluated cognitive psychomotor domains assessment examinations research illuminated significant disparity knowledge proficiency levels among indian nurses concerning pediatric triage especially ability effectively apply pat initial patient evaluations discern components primary secondary surveys comprehend various triage systems study underscores importance comprehensive reform indian healthcare system teaching curriculum emphasizing clinical triage training interprofessional collaboration establishing guidelines regulations ensure consistent standardized triage practices across eds