How Is The Emergency Saverity Index (ESI) Triage Method Used In Healthcare ? A Literature Review I Putu Juni Andika1, Ratna Indriati2, Diyono3, Tunjung Sri Yulianti4, Istichomah5, Budi Kristanto6, Sri Aminingsih7, Ditya Yankusuma Setiani8, Warsini9
1,2,3,4,6,7,8,9Department of Nursing, Sekolah Tinggi Ilmu Kesehatan STIKes Panti Kosala, Sukoharjo, Jawa Tengah, Indonesia
5Department of Nursing, Sekolah Tinggi Ilmu Kesehatan Yogyakarta, Yogyakarta
Abstract
ABSTRACT
Background: Emergency is a condition that requires immediate action and is generally initiated by triage, which aims to sort the urgency level of victims or patients. Triage is the initial focus of emergency case management, with the goal of sorting patients based on their level of urgency.
Purpose: How does the ESI (Emergency Severity Index) triage system in healthcare (Emergency Department) affect patient accumulation?
Methods: This literature utilizes inclusion and exclusion criteria, and the articles were obtained, reviewed, and sourced from the following databases: Google Scholar (2018-2023), PubMed (2018-2023), and ScienceDirect (2018-2023). The search strategy using English terms is as follows: ^triage system^ OR ^Emergency Severity Index^ OR ^emergency department.^ The publication year of the bibliographic sources was selected from 2015 to 2020. The search strategy includes keywords such as ^Triage^ OR ^ESI^ OR ^ED^ in English and ^Triage^ OR ^Emergency Severity Index^ and ^Healthcare^ in Bahasa Indonesia.
Results: The initial identification of titles and abstracts in Google Scholar yielded 4,250 articles, in ScienceDirect, it yielded 750 articles, while in PubMed, it yielded 1,580 articles, resulting in a total of 6,580 articles. After the literature review, it was found that among the 14 articles reviewed, ESI was highly effective when applied in healthcare services. It helped reduce patient overcrowding in emergency rooms, enabling patients to receive prompt care and diagnosis.
Conclusion: Triage using the ESI method can be implemented in all emergency units, not only reducing patient overcrowding but also saving costs and the workload of medical staff on duty during shifts. The Emergency Severity Index system in emergency severity can contribute to reducing negative outcomes of crowding in primary healthcare centers.
Keywords: Keywords: Triage, Emergency Severity Index, emergency department, health services
