Tripartite triage concerns: Issues for law and ethics

Rg, Hartman

doi:10.1097/01.ccm.0000065130.18337.05

Cited by 13 publications

(13 citation statements)

References 8 publications

(3 reference statements)

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“…Or put simply, to do the greatest good for the greatest number. In fact, utilitarianism is the rationale for triage systems, insofar as they seek to use the available but scarce medical resources as efficiently as possible [11]. In itself, however, the principle of utility remains silent with regard to which goods or benefits are to be maximized [23].…”

Section: Justicementioning

confidence: 99%

“…From the perspective of ethical theories, triage is commonly seen as a classic example of distributive justice, which addresses the question of how benefits and burdens should be distributed within a population [10]. It is traditionally used within the ethical literature as an example of a pressing ethical conflict between the utilitarian principle to do the greatest good for the greatest number, [11] the principle of equal respect for all, the principle of nonmaleficence, and the principle of nonabandonment [12].…”

Section: Introductionmentioning

confidence: 99%

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Emergency department triage: an ethical analysis

Aacharya

Gastmans²,

Denier³

2011

BMC Emerg Med

122

126

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BackgroundEmergency departments across the globe follow a triage system in order to cope with overcrowding. The intention behind triage is to improve the emergency care and to prioritize cases in terms of clinical urgency.DiscussionIn emergency department triage, medical care might lead to adverse consequences like delay in providing care, compromise in privacy and confidentiality, poor physician-patient communication, failing to provide the necessary care altogether, or even having to decide whose life to save when not everyone can be saved. These consequences challenge the ethical quality of emergency care. This article provides an ethical analysis of "routine" emergency department triage. The four principles of biomedical ethics - viz. respect for autonomy, beneficence, nonmaleficence and justice provide the starting point and help us to identify the ethical challenges of emergency department triage. However, they do not offer a comprehensive ethical view. To address the ethical issues of emergency department triage from a more comprehensive ethical view, the care ethics perspective offers additional insights.SummaryWe integrate the results from the analysis using four principles of biomedical ethics into care ethics perspective on triage and propose an integrated clinically and ethically based framework of emergency department triage planning, as seen from a comprehensive ethics perspective that incorporates both the principles-based and care-oriented approach.

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Section: Justicementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Emergency department triage: an ethical analysis

Aacharya

Gastmans²,

Denier³

2011

BMC Emerg Med

122

126

View full text Add to dashboard Cite

show abstract

“…Triage decisions in routine clinical care and during a highconsequence event are made from a utilitarian, population perspective, that is, "the greatest good for the greatest number." 24,25 The well-being of the affected population is the highest priority. This approach maximizes the number of saved lives, while minimizing the number of deaths in those who will "probably live only if treated."…”

Section: Utilitarian Perspectivementioning

confidence: 99%

Lifeboat Ethics: Considerations in the Discharge of Inpatients for the Creation of Hospital Surge Capacity

Kraus

Levy²,

Kelen³

2007

Disaster med. public health prep.

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“…9 16 Ekim 2009 yılında Resmi Gazete'de yayınlanan acil servis hizmetlerinin usul ve esaslarında yapılan düzenlemede de belirtildiği gibi triyaj uygulaması, tabip veya triyaj konusunda eğitim almış olan sağlık personeli tarafından yapılabilir. [10][11][12] Acil Hemşireler Birliği'nin 1999 yılındaki standartlarına göre triyaj, en az 6 ay acil servis deneyimi, temel yaşam ve ileri yaşam desteği, travma hemşireliği, pediyatrik kurs ve acil hemşireliği sertifikası olan hemşireler tarafından yapılmasını öngörmektedir. Triyaj uygulama görevi olan hemşirelerin, gelişmiş tanılama becerisinin olması, hızlı ve doğru karar verebilmesi, iyi bir görüşmeci ve organizasyon yeteneğinin olması, hastalıklara ilişkin kapsamlı bilgisinin olması ve hastanın aciliyet durumunu fark edebilme becerilerinin olması gerekir.…”

Section: Introductionunclassified

Evaluation of the Knowledge of Triage among Nurses Working in Emergency Departments

Küçükoğlu¹,

Köse²,

Aytekin³

et al. 2017

cayd

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Öz AbstractIntroduction: This study was conducted to measure the level of knowledge of triage among nurses working in pediatric emergency and general emergency departments. Methods: This descriptive study was conducted between June and September 2014 with 154 nurses from five pediatric emergency and general emergency clinics of five hospitals located in the provinces of Erzurum and Ağrı, Turkey. In contrast to the study sample, this study was conducted within the universe. One hundred seventy seven nurses actively working at the clinics were contacted, however, 23 nurses did not agree to participate in the study, thus, the study was performed with 154 nurses. The study data were collected using a questionnaire created by the researchers through face-to-face interviews with nurses. In the evaluation of the data, percentage calculations, average and chi-square test were used. Official permission of the studied institution, approval of the ethics committee, and verbal consent of the participants were obtained in order to conduct the study. Results: In the study, the vast majority of nurses stated that they did not receive triage education during (51.3%) and after (72.1%) their college education. A statistically significant difference was found between the education level of the nurses and their triage practices (p<0.05). It was found that 72.7% of the nurses did not consider themselves qualified to perform triage, and 68.2% believed that triage was among the duties of emergency care nurses. It was also determined that the physical environment of the emergency department, the ability of personnel to triage and the absence of specialist physicians and nurses were factors affecting triage practice (p<0.05). Conclusion:It was determined that the majority of nurses working in emergency departments did not receive triage education, did not consider themselves competent on triage and that triage practice should be supported through in-service training.

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Tripartite triage concerns: Issues for law and ethics

Cited by 13 publications

References 8 publications

Emergency department triage: an ethical analysis

Emergency department triage: an ethical analysis

Lifeboat Ethics: Considerations in the Discharge of Inpatients for the Creation of Hospital Surge Capacity

Evaluation of the Knowledge of Triage among Nurses Working in Emergency Departments

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