“When all else fails you have to come to the emergency department”: Overarching lessons about emergency care resilience from frontline clinicians in Pacific Island countries and territories during the COVID-19 pandemic

Herron, Lisa-Maree; Phillips, Georgina; Brolan, Claire E; Mitchell, Rob; O’Reilly, Gerard; Sharma, Deepak; Körver, Sarah; Kendino, Mangu; Poloniati, Penisimani; Kafoa, Berlin; Cox, Megan

doi:10.1016/j.lanwpc.2022.100519

Cited by 8 publications

(4 citation statements)

References 38 publications

(34 reference statements)

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“…As with the rest of the world, the Pacific region has been heavily impacted by the pandemic. 8 , 9 , 10 , 11 Surge events have highlighted the importance of screening and triage at the point of hospital entry, and the value of efficient streaming and patient flow in the ED. 2 , 8 , 12 , 13 , 14 As a consequence, emergency clinicians in Pacific Island Countries and Territories have been called upon to rapidly implement new processes, requiring dynamic and innovative approaches to staff training and change management.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Multimodal learning for emergency department triage implementation: experiences from Papua New Guinea during the COVID-19 pandemic

Mitchell¹,

Bornstein²,

Piamnok³

et al. 2023

The Lancet Regional Health - Western Pacific

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Section: Introductionmentioning

confidence: 99%

“… 2 , 8 , 12 , 13 , 14 As a consequence, emergency clinicians in Pacific Island Countries and Territories have been called upon to rapidly implement new processes, requiring dynamic and innovative approaches to staff training and change management. 2 , 8 , 10 , 12 , 13 , 15 , 16 …”

Section: Introductionmentioning

confidence: 99%

Multimodal learning for emergency department triage implementation: experiences from Papua New Guinea during the COVID-19 pandemic

Mitchell¹,

Bornstein²,

Piamnok³

et al. 2023

The Lancet Regional Health - Western Pacific

Self Cite

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“…The COVID-19 pandemic has highlighted the importance of timely and quality emergency care [ 8 , 43 ]. At the same time, demands on LMIC EDs have intensified, and there is a critical shortage of healthcare workers globally.…”

Section: Discussionmentioning

confidence: 99%

“…At the same time, demands on LMIC EDs have intensified, and there is a critical shortage of healthcare workers globally. This confluence of events has mandated new approaches to emergency care development and delivery, with a focus on strategies that enable optimal outcomes with efficient use of resources [ 17 , 43 ]. ED triage meets these criteria.…”

Section: Discussionmentioning

confidence: 99%

Triage implementation in resource-limited emergency departments: sharing tools and experience from the Pacific region

Mitchell,

White,

Elton

et al. 2024

Int J Emerg Med

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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. In particular, we describe the value of a bespoke needs assessment tool for documenting triage and patient flow requirements; the challenges and opportunities presented by digital learning; the benefits of locally designed, public-facing communications materials; and the feasibility and impact of a low-cost electronic data registry system.Our experience of using these tools in Vanuatu and across the Pacific region will be of interest to other resource-limited EDs seeking to improve their triage practice and performance. Although the resources and strategies presented in this article are focussed on the IITT, the principles are equally relevant to other triage systems.

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Priority Diseases, Sustained Response and SDG3.3

Mphande

2023

Sustainable Health in Low and Middle Income Countries

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“When all else fails you have to come to the emergency department”: Overarching lessons about emergency care resilience from frontline clinicians in Pacific Island countries and territories during the COVID-19 pandemic

Cited by 8 publications

References 38 publications

Multimodal learning for emergency department triage implementation: experiences from Papua New Guinea during the COVID-19 pandemic

Multimodal learning for emergency department triage implementation: experiences from Papua New Guinea during the COVID-19 pandemic

Triage implementation in resource-limited emergency departments: sharing tools and experience from the Pacific region

Priority Diseases, Sustained Response and SDG3.3

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