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J Korean Soc Emerg Med > Volume 28(6); 2017 > Article
Journal of The Korean Society of Emergency Medicine 2017;28(6): 547-551.
한국형 응급환자 분류도구의 이해
박준범1, 임태호2
1순천향대학교 의과대학 응급의학교실
2한양대학교 의과대학 응급의학교실
Korean Triage and Acuity Scale (KTAS)
Joonbum Park1, Taeho Lim2
1Department of Emergency Medicine, Soonchunhyang University College of Medicine, Seoul, Korea
2Department of Emergency Medicine, Hanyang University College of Medicine, Seoul, Korea
Correspondence  Taeho Lim ,Tel: 02-2290-9279, Fax: 02-2290-9832, Email: erthim@gmail.com,
Received: July 25, 2017; Revised: July 27, 2017   Accepted: September 14, 2017.  Published online: December 31, 2017.
ABSTRACT
The number of patients visiting the emergency room (ER) is increasing every year. The Korean Triage and Acuity Scale (KTAS) was developed in Korea in 2012 to help reduce the congestion of the ER at the hospital level and improve the safety of patients. From January 2016, KTAS has been implemented in emergency medical (EM) centers. KTAS evaluates patients who visit the ER by the following process: impression evaluation, infection confirmation, primary symptom selection, and primary/secondary considerations. KTAS prioritizes patients according to the level, and if necessary, sets a time for which the patient can wait safely with the aim to see a doctor within that time. KTAS has the characteristics of both severity and acuity, so there can be some discrepancy between the KTAS level and disposition. All EM centers conducted the KTAS classification from March to November, 2016. An analysis of the results of the KTAS classification showed no distortion in the classification from the beginning of KTAS introduction. In the near future, it is hoped to develop a KTAS-based transport protocol reflecting the regional medical resources and cultures at the pre-hospital stage, and establish an effective EM system, including medical basis and policy consideration.
Key words: Emergency medical service, Triage, Patient safety
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