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Strengthening Emergency Care Systems to Mitigate Public Health Challenges Arising from Influxes of Individuals with Different Socio-Cultural Backgrounds to a Level One Emergency Center in South East Europe

1
Centre of Excellence in Emergency Medicine, Cape Town 7700, South Africa
2
Department of Emergency Medicine, Clinical Centre of Serbia, 11000 Belgrade, Serbia
3
Department of Emergency Medicine, Inselspital, University Hospital Bern, 3010 Bern, Switzerland
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(3), 501; https://doi.org/10.3390/ijerph15030501
Received: 29 December 2017 / Revised: 24 February 2018 / Accepted: 2 March 2018 / Published: 12 March 2018
(This article belongs to the Special Issue Refugee, Migrant and Ethnic Minority Health)
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PDF [281 KB, uploaded 13 March 2018]

Abstract

Emergency center visits are mostly unscheduled, undifferentiated, and unpredictable. A standardized triage process is an opportunity to obtain real-time data that paints a picture of the variation in acuity found in emergency centers. This is particularly pertinent as the influx of people seeking asylum or in transit mostly present with emergency care needs or first seek help at an emergency center. Triage not only reduces the risk of missing or losing a patient that may be deteriorating in the waiting room but also enables a time-critical response in the emergency care service provision. As part of a joint emergency care system strengthening and patient safety initiative, the Serbian Ministry of Health in collaboration with the Centre of Excellence in Emergency Medicine (CEEM) introduced a standardized triage process at the Clinical Centre of Serbia (CCS). This paper describes four crucial stages that were considered for the integration of a standardized triage process into acute care pathways. View Full-Text
Keywords: emergency care; triage; healthcare system strengthening; migrant health emergency care; triage; healthcare system strengthening; migrant health
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Twomey, M.; Šijački, A.; Krummrey, G.; Welzel, T.; Exadaktylos, A.K.; Ercegovac, M. Strengthening Emergency Care Systems to Mitigate Public Health Challenges Arising from Influxes of Individuals with Different Socio-Cultural Backgrounds to a Level One Emergency Center in South East Europe. Int. J. Environ. Res. Public Health 2018, 15, 501.

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