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Theory and application on cognitive factors and risk management new trends and procedures

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Nội dung chi tiết: Theory and application on cognitive factors and risk management new trends and procedures

Theory and application on cognitive factors and risk management new trends and procedures

Chapter 1A Cognitive Model for Emergency Management in Hospitals: Proposal of a Triage Severity IndexMarco Frascio, Francesca Mandolfino, Federico Zom

Theory and application on cognitive factors and risk management new trends and proceduresmparelli and Antonella PetrilloAdditional information is available at the end of the chapterhttp //dx dot org/10hoppnAbstractHospitals play a critical

role in providing communities with essential medical care during all types OÍ disasters. Any accident that damages systems or people often requires a Theory and application on cognitive factors and risk management new trends and procedures

multifunctional response and recoven,- effort. Without an appropriate emergency’ planning., it is impossible Io provide good rare during a critical e

Theory and application on cognitive factors and risk management new trends and procedures

vent. In fad, during a disaster condition, the same "critical'- severity could occur for patients. I hits, it is essential lo categorize and Io priori

Chapter 1A Cognitive Model for Emergency Management in Hospitals: Proposal of a Triage Severity IndexMarco Frascio, Francesca Mandolfino, Federico Zom

Theory and application on cognitive factors and risk management new trends and procedurestients Io give an order of medical visit, rhe purpose of the present research is Io develop a hybrid algorithm, called triage algo-ritlim for emergenc

y management (TAEM). Hie goal is twofold: First, to assess the priority of treatment; second, to assess ill which hospital it is preferable to conduct Theory and application on cognitive factors and risk management new trends and procedures

patients. The triage models proposed in the literature are qualitative. The proposed algoritlim aims to cover tills gap. Ute model presented exceeds

Theory and application on cognitive factors and risk management new trends and procedures

die limits of literature by developing a quantitative algoritlim, wliich performs a numerical index. Tile hybrid model is implemented in a real scenar

Chapter 1A Cognitive Model for Emergency Management in Hospitals: Proposal of a Triage Severity IndexMarco Frascio, Francesca Mandolfino, Federico Zom

Theory and application on cognitive factors and risk management new trends and proceduresIntroductionThe continuous evolution of production processes has resulted in increased effectiveness and process efficiency. On the other hand, howeve

r, the systems are much more complex and difficult to manage fl, 2]. For this reason, to handle any emergencies that are created, it is necessary 10 d Theory and application on cognitive factors and risk management new trends and procedures

evelop a proper plan lo respond IO emergencies. The emergency can be2 Theory and Application on Cognitive Factors and Risk Management - New Trends and

Theory and application on cognitive factors and risk management new trends and procedures

Procedurescaused: by a fault of a system, by a human error, or by natural factors [3]. The National Governor's Association designed four phases of di

Chapter 1A Cognitive Model for Emergency Management in Hospitals: Proposal of a Triage Severity IndexMarco Frascio, Francesca Mandolfino, Federico Zom

Theory and application on cognitive factors and risk management new trends and proceduressotưces and faces different challenges [4]. One of the most important phases is the response phase that addresses immediate threats presented by the d

isaster, including saving lives, meeting humanitarian needs, and starting of resource distribution. In this phase, a particular process involves the t Theory and application on cognitive factors and risk management new trends and procedures

riage efforts that aim to assess and deal with the most pressing emergency issues. This period is often marked by some level of chaos, a period of tim

Theory and application on cognitive factors and risk management new trends and procedures

e that cannot be defined a priori, since it depends on the nature of the disaster and the extent of damage [5] It is obvious that it is necessary to a

Chapter 1A Cognitive Model for Emergency Management in Hospitals: Proposal of a Triage Severity IndexMarco Frascio, Francesca Mandolfino, Federico Zom

Theory and application on cognitive factors and risk management new trends and procedureskly identification of patients with urgent, life-threatening conditions is needed [71-Accurate triage is the "key" to the efficient operation of an em

ergency department (ED) to determine the severity of illness or injury for each patient who enters the ED [8]. rhe term triage comes from the I rench Theory and application on cognitive factors and risk management new trends and procedures

verb trier, meaning to separate, sift, or select. A system for the classification of patients was first used by Baron Dominique Jean Larry, a chief su

Theory and application on cognitive factors and risk management new trends and procedures

rgeon in Napoleon's army [91. Originally, the concepts of triage were primarily focused on mass casualty situations. Many of the original concepts of

Chapter 1A Cognitive Model for Emergency Management in Hospitals: Proposal of a Triage Severity IndexMarco Frascio, Francesca Mandolfino, Federico Zom

Theory and application on cognitive factors and risk management new trends and procedureshould have a triage assessment within 10 min of arrival in the I D in order lo ensure their proper medical management. I lowever, it is not always pos

sible to achieve this purpose. Some weaknesses characterize the classic triage models. Il is worthy to underline that several methods of triage exist Theory and application on cognitive factors and risk management new trends and procedures

for evaluating the condition of a patient and treat him/ her accordingly The triage methods most commonly used are Australasian Triage scale (ATS), th

Theory and application on cognitive factors and risk management new trends and procedures

e Canadian Triage and Acuity Scale (CTAS), Manchester Triage System (MTS), and Emergency Severity Index (ESI) [111. As highlighted by Lerner et al. [1

Chapter 1A Cognitive Model for Emergency Management in Hospitals: Proposal of a Triage Severity IndexMarco Frascio, Francesca Mandolfino, Federico Zom

Theory and application on cognitive factors and risk management new trends and proceduresnalyze several factors to decide in which hospital the patient has lo bo admitted but qualitatively [13]. The effective triage is based on the knowled

ge, skills, and attitudes of the triage staff. However, despite this knowledge, it is evident that the use of one triage algorithm is limited [ 141 Th Theory and application on cognitive factors and risk management new trends and procedures

us, the definition of an integrated triage system is an important research priority. This study aims to cover this research gap The aim of the researc

Theory and application on cognitive factors and risk management new trends and procedures

h is twofold First, the model provides a hybrid algorithm to define the priority of treatment. Second, a multi-criteria model is developed to evaluate

Chapter 1A Cognitive Model for Emergency Management in Hospitals: Proposal of a Triage Severity IndexMarco Frascio, Francesca Mandolfino, Federico Zom

Theory and application on cognitive factors and risk management new trends and proceduresvaluation of triage hospital. The study helps to expand the knowledge on emergency management and also develops a standard algorithm that can be used

in emergency situations, to evaluate the patient's condition, and choose the most suitable hospital. The model can be used in different conditions, bo Theory and application on cognitive factors and risk management new trends and procedures

th for major emergencies and in emergency conditions, medium-low. In the present work, the model is applied during an emergency simulation in a petroc

Theory and application on cognitive factors and risk management new trends and procedures

hemical company.The chapter is organized as follows. Section 2 presents an overview of the four triage models most used in the world. Section 3 descri

Chapter 1A Cognitive Model for Emergency Management in Hospitals: Proposal of a Triage Severity IndexMarco Frascio, Francesca Mandolfino, Federico Zom

Theory and application on cognitive factors and risk management new trends and procedures Model for Emergency Management in Hospitals Proposal of a Triage Severity Index 3 http //dx dot org/10 5772/intechopen 681442rhe four principal triag

e models2.1.The Australasian Triage scale (A I S)The Australasian Triage scale ( ATS) was developed in the 1994 in an Australasian emergency departmen Theory and application on cognitive factors and risk management new trends and procedures

t [15, 16], All patients presenting to an emergency department should be assessed by a nurse or a doctor. The triage assessment generally goes on no m

Theory and application on cognitive factors and risk management new trends and procedures

ore than 2-5 min. Patients who are waiting are processed again, to see if their condition deteriorated. The nurse or the doctor may also initiate the

Chapter 1A Cognitive Model for Emergency Management in Hospitals: Proposal of a Triage Severity IndexMarco Frascio, Francesca Mandolfino, Federico Zom

Theory and application on cognitive factors and risk management new trends and proceduresumber between 1 and 5 and a color scale The second column represents the maximum time within which it is necessary to cure the patient, rhe third colu

mn describes the reference category, and finally the fourth column describes the patient's symptoms.Table 2 incorporates the classification of Table 1 Theory and application on cognitive factors and risk management new trends and procedures

and shows the performance indicator threshold. The indicator threshold represents the percentage of patients assigned AIS categories, who commenceass

Theory and application on cognitive factors and risk management new trends and procedures

cssmenl and treatment within the relevant waiting lime from I heir limo of arrival.2.2.rhe Canadian I riage and Acuity Scale (C l AS)The Canadian Tria

Chapter 1A Cognitive Model for Emergency Management in Hospitals: Proposal of a Triage Severity IndexMarco Frascio, Francesca Mandolfino, Federico Zom

Theory and application on cognitive factors and risk management new trends and proceduresermine the triage level. CTAS defines a five-level scale with level 1, representing the worst case and level 5, representing the patient with less ris

k, rhe c I AS establishes a relationship between patient's presenting symptoms and the potential causes Other factors called modifiers refine the clas Theory and application on cognitive factors and risk management new trends and procedures

sification [17 191 as follows:1Resuscitation. Conditions expecting the risk of death. Those are patients that have their heart arrested, or are heart

Theory and application on cognitive factors and risk management new trends and procedures

pre-arrest, or heart post-arrest. Their treatment is often started in the pre-hospital selling and further aggressive or resuscitative efforts are req

Chapter 1A Cognitive Model for Emergency Management in Hospitals: Proposal of a Triage Severity IndexMarco Frascio, Francesca Mandolfino, Federico Zom

Theory and application on cognitive factors and risk management new trends and proceduresithin 10 minAssessment and ueatment within 30 minAssessment and treatmentwithin 60 minAssessment and treatmentwithin 120 minCategory descriptionClinic

al descriptorsImmediately lite tlưcatvningImminently lite-threateningPotentially lile-threateningPotentially serious or urgency situation Theory and application on cognitive factors and risk management new trends and procedures

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