Assessment Of Quality Of Pediatric Emergency Triage And Associated Factors In Selected Hospitals Of Wolaita Zone 2017

Background: the quality of pediatric emergency triage is dependent on current professionalrnknowledge; perception of health care workers, on the level of confidence of health carernworkers (HCWs), the availability of essential medicines, supplies, equipment’s and on thernpresence and adherence of HCWs to evidence based clinical practice guidelines. Therefore,rnthe objective of this study is to assess the quality of pediatric emergency triage and itsrnassociated factors in selected hospitals of Wolaita zone 2017.rnMethodology: descriptive cross-sectional facility based study design was used. The samplingrnprocedure of the study was done by using purposive sampling technique. The study periodrnwas from Dec. 2016 to June 2017 and data collected from March to April 2017GC. 175rnHCWs responded to the questionnaire from the total of 178. The tools mainly consisted ofrnsoscio-demographics of HCWs, knowledge and perception of HCWs, factors associated withrntriage quality and observation check lists focusing on availability of essentials of pediatricrnemergency triage. The data was collected by using self-administered questionnaire on thernhealth care workers and observation check list. The descriptive statistics such as frequency,rnpercentage and SD was used for analysis as appropriate. The findings from observationrnchecklists were summarized in the form of text and tables. Multivariate analysis was usedrnto declare statistical.rnResults: this study indicated 41.7 % not correctly defined triage, 81.1 did not know triagernduration, 85.72% not identified all triage places and 64% did not categorize child with urgentrnsigns. 32 % of HCWs not interested when assigned in pediatric emergencies and 77 % ofrnHCWs were not confident when allocated in the unit. None of the hospitals have guidelines,rnprotocols, standards, sick child flow charts, treatment algorithms and no glucometer and IOrnneedle. All the three hospitals were lacking oxygen cylinder. This study result has shown thatrnlevel of qualification, training experience and reading guidelines were factors affecting triagernqualityrnConclusion: the overall quality of pediatric emergency triage service was poor. It was not asrnrecommended in all three hospitals assessed and needs an improvement.rnKey words: quality, pediatrics, emergency, triage, assessmen

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