The development of the ICTS was prompted by the triage experiences of front-line Emergency Department (ED) nurses and doctors caring for children and advanced by the Emergency Nursing Interest Group and Working Group of the EMP as a safety and quality improvement initiative. It is used for the prioritisation and assessment of paediatric patients presenting to Emergency Departments. The system supports safer, more effective, timely ED care and reflects the importance of child and family experiences of emergency care.
It also makes a significant contribution to the suite of clinical tools developed by the EMP to drive improvement in the safety, quality and value of emergency care in Ireland. ICTS was piloted and audited in six hospitals across Ireland and will become the national standard for all children who present to Emergency Departments in Ireland.
Dr Áine Carroll, National Director for Clinical Strategy and Programmes Division said: “This important tool is a result of collective input and expert opinions from the National Clinical Programmes and frontline staff in our hospitals. The Irish Children’s Triage System enables a timely response to an identified need within our health care system and I would like to say a big well done to everyone involved in its development.”
ICTS is available for download HERE.
The triage of children in EDs is an established standard of care in international and national practice. However, the triage of children can be difficult compared to adults and additional triage parameters are recommended in ICTS to reflect age-related physiological differences, children’s presenting signs and symptoms, significant paediatric co-morbidities and common Paediatric Emergency Medicine diagnoses.
The outcomes of the Irish Children’s Triage System are:
The National Emergency Medicine Programme (EMP) is one of a number of clinical programmes under the Clinical Strategy and Programmes Directorate (CSPD) of the Health Service Executive (HSE). The aim of the EMP is to improve the safety and quality of patient care in Emergency Departments (EDs) and to reduce waiting times for patients.
The Programme is led by a multidisciplinary working group that includes Consultants in Emergency Medicine, Emergency Nurses, representatives of Pre-hospital Care and Therapy Professions.
The objectives of the National Clinical Programme in Emergency Medicine are to:
For more information and the list of working group members please see HERE.