{"id":10946,"date":"2021-11-24T16:06:00","date_gmt":"2021-11-24T16:06:00","guid":{"rendered":"https:\/\/dev.platform24.com\/?post_type=blog24&p=10946"},"modified":"2023-12-10T16:08:59","modified_gmt":"2023-12-10T16:08:59","slug":"triage-en-grundbult-i-svensk-sjukvard","status":"publish","type":"blog24","link":"https:\/\/dev.platform24.com\/sv\/blog\/blog24\/triage-en-grundbult-i-svensk-sjukvard\/","title":{"rendered":"Triage \u2013 en grundbult i svensk sjukv\u00e5rd"},"content":{"rendered":"\n

Vad \u00e4r triage?
<\/strong>Triage inneb\u00e4r att v\u00e5rdpersonal st\u00e4ller ett begr\u00e4nsat antal fr\u00e5gor till en patient f\u00f6r att bed\u00f6ma vilken v\u00e5rdniv\u00e5 \u00e4r mest l\u00e4mplig. Triage sker p\u00e5 m\u00e5nga st\u00e4llen: p\u00e5 akutmottagningar, p\u00e5 v\u00e5rdcentraler och p\u00e5 1177. P\u00e5 akutmottagningar st\u00e4ller man b\u00e5de fr\u00e5gor och g\u00f6r en snabb kontroll av patienten, medan man p\u00e5 v\u00e5rdcentraler och i telefonsamtal bara st\u00e4ller fr\u00e5gor. Baserat p\u00e5 svaren p\u00e5 fr\u00e5gorna kan v\u00e5rdpersonal bed\u00f6ma om man beh\u00f6ver v\u00e5rd och i s\u00e5dant fall hur akut det \u00e4r.<\/p>\n\n\n\n

Vilka fr\u00e5gor st\u00e4ller man n\u00e4r man triagerar?
<\/strong>Det finns olika triagesystem runtom i v\u00e4rlden, och i Sverige anv\u00e4nder prim\u00e4rv\u00e5rden ett system som heter R\u00e5dgivningsst\u00f6det. Det utvecklades 2003 och anv\u00e4nds idag av alla regioner. N\u00e4r man idag ringer till 1177 eller till en v\u00e5rdcentral s\u00e5 \u00e4r det RGS som anv\u00e4nds.<\/p>\n\n\n\n

Varf\u00f6r triagerar vi patienter?
<\/strong>I ett offentligt finansierat system s\u00e5 kommer det n\u00e4stan alltid att finnas en st\u00f6rre efterfr\u00e5gan p\u00e5 sjukv\u00e5rd j\u00e4mf\u00f6rt med en begr\u00e4nsad m\u00e4ngd sjukv\u00e5rdsresurser. S\u00e5 ser det ut i m\u00e5nga l\u00e4nder, och beror delvis p\u00e5 att det \u00e4r ett s\u00e4tt att \u00f6ka nyttjandegraden av sjukv\u00e5rdens resurser, s\u00e5 att man f\u00e5r s\u00e5 mycket som m\u00f6jligt f\u00f6r v\u00e5ra skattepengar. Det inneb\u00e4r samtidigt att man som v\u00e5rdgivare hamnar i en sv\u00e5r sits att beh\u00f6va prioritera mellan olika patienter. Triagesystem \u00e4r ett s\u00e4tt f\u00f6r v\u00e5rdgivare att prioritera mellan patienter och f\u00f6rst erbjuda v\u00e5rd till den som har st\u00f6rst medicinsk behov av det.<\/p>\n\n\n\n

Kan triage anv\u00e4ndas f\u00f6r att diagnostisera patienter?
<\/strong>N\u00e4r man triagerar brukar man inte st\u00e4lla alla fr\u00e5gor som man g\u00f6r i ett vanligt v\u00e5rdm\u00f6te. Man kan f\u00f6rest\u00e4lla sig ett spektrum d\u00e4r man med \u00f6kande antal fr\u00e5gor och insamlande av information \u00f6kar s\u00e4kerheten f\u00f6r att veta vad patienten har f\u00f6r besv\u00e4r. L\u00e4ngst ut p\u00e5 spektrat tar man \u00e4ven tester och unders\u00f6ker patienten f\u00f6r att hitta en diagnos. Som regel \u00e4r inte triage utformat f\u00f6r att diagnostisera en patient, utan handlar om att med ett mindre antal fr\u00e5gor bed\u00f6ma patientens behov av v\u00e5rd och hur br\u00e5dskande det \u00e4r.<\/p>\n\n\n\n

Kan triage digitaliseras?
<\/strong>Triagesystem \u00e4r som regel algoritmiska, med tydliga fr\u00e5gor som ska st\u00e4llas, och beroende p\u00e5 svaren s\u00e5 ska andra fr\u00e5gor st\u00e4llas. Detta format passar perfekt f\u00f6r digitalisering. Under de senaste \u00e5ren har X regioner inf\u00f6r digitala triagesystem f\u00f6r att effektivisera och kvalitetss\u00e4kra triagering i prim\u00e4rv\u00e5rden. Det finns flera m\u00f6jliga f\u00f6rdelar med att digitalisera triage:
Sparar tid f\u00f6r v\u00e5rdpersonal: Ist\u00e4llet f\u00f6r att sitta i telefon och triagera patienter manuellt s\u00e5 kan v\u00e5rdpersonal ist\u00e4llet l\u00e5ta systemen st\u00e4lla fr\u00e5gor, och l\u00e4gga mer tid p\u00e5 v\u00e5rdm\u00f6ten
H\u00f6jer kvaliteten: M\u00e5nga studier har visat att olika personer anv\u00e4nder manuella triagesystem v\u00e4ldigt olika. Det inneb\u00e4r att patienter f\u00e5r oj\u00e4mlik v\u00e5rd baserat p\u00e5 vem som r\u00e5kar svara i telefonen just den dagen. Ett digitalt triagesystem har inga f\u00f6rdomar, och \u00e4r mer konsekvent och j\u00e4mlik i hur den triagerar patienter.
M\u00f6jligg\u00f6r f\u00f6rb\u00e4ttringar: Idag samlas ingen strukturerad data in fr\u00e5n manuella triageringar, vilket g\u00f6r det sv\u00e5rt att utv\u00e4rdera och f\u00f6rb\u00e4ttra manuell triage. Digital triage sparar de uppgifterna som patienten anger p\u00e5 ett s\u00e4kert och strukturerat s\u00e4tt, vilket l\u00e5ter en att kontinuerligt f\u00f6rb\u00e4ttra triagesystemet – vilket \u00e4r om\u00f6jligt med vanlig manuell triage.<\/p>\n","protected":false},"excerpt":{"rendered":"

Varje dag triageras hundratusentals patienter runtom Sverige. Men vad inneb\u00e4r triage? Hur anv\u00e4nds det i prim\u00e4rv\u00e5rden? Och vad inneb\u00e4r det att digitalisera triage? L\u00e4s mer f\u00f6r att f\u00e5 en snabb \u00f6verblick av hur triage anv\u00e4nds idag och hur det kommer utvecklas fram\u00f6ver!<\/p>\n","protected":false},"author":1,"featured_media":10947,"menu_order":0,"template":"","meta":{"_acf_changed":false,"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","_EventAllDay":false,"_EventTimezone":"","_EventStartDate":"","_EventEndDate":"","_EventStartDateUTC":"","_EventEndDateUTC":"","_EventShowMap":false,"_EventShowMapLink":false,"_EventURL":"","_EventCost":"","_EventCostDescription":"","_EventCurrencySymbol":"","_EventCurrencyCode":"","_EventCurrencyPosition":"","_EventDateTimeSeparator":"","_EventTimeRangeSeparator":"","_EventOrganizerID":[],"_EventVenueID":[],"_OrganizerEmail":"","_OrganizerPhone":"","_OrganizerWebsite":"","_VenueAddress":"","_VenueCity":"","_VenueCountry":"","_VenueProvince":"","_VenueState":"","_VenueZip":"","_VenuePhone":"","_VenueURL":"","_VenueStateProvince":"","_VenueLat":"","_VenueLng":"","_VenueShowMap":false,"_VenueShowMapLink":false,"footnotes":""},"tags":[162],"blog-cat":[105],"class_list":["post-10946","blog24","type-blog24","status-publish","has-post-thumbnail","hentry","tag-produkt","blog-cat-blog-sv"],"acf":[],"yoast_head":"\nTriage \u2013 en grundbult i svensk sjukv\u00e5rd - Platform24<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Triage \u2013 en grundbult i svensk sjukv\u00e5rd - Platform24\" \/>\n<meta property=\"og:description\" content=\"Varje dag triageras hundratusentals patienter runtom Sverige. 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