Effect of Reverse Triage on Creation of Surge Capacity in a Pediatric Hospital

• 2017

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• Gabor Kelen; Ruben Troncoso; Joshua Trebach; Scott Levin; Gai Cole; Caitlin Delaney
PMID: 28152138DOI: https://doi.org/10.1001/jamapediatrics.2016.4829

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This study looks at how pediatric hospitals can handle a sudden increase in patients during disasters. It describes using "reverse triage," where low-risk patients are discharged early to free up beds. The research found that about 11% of pediatric patients could be safely discharged immediately, with the psychiatry unit offering the most capacity. Overall, combining different strategies could create an 84% surge capacity within four days. However, reverse triage alone adds only a modest amount of space and may require careful planning to ensure patient safety after discharge during emergencies or hospital crowding situations.

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Tags

Focus Area: Everyday Emergency

Audiences: Emergency Managers; Nurses; Physicians

Emergency Management Stages: Mitigation; Response

Bundles: Disaster Research Literature Review

Keywords: Disaster Planning; Hospital Bed Capacity; Hospitals, Pediatric; Patient Discharge; Pediatrics; Retrospective Studies; Triage; Surge Capacity

Institutions: Johns Hopkins University

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