TRIAGE SYSTEM: LITERATURE REVIEW,PROBLEMS AND SOLUTIONS IN KAZAKHSTAN

Abstract

Introduction: The indicator of the state of health of the country's population directly depends on the quality of emergency
care. At present, the first steps are being taken in implementation the triage system in the emergency rooms in Kazakhstan,
therefore a new specialty of a "emergency doctor" has been introduced.
Purpose: analysis of the triage systems in different countries with a view to inducing the interest of the medical
community in Kazakhstan to use formal sorting systems in emergency departments.
Methods: the search for relevant scientific publications was carried out in databases of evidence-based medicine
(PubMed, Cochrane Library, ResearchGate). A total of 809 literary sources were found, 50 of which were selected for further
analysis. Inclusion criteria: studies performed in people, published in English, Turkish, Russian, as well as full versions of
articles. Exclusion criteria: summary of reports, newspaper publications, personal messages.
Results: Numerous studies have shown that the sorting of patients depends on the patient's clinical characteristics, vital
signs, severity of the condition and immediate complications. An analysis of the existing sorting scales showed that these
scales are five-leveled and adapted to the region and the health care system, but there is no single universal scale.
Conclusion: For the implementation of the Triage system in Kazakhstan, it is necessary to conduct additional studies
and create guidelines on sorting systems, train medical personnel in sorting methods and incorporate the triage system into
medical education programs.