2 10 11 https://repository.horizon.ac.id/files/original/3d858513000d330889090910ba859ee1.pdf e8570814b05fd033fddeae04af8eb9bf Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol. 9 issue 4 2019 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol.9 issue.4 2019 African Journal of Emergency Medicine Triage conducted by lay-staff and emergency training reduces paediatric mortality in the emergency department of a rural hospital in Northern Mozambique Subject The topic of the resource Emergency care Triage Critical ill children Africa ETAT Task-shifting Description An account of the resource Introduction: The majority of emergency paediatric death in African countries occur within the first 24 h of admission. A coloured triage system is widely implemented in high-income countries and the emergency triage and assessment treatment (ETAT) is recommended by the World Health Organization, but not put into practice in Mozambique. We implemented a three-colour triage system in a rural district hospital with lay-staff workers conducting the first triage. Methods: A retrospective, before and after, mortality analysis was performed using routine patient files from the district hospital between 2014 and 2017. The triage system was implemented in August 2016. Inclusion criteria were children under 15 years of age that entered the emergency centre. Primary outcome was child mortality rate. Secondary outcomes included the percentage agreement between the clinical and non-clinical staff and the duration from triage to first treatment. We used a negative binomial model in STATA 15 to compare mortality rates, and Kappa statistics to estimate the agreement between clinical and non-clinical staff. Results: 4176 admissions were included. The mortality rate ratio (MMR) was 45% lower after the start of the intervention (2016; MRR = 0.55; 0.38, 0.81; p = 0.002), compared to before. To estimate the agreement be- tween non-clinical and clinical staff, 548 (of the 671) patient files were included. The agreement was estimated at 88.7% (Kappa = 0.644; p < 0.001). The median waiting time decreased with urgency of the triage: 2 h33 for ‘green’/least serious (IQR 1 h58-3 h30), 21 min for yellow/serious (IQR 0 h10-0 h58) and nine minutes for ‘red’/ urgent (IQR 2–40 min). Conclusion: In a rural setting with nurse-led clinical care and non-clinician staff working at the triage reception, implementation of a three-coloured triage system was feasible. Triage and ETAT training was associated with a decrease of 45% of paediatric deaths. The impact on mortality, low cost, and ease of the implementation sup- ports scaling this intervention in similar settings. Creator An entity primarily responsible for making the resource Johanna Dekker-Boersema, Jonas Hector, Laura Frances Jefferys, Clemência Binamo,Deavis Camilo, Gerard Muganga, Mussa Manuel Aly, Ernesto Belario Rafael Langa, Penelope Vounatsou, Michael André Hobbins Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2019.05.005 Date A point or period of time associated with an event in the lifecycle of the resource 20 May 2019 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Emergency care Triage Critical ill children Africa ETAT Task-shifting Jurnal Internasional Keperawatan