Multimodal learning for emergency department triage implementation: experiences from Papua New Guinea during the COVID-19 pandemic

Triage implementation in resource-limited emergency departments (EDs) has traditionally relied on intensive in-person training. This study sought to evaluate the impact of a novel digital-based learning strategy focused on the Interagency Integrated Triage Tool, a three-tier triage instrument recomm...

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Bibliographic Details
Published in:The Lancet regional health. Western Pacific 2023-04, Vol.33, p.100683-100683, Article 100683
Main Authors: Mitchell, Rob, Bornstein, Sarah, Piamnok, Donna, Sebby, Wilma, Kingston, Carl, Tefatu, Rayleen, Kendino, Mangu, Josaiah, Betty, Pole, Jasper, Kuk, Sylvia, Körver, Sarah, Miller, Jean-Philippe, Cole, Travis, Erbs, Andrew, O'Reilly, Gerard, Cameron, Peter, Sengiromo, Duncan, Banks, Colin
Format: Article
Language:English
Subjects:
Digital learning
Emergency care
Papua New Guinea
Triage
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Summary:Triage implementation in resource-limited emergency departments (EDs) has traditionally relied on intensive in-person training. This study sought to evaluate the impact of a novel digital-based learning strategy focused on the Interagency Integrated Triage Tool, a three-tier triage instrument recommended by the World Health Organization. A mixed methods study utilising pre-post intervention methods was conducted in two EDs in Papua New Guinea. The primary outcome was the mean change in knowledge before and after completion of a voluntary, multimodal training program, primarily delivered through a digital learning platform accessible via smartphone. Secondary outcomes included the change in confidence to perform selected clinical tasks, and acceptability of the learning methods. Among 136 eligible ED staff, 91 (66.9%) completed the digital learning program. The mean knowledge score on the post-training exam was 87.5% (SD 10.4), a mean increase of 12.9% (95% CI 10.7–15.1%, p 
ISSN:2666-6065
2666-6065
DOI:10.1016/j.lanwpc.2023.100683