Abstract:
Background. Medical triage is a critical component in the efficient functioning of the
Emergency Department (ED), allowing for the rapid assessment and classification of
patients based on the severity of their clinical condition. This process optimizes the use of
medical resources, reduces waiting times.
Objective(s). Assessment of the importance of medical triage within the ED of IEM, analysis
of the criteria for classifying patients by urgency levels and highlighting the applicable legal
framework.
Materials and methods. Data from 2024 from the Emergency Reception Unit was analyzed,
in correlation with the provisions of the standardized clinical protocol "Triage in emergency
reception units", approved by the Ministry of Health of the Republic of Moldova
(19.05.2017). The distribution of patients was evaluated based on the level of urgency and
triage area.
Results. In 2024, there were 80,080 admissions in the ED, of which 30,698 (38.3%) required
hospitalization. The distribution of patients by urgency levels was: red zone (level Iresuscitation): critical patients 2.7%; yellow zone (level II-critical) had 17.9% cases with
major risk. In the green zone (level III-urgent): 30.2%, without immediate life risk, while in
the blue zone (level IV-non-urgent) - 37.6%, with minor conditions. Level V-white code,
11.6%, does not require assistance. The identification of 2,146 patients who needed
immediate resuscitation demonstrates the efficiency of triage and its vital impact on
survival.
Conclusion(s). Medical triage, carried out by qualified personnel, allows for the efficient
allocation of resources, prevention of overcrowding, and improvement of the quality of
emergency medical care. Adhering to the national triage protocol is essential for patient
safety and the optimal functioning of the ED.
