由於各大醫院是生診部門病人過度擁擠已是常態，由於有些病人的情況真的緊怠，為了避免在候診 時病情惡化，因此在病人等候就診時間以前接受病情再評估相對的就非常重要。本研究昌在探討病人在 急診候診時接受二次推傷可行性及對病人之影響。本研究為非隨機臨床試驗研究，以便利取樣方式於台 北布某一所醫學中心急診部二、三級病人共3333 名中，選取500 名符合資格病人做二次檢傷。二次檢傷 評估比率為15.0% ﹔經二次推傷後發現槍傷級數提升之病人數有6 人（1.2%），其中2 人由2 級提升至1 級﹔ 4 人由3 級提升至2 紋，檢傷三級病人級數提升比率為檢傷二級病人之2.7 倍。藉由二次檢傷作業，讓病 人於候言今中能及時獲得最妥適的醫療處置，以確保病人醫療之時效性與安全性，對臨床照護將有極大的 助益D 依本研究發現，建議二次檢傷可由診間護理師接受訓練復和檢傷護理師共同擔任，及藉由電腦資 訊系統提示二次檢傷病人之敢動時間，以便~p 時進行評估。

Overcrowding has been a general problem for emergency departments in major hospitals. Most patients who come to emergency department must be with a serious condition. To avoid emergency patient's condition getting worse, it will be quite precious and essential of effectively utilizing the period while patients waiting for medical treatment to re-evaluate their relative condition. The study is a non-randomized clinical experiment. Five hundred qualified patients were given secondary triages, which were conveniently sampled from 3,333 eligible patients in an emergency department of medical center in Taipei, Taiwan. The ratio of the secondary triage is 15%. After the secondary triage performed, 1.2% of patients, i.e. six people, were triaged more serious than the previous one, in which two people whose scales were altered from 2 to 1, and four people whose scales were altered from 3 to 2. The alteration rate of scale 3 is 2.7 times of that of scale 2. By implementing a secondary triage process, the patients could obtain timely and proper medical treatment, which greatly ensure patients ' safety and benefit to give clinical care in time. According to the study results, it is suggested that the process could be taken over by well-trained examination nurses and triage nurses. Moreover, the timing for the secondary triage should be triggered by computer system so as to ensure providing timely assessment.