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
Summary
A new mass-casualty triage tag for the emergency medical services of Asturias developed with the Double Diamond framework: an example of non-technological innovation in health care
Tatiana Cuartas-Álvarez1-3, Marta Nonide Robles1, Raquel Suárez Coto1, César Roza Alonso1,2, Carles Mayol Bonet4, Rafael Castro-Delgado1,2,3,5 ; en representación del Grupo de Trabajo en Incidentes de Múltiples Víctimas y Catástrofes del SAMU-Asturias
Affiliation of the authors
1Servicio de Salud del Principado de Asturias. (SAMU-Asturias), Spain. 2Instituto de Investigación Sanitaria del Principado de Asturias (ISPA). Grupo de Investigación en Asistencia Prehospitalaria y Desastres (GIAPREDE), Oviedo, Spain. 3RINVEMER-SEMES (Red de Investigación en Asistencia Prehospitalaria. Sociedad Española de Medicina de Urgencias y Emergencias). Madrid, Spain. 4Sistema d’Emergències Mèdiques (SEM). Barcelona, Spain. 5Departamento de Medicina, Universidad de Oviedo, Oviedo, Spain.
DOI
Quote
Cuartas-Álvarez T, Nonide Robles M, Suárez Coto R, Roza Alonso C, Mayol Bonet C, Castro-Delgado R; en representación del Grupo de Trabajo en Incidentes de Múltiples Víctimas y Catástrofes del SAMU-Asturias. A new mass-casualty triage tag for the emergency medical services of Asturias developed with the Double Diamond framework: an example of non-technological innovation in health care. Rev Esp Urg Emerg. 2025;4:81–6
Summary
BACKGROUND AND OBJECTIVE. Triage tags are widely used tools to identify and register victims of mass-casualty incidents during emergency care. This paper describes the process of designing a new triage tag for the emergency medical services of Asturias adapted for out-of-hospital advanced triage.
MATERIAL AND METHODS. We used the innovative Double Diamond design approach. The 4 phases of the process involved 1) discovery (identification) of needs, 2) definition of goals to focus on, 3) development of potential solutions to test, and 4) delivery of a solution and implementation.
RESULTS. After identifying emergency responders’ needs (eg, simplicity of use, appropriate size adapted to how our responders work), we designed a triage tag system that would be appropriate for the Asturian emergency services and adapted to our work protocols, taking into consideration the suggestions of users in order to facilitate acceptance and implementation.
CONCLUSIONS. Use of the innovative approach used to design the triage card system demonstrated that it can find common ground between scientific methodology and health care practices.
More articles by the authors
