2026-10-07T05:31:56Z https://api.figshare.com/v2/oai

oai:figshare.com:article/34025860 2026-09-29T17:26:08Z category_7 category_8 category_64 category_106 portal_5 item_type_3 month_year_09_2026

<p>Characteristics of included studies.</p> Ghada Elhadari (25138216) Sarah Aly (14109822) Alexandria Brackett (10218281) Hani Mowafi (24432205) Medicine Microbiology Cancer Science Policy surgical conditions may study using joanna search yielded 1 scoping review aims included 57 studies 8 %) studies 7 %) studies 5 %) studies 3 %) studies 0 %) studies outer setting domain inner setting domain world health organization implementing triage systems essential ecs functions implementation process domain scale triage implementation original research articles based triage implementation based triage triage implementation implementation research innovation domain individuals domain global health ecs ). 586 articles xlink "> within peer searched scopus ovid medline mmat ). lmic settings income countries exclusion criteria disabilities associated core collection cochrane central cfir ). briggs institute applying inclusion analysis provides <div><p>More than 50% of mortality and one-third of disabilities associated with a range of medical and surgical conditions may be prevented by a well-established Emergency Care System (ECS). The World Health Organization (WHO) has developed a framework that defines the essential ECS functions, including facility-based triage. This scoping review aims to identify the barriers and facilitators to facility-based triage implementation in low- and middle-income countries (LMICs) within peer-reviewed literature and map them to the Consolidated Framework for Implementation Research (CFIR). We searched Scopus, Web of Science-Core Collection, Ovid MEDLINE, Embase, Cochrane CENTRAL, CINAHL, AfricaWide, and Global Health for original research articles, with one or more barriers or facilitators to triage implementation in an LMIC facility. Two reviewers independently screened studies in Covidence. A third reviewer resolved conflicts at each stage. Data was extracted in Covidence by one reviewer and verified by a second. We conducted thematic content analysis of barriers and facilitators and mapped them to the Consolidated Framework for Implementation Research (CFIR). We also conducted quality appraisals of each study using Joanna-Briggs Institute (JBI) tools and the Mixed Method Appraisal tool (MMAT). Our search yielded 1,586 articles, including 839 unique articles. After applying inclusion/exclusion criteria, we included 57 studies. 42 (73.7%) studies were mapped to the Innovation domain; 19 (33.3%) studies were mapped to the Outer Setting domain; 50 (87.8%) studies were mapped to the Inner Setting domain; 51 (89.5%) studies were mapped to the Characteristics of Individuals domain; 53 (93.0%) studies were mapped to the Implementation Process domain. Several barriers and facilitators to triage implementation in LMIC settings are reported in the literature. Our analysis provides a comprehensive framework for emergency care leaders planning to implement or scale triage implementation in LMICs.</p></div> 2026-09-29T17:25:57Z Dataset Dataset 10.1371/journal.pgph.0007378.t001 https://figshare.com/articles/dataset/_p_Characteristics_of_included_studies_p_/34025860 CC BY 4.0