Inter-observer variation in the triage-process
نویسندگان
چکیده
Background Triage algorithms for sorting patients according to their severity of illness have recently been implemented at several emergency departments in Denmark. Clinical effectiveness and safety depend on standardization of the triage process. We implemented a 5-level triage algorithm for which triage nurses underwent an initial training. The aim of this study was to evaluate the degree of standardization in implementation of triage by measuring the level of agreement among retrospective reviewers of the triage scores.
منابع مشابه
Evaluation of nurse-physician inter-observer agreement on triage categorization in the emergency department of a Taiwan medical center.
BACKGROUND To examine nurse-physician inter-observer agreement on triage categorization and analyze their differences for future reference. METHODS A retrospective observational study was performed. Patients entering a 3500-bed medical center emergency department (ED) from July 1 to 31, 1998 were randomly selected. We compared triage assignments made by nurses and 2 ED physicians, and examine...
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An exact, optimal (“maximum-accuracy”) psychometric methodology for assessing inter-observer reliability for measures involving ordinal ratings is used to evaluate and compare two emergency medicine triage algorithms—both of which classify patients into one of five ordinal categories. Ten raters independently evaluated the identical set of 200 patients, five with each algorithm. Analysis reveal...
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Background In most emergency departments (ED) around the world, patients are initially assessed using a triage system or risk stratification tools. The result of the scores is an important factor in determining the course of treatment for critically ill patients. Several different systems are used, but most include blood pressure, respiratory rate, pulse, and level of consciousness and the indi...
متن کاملAssessment of inter-observer reliability of two five-level triage and acuity scales: a randomized controlled trial.
INTRODUCTION The Emergency Severity Index (ESI) is an initial measure of patient assessment in the emergency department (ED). It rates patients based on acuity and predicted resource intensity from Level 1 (most ill) to Level 5 (least resource intensive). Already implemented and evaluated in several US hospitals, ESI has yet to be evaluated in a Canadian setting or compared with the five-level ...
متن کاملInter-observer agreement using the Canadian Emergency Department Triage and Acuity Scale.
OBJECTIVE To determine the inter-observer agreement on triage assignment by first-time users with diverse training and background using the Canadian Emergency Department Triage and Acuity Scale (CTAS). METHODS Twenty emergency care providers (5 physicians, 5 nurses, 5 Basic Life Support paramedics and 5 Advanced Life Support paramedics) at a large urban teaching hospital participated in the s...
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