Accuracy and concordance of nurses in emergency department triage.
In the emergency department (ED) Registered Nurses (RNs) often perform triage, i.e. the sorting and prioritizing of patients. The allocation of acuity ratings is commonly based on a triage scale. To date, three reliable 5-level triage scales exist, of which the Canadian Triage and Acuity Scale (CTAS...
| Publicado en: | Scandinavian Journal of Caring Sciences Vol. 19; no. 4; pp. 432 - 439 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2005
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106390076&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106390076 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02839318 BD4 jtl: Scandinavian Journal of Caring Sciences issn: 02839318 maglogo: Y pubinfo: dt: Dec2005 vid: 19 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 106390076 106390076 2009082410 10.1111/j.1471-6712.2005.00372.x NLM16324070 106390076 ppf: 432 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Accuracy and concordance of nurses in emergency department triage. aug: au: Göransson K Ehrenberg A Marklund B Ehnfors M affil: Department of Health Sciences, Örebro University, Örebro, Sweden sug: subj: Emergency Nursing Triage Evaluation Construct Validity Data Analysis Software Descriptive Statistics Emergency Service Interrater Reliability kappa Statistic Questionnaires Registered Nurses Severity of Illness Indices Sweden Human ab: In the emergency department (ED) Registered Nurses (RNs) often perform triage, i.e. the sorting and prioritizing of patients. The allocation of acuity ratings is commonly based on a triage scale. To date, three reliable 5-level triage scales exist, of which the Canadian Triage and Acuity Scale (CTAS) is one. In Sweden, few studies on ED triage have been conducted and the organization of triage has been found to vary considerably with no common triage scale. The aim of this study was to investigate the accuracy and concordance of emergency nurses acuity ratings of patient scenarios in the ED setting. Totally, 423 RNs from 48 (62%) Swedish EDs each triaged 18 patient scenarios using the CTAS. Of the 7550 triage ratings, 57.6% were triaged in concordance with the expected outcome and no scenario was triaged into the same triage level by all RNs. Inter-rater agreement for all RNs was kappa = 0.46 (unweighted) and kappa = 0.71 (weighted). The fact that the kappa-values are only moderate to good and the low concordance between the RNs call for further studies, especially from a patient safety perspective. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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