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Inter-rater Reliability of Triages Performed by the Electronic Triage System | ||
| Bulletin of Emergency And Trauma | ||
| مقاله 5، دوره 3، Issue 4، دی 2015، صفحه 134-137 اصل مقاله (586.41 K) | ||
| نویسندگان | ||
| Faramarz Pourasghar1؛ Amin Daemi* 2؛ Jafar Sadegh Tabrizi3؛ Alireza Ala4 | ||
| 1Road Traffic Injury Research Center and Department of Medical Informatics, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran | ||
| 2Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran and Iranian Center of Excellence in Health Management, Tabriz University of Medical Sciences, Tabriz, Iran | ||
| 3Health Services Management Research Center, School of Health management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran | ||
| 4Department of Emergency Medicine, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran | ||
| چکیده | ||
| Objective: To examine the inter-rater reliability of triages performed by the Electronic Triage System (ETS) which has recently developed and used in hospital emergency department (ED).Methods: This cross-sectional study was conducted prospectively and studied 408 visitors of Tabriz Imam Reza hospital’s ED. The variables of interest were age, sex, nurse-assigned triage category, physician-assigned triage category, disease type (trauma, non-trauma), and the referred room within the ED. Cohen’s un-weighted kappa, linear weighted kappa, and quadratic weighted kappa were used to describe the reliability.Results: Un-weighted kappa observed to be 0.186 (95% CI: 0.123-0.249). Linear weighted kappa observed as 0.317 (95% CI: 0.251-0.384) and quadratic weighted kappa as 0.462 (95% CI: 0.336-0.589). In general, low agreement was seen between the triage nurses and ED physicians. For trauma patients and for those who were referred to the cardiopulmonary resuscitation room (CPR), all three types of kappa were higher than other visitors of the ED.Conclusion: Inter-rater reliability of the triages performed by the ETS observed as ranging from poor to moderate. Implementing interventions that would create a common language between nurses and physicians about the triage of the ED visitors seems necessary. The more agreement on the triage of trauma and CPR patients might be due to their condition and the more attention to them. | ||
| کلیدواژهها | ||
| Triage؛ Hospital Emergency Service؛ Inter-rater Reliability | ||
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