Evidence map›Paper›PMID 27162918›Full record

ArticleBulletin of emergency and trauma2015

Inter-rater Reliability of Triages Performed by the Electronic Triage System.

Faramarz Pourasghar, Amin Daemi, Jafar Sadegh Tabrizi, Alireza Ala

Abstract read
In one paragraph

Article in Bulletin of emergency and trauma, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Faramarz PourasgharRoad Traffic Injury Research Center and Department of Medical Informatics, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
Amin DaemiHealth Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran ; Iranian Center of Excellence in Health Management, Tabriz University of Medical Sciences, Tabriz, Iran
Jafar Sadegh TabriziHealth Services Management Research Center, School of Health management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
Alireza AlaDepartment of Emergency Medicine, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo 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).

methodsThis 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.

resultsUn-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.

conclusionInter-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.

Indexed as

Hospital Emergency ServiceInter-rater ReliabilityTriage

Identifiers

PMID27162918
PMCPMC4771307

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.