Efficacy of Triage by Paramedics: A Real-Time Comparison Study

Kahveci, Fatih Ozan; Demircan, Ahmet; Keleş, Ayfer; Bildik, Fikret; Aygencel, Gülbin

doi:10.1016/j.jen.2011.03.004

Cited by 13 publications

(15 citation statements)

References 18 publications

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“…Doctors had higher sensitivity (94% to 43.1%) and specificity (89.5% to 30.9%) than nurses in terms of hospitalization of urgent and non-urgent patients. [41] In a study by Kahveci et al, [45] comparing emergency residents and paramedics, there was agreement between two groups in 47% of 3-level triage decisions (Kappa=0.47) and 45% of 5-level ATS triage decisions (Kappa=0.45).…”

Section: Discussionmentioning

confidence: 95%

“…Kahveci et al [45] emphasized that there has to be a new and simple triage scale that can be easily applied by uneducated personnel in all emergency services.…”

Section: Discussionmentioning

confidence: 99%

“…Studies about which of these health workers perform more accurate triage are insufficient. [40][41][42][43][44][45] Although ESI 5-level triage system has higher reliability and validity, it is unlikely to be routinely applied in the emergency departments of our country since it requires experience and education and, it is difficult to find a triage expert. Evaluation time is long in triage area and violent actions are made by patients who do not tolerate waits in overcrowded emergency departments (1.000 or more patients/day).…”

mentioning

confidence: 99%

See 2 more Smart Citations

A model of complaint based for overcrowding emergency eepartment: Five-Level Hacettepe Emergency Triage System

Özüçelik¹,

Kunt²,

Karaca³

et al. 2013

Ulus Travma Acil Cerrahi Derg

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Section: Discussionmentioning

confidence: 95%

“…Kahveci et al [45] emphasized that there has to be a new and simple triage scale that can be easily applied by uneducated personnel in all emergency services.…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

A model of complaint based for overcrowding emergency eepartment: Five-Level Hacettepe Emergency Triage System

Özüçelik¹,

Kunt²,

Karaca³

et al. 2013

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

“…Atualmente, triagens padrão procuram minimizar a morbidade, desfiguração, sofrimento emocional e a insatisfação do cliente. O sistema de acuidade da triagem, ou seja, seu poder discriminatório é usado para comunicar à equipe clínica qual paciente pode esperar com segurança e qual precisa ser atendido imediatamente (Kahveci et al, 2011). De acordo com Soler et al (2010), as funções da triagem são:…”

Section: Revisão Da Literaturaunclassified

“…Sistemas de triagem têm sido descritos e utilizados em vários países. A literatura dá maior destaque àquelas que utilizam 5 níveis de classificação por estas terem maior confiabilidade (Fernandes et al, 2005 (Göransson et al, 2005;Kahveci et al, 2011). De acordo com as diretrizes do Humaniza SUS, os parâmetros para implementação de ações de urgência e emergência nos prontos-socorros, pronto atendimentos, assistência pré-hospitalar e outros são:…”

Section: Revisão Da Literaturaunclassified

Tradução para o português e validação de instrumento para triagem de pacientes "Manchester Triage System" (MTS) e adaptação para o Setor de Urgência Odontológica

Kanegane¹

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, pelo apoio e participação na elaboração deste trabalho. Aos pacientes do Setor de Urgência Odontológica e aos alunos voluntários que participaram, Marcelo de Amadeu e Silva Rodriguez e Victor Fukushima, pois sem eles não seria possível realizar esta pesquisa. Aos funcionários da Clínica Odontológica, pelo carinho com que sempre me receberam enquanto realizava as entrevistas com os pacientes. Às amigas Jady Ferreira Oliveira, Haydee Maria Cardoso e Joana D'Arc Andrade Rodrigues, do Setor de Urgência Odontológica, por estarem sempre disponíveis para ajudar no que fosse preciso.

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Reliability and Validity of a New Computer-Based Triage Decision Support Tool: ANKUTRIAGE

Koca

Polat

Oğuz

et al. 2022

Disaster med. public health prep.

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Objective: Triage is a tool used to determine patients’ severity of illness or injury within minutes of arrival. This study aims to assess the reliability and validity of a new computer-based triage decision support tool, ANKUTRIAGE, prospectively. Methods: ANKUTRIAGE, a 5-level triage tool was established considering 2 major factors, patient’s vital signs and characteristics of the admission complaint. Adult patients admitted to the ED between July and October, 2019 were consecutively and independently double triaged by 2 assessors using ANKUTRIAGE system. To measure inter-rater reliability, quadratic-weighted kappa coefficients (Kw) were calculated. For the validity, associations among urgency levels, resource use, and clinical outcomes were evaluated. Results: The inter-rater reliability between users of ANKUTRIAGE was excellent with an agreement coefficient (Kw) greater than 0.8 in all compared groups. In the validity phase, hospitalization rate, intensive care unit admission and mortality rate decreased from level 1 to 5. Likewise, according to the urgency levels, resource use decreased significantly as the triage level decreased (P < 0.05). Conclusions: ANKUTRIAGE proved to be a valid and reliable tool in the emergency department. The results showed that displaying the key discriminator for each complaint to assist decision leads to a high inter-rater agreement with good correlation between urgency levels and clinical outcomes, as well as between urgency levels and resource consumptions.

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Efficacy of Triage by Paramedics: A Real-Time Comparison Study

Cited by 13 publications

References 18 publications

A model of complaint based for overcrowding emergency eepartment: Five-Level Hacettepe Emergency Triage System

A model of complaint based for overcrowding emergency eepartment: Five-Level Hacettepe Emergency Triage System

Tradução para o português e validação de instrumento para triagem de pacientes "Manchester Triage System" (MTS) e adaptação para o Setor de Urgência Odontológica

Reliability and Validity of a New Computer-Based Triage Decision Support Tool: ANKUTRIAGE

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