Emergency Medical Services Triage Using the Emergency Severity Index: Is it Reliable and Valid?

Evaluating the accuracy of emergency nurses in correct triage using emergency severity index triage in Sina hospital of Tabriz: a cross-sectional analysis

“…It should also be noted that triage is a practical work, but without adequate knowledge, we can never expect a proper function (4,12). Buschhorn et al found that the agreement between the triage of trained nurses and pre-hospital emergency staff was moderate (19). According to Kariman et al, the sensitivity of ESI in identification of old patients who should receive lifepreserving interventions was low (5).…”

Analyzing the Usability of the 5-Level Canadian Triage and Acuity Scale By Paramedics in the Prehospital Environment

“…18 One study indicated moderate agreement in ESI level designation by paramedics and nurses (0.409; 95% confidence interval [CI], 0.256-0.562). 19 Limitations to ESI use include the lack of a common language; differences in training between paramedics and nurses; differences in purpose and understanding of triage regarding the chronically ill/ injured; and the need to limit under-triage. 20 In contrast to the structure of the ESI, the CTAS uses an extensive list of clinical complaints, symptoms, and modifiers, at strategic times, to direct users toward a specific classification.…”

“…Although studies exist comparing use of the ESI by paramedics in the field with that of nurses in the emergency department, no studies have compared the association of CTAS triage scoring used by paramedics with ESI scoring used by emergency triage nurses. 19 The purpose of this study was to determine whether triage score determination by paramedics in the prehospital environment using the CTAS was associated with the triage scores determined by emergency nurses using the ESI. In addition, we sought to evaluate how triage scores related to patient disposition, specifically admission status.…”

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

“…In a study by Buschhorn et al [48] examining the reliability of ESI among EMS personnel, the level of agreement between EMS personnel and emergency triage nurses was found to be medium (Kappa=0.409). In a randomized controlled study by Worster et al, [37] comparing 5-level ESI and CTAS triage, there was no difference between triage nurses applying ESI and CTAS (Kappa=0.91, Kappa=0.89).…”