Interrater Reliability Testing of the Maternal Fetal Triage Index

Validation of an emergency triage scale for obstetrics and gynaecology: a prospective study

“…The good inter-rater reliability was equal 9, [14][15][16] and superior compared with the MFTI. 17 Moreover, we observed an excellent agreement between the reference standard and evaluators in 78.4% of all assessments, which was superior to the results obtained with the ATS. 18 About 10% of assessments led to overestimation and occurred frequently in four vignettes (#4, 9,17,24).…”

“…17 Moreover, we observed an excellent agreement between the reference standard and evaluators in 78.4% of all assessments, which was superior to the results obtained with the ATS. 18 About 10% of assessments led to overestimation and occurred frequently in four vignettes (#4, 9,17,24). Underestimation occurred in 12% of ratings, which was significantly lower than in the original SETS, 10 the CTAS 19 and the ATS.…”

“…We observed a wide variability in the median (IQR) number of questions asked per vignette, ranging from 8.0 (7-9) (#22, a case of a Bartholin's abscess) to 15.5 (13-21) (#12, a case of hypotension at 20 weeks of gestation) in the test phase ( Figure 1A), and from 7.5 (7-11) (#22) to 17.5 (11-21) (#12) in the retest phase. The median (IQR) number of questions asked varied also across individuals from 7.0 (4-9) to 19.0 (15)(16)(17)(18)(19)(20)(21)(22) in the test phase ( Figure 1B). The observed variability had no significant impact on the correctness of triage results.…”

Mapping Perinatal Nursing Process Measurement Concepts to Standard Terminologies

“…However, limits were necessary in order to sharpen the research focus and to provide a foundation for the data modeling necessary for incorporating P-FTR into EHRs. Future work should focus on other perinatal nursing data elements, such as those included in perinatal nursing care quality measurement 38 , maternal early warning systems 39 , or triage in labor and delivery settings 40 , among others.…”

Implementation of a novel obstetric triage tool in the tertiary maternity hospital of Sierra Leone: A quality improvement project

“…A large UK survey in 2015 suggested that 81% of hospitals do not have a formal obstetric triage system in place (Kenyon et al, 2017). Recently, some maternity units have been adopting a more formal approach, with good results (Kenyon et al, 2017;Ruhl et al, 2015;Quaille, 2018;Humphrey et al, 2017;Paisley et al, 2011;Smithson et al, 2013). The Obstetrical Triage Acuity Scale (OTAS) system in Canada is one of the first published and validated obstetric triage tools, with implementation leading to reduced use of resources and waiting times with an increase in staff satisfaction (Smithson et al, 2013).…”