The use of the soterion rapid triage system in children presenting to the Emergency Department

Maningas, Peter A; Hime, Derek A.; Parker, Donald E.

doi:10.1016/j.jemermed.2006.01.011

Cited by 23 publications

(21 citation statements)

References 21 publications

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“…The study reported an impressive weighted kappa score of 0.90 (95% CI = 0.83 to 0.96) for the 117 patients evaluated by two nurses. 21 This result was never duplicated. The Emergency Severity Index (ESI) is a five-level triage system based on the expected resource use for the patients.…”

Section: Discussionmentioning

confidence: 94%

“…18 Other triage tools have been evaluated in different settings; among them, was the Soterion Rapid Triage System, a five-level computerized triage tool. 20 In this study by Maningas et al, 21 a research nurse performed a second triage blinded to the first evaluation on patients younger than 13 years. The study reported an impressive weighted kappa score of 0.90 (95% CI = 0.83 to 0.96) for the 117 patients evaluated by two nurses.…”

Section: Discussionmentioning

confidence: 99%

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Interrater Agreement between Nurses for the Pediatric Canadian Triage and Acuity Scale in a Tertiary Care Center

Gravel¹,

Gouin²,

Manzano³

et al. 2008

Academic Emergency Medicine

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Objectives: The objective was to measure the interrater agreement between nurses assigning triage levels to children visiting a pediatric emergency departments (EDs) assisted by a computerized version of the Pediatric Canadian Triage and Acuity Scale (PedCTAS).Methods: This was a prospective cohort study evaluating children triaged from Level 2 (emergent) to Level 5 (nonurgent). A convenience sample of patients triaged during 38 shifts from April to September 2007 in a tertiary care pediatric ED was evaluated. All patients were initially triaged by regular triage nurses using a computerized version of the PedCTAS. Research nurses performed a second evaluation blinded to the first evaluation using the same triage tool. These research nurses were regular ED nurses performing extra hours for research purposes exclusively. The primary outcome measure was the interrater agreement between the two nurses as measured by the linear weighted kappa score. Secondary outcomes included the proportion of patient for which nurses did not apply the triage level suggested by Staturg (override) and agreement for these overrides.Results: A total of 499 patients were recruited. The overall interrater agreement was moderate (linear weighted kappa score of 0.55 [95% confidence interval {CI} = 0.48 to 0.61] and quadratic weighted kappa score of 0.61 [95% CI = 0.42 to 0.80]). There was a discrepancy of more than one level in only 10 patients (2% of the study population). Overrides occurred in 23.2 and 21.8% for regular and research triage nurses, respectively. These overrides were equally distributed between increase and decrease in triage level.Conclusions: Nurses using Staturg, which is a computerized version of the PedCTAS, demonstrated moderate interrater agreement for assignment of triage level to children presenting to a pediatric ED.ACADEMIC EMERGENCY MEDICINE 2008; 15:1262-1267

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Interrater Agreement between Nurses for the Pediatric Canadian Triage and Acuity Scale in a Tertiary Care Center

Gravel¹,

Gouin²,

Manzano³

et al. 2008

Academic Emergency Medicine

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“…The tool that has been the most commonly studied is the e-TRIAGE. 17,18,27 Studies showed good reliability of the tool when applied in a real-time clinical setting (weighted k, 0.66; 95% CI = 0.60 to 0.71) 27 and excellent predictive validity for ED resource use and hospital costs. 19 The three most recent computerized triage tools showed good agreement, but they have never been compared directly with a standard triage tool.…”

Section: Discussionmentioning

confidence: 99%

“…Studies revealed a high agreement between nurses for triage of adults (weighted k, 0.87) 16 and pediatric patients (weighted k, 0.90). 18 The other computerized triage tool previously evaluated is the e-TRIAGE. 17,19 This tool showed high agreement in adults but was not designed for or evaluated in children.…”

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confidence: 99%

Reliability of a Computerized Version of the Pediatric Canadian Triage and Acuity Scale

et al. 2007

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“…The number of questions asked by the nurses showed large variability, and the interrater reliability was moderate [14]. In the simultaneous triage studies, patients attending the ED were independently triaged by an ED nurse and a research nurse [7,9,22]. This design is comparable to the actual triage process, but triage nurses were aware of the presence of the research nurse, which might influence the process.…”

Section: Reliability Studiesmentioning

confidence: 99%

Challenges in the validation of triage systems at emergency departments

Moll

2010

Journal of Clinical Epidemiology

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The use of the soterion rapid triage system in children presenting to the Emergency Department

Cited by 23 publications

References 21 publications

Interrater Agreement between Nurses for the Pediatric Canadian Triage and Acuity Scale in a Tertiary Care Center

Interrater Agreement between Nurses for the Pediatric Canadian Triage and Acuity Scale in a Tertiary Care Center

Reliability of a Computerized Version of the Pediatric Canadian Triage and Acuity Scale

Challenges in the validation of triage systems at emergency departments

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