Reliability of the revised Swiss Emergency Triage Scale: a computer simulation study.

Details

Ressource 1Download: 28099182_BIB_687A01F16FD3.pdf (161.09 [Ko])
State: Public
Version: Final published version
License: CC BY-NC-ND 4.0
Serval ID
serval:BIB_687A01F16FD3
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Reliability of the revised Swiss Emergency Triage Scale: a computer simulation study.
Journal
European journal of emergency medicine
Author(s)
Rutschmann O.T., Hugli O.W., Marti C., Grosgurin O., Geissbuhler A., Kossovsky M., Simon J., Sarasin F.P.
ISSN
1473-5695 (Electronic)
ISSN-L
0969-9546
Publication state
Published
Issued date
08/2018
Peer-reviewed
Oui
Volume
25
Number
4
Pages
264-269
Language
english
Notes
Publication types: Evaluation Studies ; Journal Article
Publication Status: ppublish
Abstract
The Swiss Emergency Triage Scale (SETS) is a four-level emergency scale that previously showed moderate reliability and high rates of undertriage due to a lack of standardization. It was revised to better standardize the measurement and interpretation of vital signs during the triage process.
The aim of this study was to explore the inter-rater and test-retest reliability, and the rate of correct triage of the revised SETS.
Thirty clinical scenarios were evaluated twice at a 3-month interval using an interactive computerized triage simulator by 58 triage nurses at an urban teaching emergency department admitting 60 000 patients a year. Inter-rater and test-retest reliabilities were determined using κ statistics. Triage decisions were compared with a gold standard attributed by an expert panel. Rates of correct triage, undertriage, and overtriage were computed. A logistic regression model was used to identify the predictors of correct triage.
A total of 3387 triage situations were analyzed. Inter-rater reliability showed substantial agreement [mean κ: 0.68; 95% confidence interval (CI): 0.60-0.78] and test-retest almost perfect agreement (mean κ: 0.86; 95% CI: 0.84-0.88). The rate of correct triage was 84.1%, and rates of undertriage and overtriage were 7.2 and 8.7%, respectively. Vital sign measurement was an independent predictor of correct triage (odds ratios for correct triage: 1.29 for each additional vital sign measured, 95% CI: 1.20-1.39).
The revised SETS incorporating standardized vital sign measurement and interpretation during the triage process resulted in high reliability and low rates of mistriage.
Keywords
Clinical Competence, Computer Simulation, Critical Illness/therapy, Emergency Nursing/methods, Emergency Service, Hospital/statistics & numerical data, Female, Hospitals, Teaching, Humans, Logistic Models, Male, Observer Variation, Prospective Studies, Switzerland, Triage/methods, Vital Signs
Pubmed
Web of science
Create date
24/01/2017 17:53
Last modification date
20/08/2019 14:23
Usage data