Observer agreement of the Manchester Triage System and the Emergency Severity Index: A simulation study

Emergency Medicine Journal

Volumn 26, Issue 8, 2009, Pages 556-560

  Storm Versloot, M N ^a   Ubbink, D T ^a   Chin A Choi, V ^a   Luitse, J S K ^a  

^a ACADEMIC MEDICAL CENTER   (Netherlands)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CONTROLLED STUDY; EMERGENCY HEALTH SERVICE; EMERGENCY SEVERITY INDEX; EMERGENCY WARD; HEALTH CARE SYSTEM; HOSPITAL; HUMAN; KAPPA STATISTICS; MANCHESTER TRIAGE SYSTEM; NURSE; PRIORITY JOURNAL; RELIABILITY; SIMULATION;

ADULT; CLINICAL COMPETENCE; EMERGENCY SERVICE, HOSPITAL; HOSPITALS, TEACHING; HOSPITALS, URBAN; HUMANS; JUDGMENT; NETHERLANDS; NURSING STAFF, HOSPITAL; OBSERVER VARIATION; PATIENT ADMISSION; SEVERITY OF ILLNESS INDEX; TRIAGE;

EID: 67749102082     PISSN: 14720205     EISSN: 14720213     Source Type: Journal    
DOI: 10.1136/emj.2008.059378     Document Type: Article

References (24)

1. Fernandes CM, Wuerz R, Clark S, et al. How reliable is emergency department triage? Annals of emergency medicine 1999;34:141-147
2. Coenen IGA, Hagemeijer A, De Caluwé R, et al. Richtlijn triage op de Spoedeisende Hulp. Kwaliteitsinstituut voor de Gezondheidszorg CBO, 2004. http://www.cbo.nl/product/richtlijnen/folder20021023121843/triage-rl-2005.pdf/ (accessed May 2009).
3. Cronin JG. The introduction of the Manchester triage scale to an emergency department in the Republic of Ireland. Accid Emerg Nurs 2003;11:121-125 (Pubitemid 36877224)
4. Manchester Triage Group. Emergency triage. London: BMJ Publishing, 1997.
5. De Caluwé R, De Voeght F, Breuer G, et al. Triage voor de spoedeisende hulp. Maarssen: Elsevier Gezondheidszorg, 2002. ISBN 90 352 2545 7.
6. Cooke MW, Jinks S. Does the Manchester Triage System detect the critically ill? J Accident Emerg Med 1999;16:179-181
7. Evans A, O'Connor N, St John A, et al. Accident and emergency triage audit report. J Clin Governance 2002;10:195-198 (Pubitemid 36090255)
8. Speake D, Teece S, Mackway-Jones K. Detecting high-risk patients with chest pain. Emerg Nurse 2003;11:19-21.
9. Agency for Healthcare Research and Quality. Emergency severity index, version 4: Implementation handbook, May 2005. http://www.ahrq.gov/research/esi (accessed May 2009).
10. Tanabe P, Gimbel R, Yarnold PR, et al. The Emergency Severity Index (version 3) 5- level triage system scores predict ED resource consumption. J Emerg Nurs 2004;30:22-29 (Pubitemid 38262674)
11. Eitel DR, Travers DA, Rosenau AM, et al. The Emergency Severity Index triage algorithm version 2 is reliable and valid. Acad Emerg Med 2003;10:1070-1080
12. Elshove-Bolk J, Mencl F, van Rijswijck BTF, et al. Validation of the Emergency Severity Index (ESI) in self-referred patients in a European emergency department. Eur J Emerg Med 2006;13:325-329 (Pubitemid 46562777)
13. Wuerz RC, Milne LW, Eitel DR, et al. Reliability and validity of a new five-level triage instrument. Acad Emerg Med 2000;7:236-242 (Pubitemid 30133936)
14. Tanabe P, Gimbel R, Yarnold PR, et al. Reliability and validity of scores on the Emergency Severity Index version 3. Acad Emerg Med 2004;11:59-65. (Pubitemid 38055787)
15. Worster A, Gilboy N, Fernandes CM, et al. Assessment of inter-observer reliability of two five-level triage and acuity scales: a randomized controlled trial. Can J Emerg Med 2004;6:240-245 (Pubitemid 40631965)
16. Travers DA, Waller AE, Bowling JM, et al. Five-level triage system more effective than three-level in tertiary emergency department. J Emerg Nurs 2002;28:395-400.
17. Wuerz RC, Travers D, Gilboy N, et al. Implementation and refinement of the Emergency Severity Index. Acad Emerg Med 2001;8:170-176 (Pubitemid 32125339)
18. Elshove-Bolk J, Mencl F, van Rijswijck BTF, et al. Emergency department patient characteristics: potential impact on emergency medicine residency programs in the Netherlands. Eur J Emerg Med 2006;13:325-329 (Pubitemid 44715267)
19. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics 1977;33:159-174
20. Cohen J. Weighted kappa: nominal scale agreement with provision for scaled disagreement or partial credit. Psychol Bull 1968;70:213-220
21. Altman DG. Practical statistics for medical research. London: Chapman and Hall, 1991:407-409
22. Fleiss JL. The measurement of interrater agreement. In: Statistical methods for rates and proportions, 2nd ed. New York: John Wiley, 1981:212-236
23. Brenner H, Kliebsch U. Dependence of weighted kappa coefficients on the number of categories. Epidemiology 1996;7:199-202. (Pubitemid 26068055)
24. Sim J, Wright CC. The kappa statistic in reliability studies: use, interpretation, and the sample size requirements. Phys Ther 2005;85:257-268 (Pubitemid 40333545)