Implementing an obstetric triage acuity scale: Interrater reliability and patient flow analysis

American Journal of Obstetrics and Gynecology

Volumn 209, Issue 4, 2013, Pages 287-293

  Smithson, David S ^a   Twohey, Rachel ^a   Rice, Tim ^a   Watts, Nancy ^a   Fernandes, Christopher M ^a   Gratton, Robert J ^a  

^a UNIVERSITY OF WESTERN ONTARIO   (Canada)

Author keywords

acuity; obstetric triage; patient flow

Indexed keywords

EMERGENCY HEALTH SERVICE; EMERGENCY WARD; FLOW MEASUREMENT; HEALTH CARE MANAGEMENT; INTERRATER RELIABILITY; LENGTH OF STAY; MEDICAL RECORD REVIEW; NURSING ASSESSMENT; OBSTETRIC PATIENT; OBSTETRIC TRIAGE ACUITY SCALE; PATIENT ACUITY; PATIENT CARE; PRIMARY NURSING; PRIORITY JOURNAL; RATING SCALE; REVIEW; SAMPLE SIZE; SECONDARY HEALTH CARE; TERTIARY HEALTH CARE; VALIDITY;

ACUITY; OBSTETRIC TRIAGE; PATIENT FLOW;

FEMALE; HUMANS; LABOR, OBSTETRIC; LENGTH OF STAY; OBSTETRIC LABOR COMPLICATIONS; OBSTETRICS; PREGNANCY; PREGNANCY COMPLICATIONS; REPRODUCIBILITY OF RESULTS; RETROSPECTIVE STUDIES; SEVERITY OF ILLNESS INDEX; TIME FACTORS; TRIAGE;

EID: 84884674924     PISSN: 00029378     EISSN: 10976868     Source Type: Journal    
DOI: 10.1016/j.ajog.2013.03.031     Document Type: Review

References (21)

1. D.R. Eitel, D.A. Travers, A.M. Rosenau, N. Gilboy, and R.C. Wuerz The Emergency Severity Index Triage Algorithm version 2 is reliable and valid Acad Emerg Med 10 2003 1070 1080
2. M. Murray, M. Bullard, E. Grafstein CTAS National Working Group Revisions to the Canadian Emergency Department Triage and Acuity Scale Implementation guidelines CJEM 14 2004 421 427
3. M.J. Bullard, B. Unger, J. Spence, E. Grafstein CTAS National Working Group Revisions to the Canadian Emergency Department Triage and Acuity Scale Implementation Guidelines CJEM 10 2008 136 142
4. A. Worster, C.M. Fernandes, K. Eva, and S. Upadhye Predictive validity comparison of two five-level triage acuity scales Eur J Emerg Med 14 2007 188 192
5. A. Worster, N. Gillboy, and C.M. Fernandes Assessment of inter-observer reliability of two five-level triage and acuity scales: a randomized controlled trial CJEM 6 2004 240 245
6. R. Beveridge CAEP issues: the Canadian triage and acuity scale: a new and critical element in health care reform. Canadian Association of Emergency Physicians J Emerg Med 16 1998 507 511
7. D.A. Yancer, D. Foshee, H. Cole, R. Beauchamp, W. de la Pena, and T. Keefe Managing capacity to reduce emergency department overcrowding and ambulance diversions J Qual Patient Safety 32 2006 239 245
8. D.L. Streiner, and G.R. Norman Health measurement scales: a practical guide to their development and use, 4th ed 2008 Oxford University Press
9. D. Ng, G. Vail, S. Thomas, and N. Schmidt Applying the Lean principles of the Toyota Production System to reduce wait times in the emergency department CJEM 12 2010 50 57
10. J.R. Landis, and G.G. Koch The measurement of observer agreement for categorical data Biometrics 33 1977 159 174
11. D.J. Angelini Obstetric triage and advanced practice nursing J Perinat Neonatal Nurs 13 2000 1 12
12. C.A. Freitas, F.T. Helmer, and N. Cousins The development and management uses of a patient classification for a high risk perinatal center J Obstet Gynecol Neontal Nurs 16 1987 330 338
13. D. Loper, and E. Ham Creating a patient classification system: one centers experience in the triage process J Perinat Neonatal Nurs 13 2000 1 49
14. K.S. Paisley, R. Wallace, and P.G. DuRant The development of an obstetrical triage acuity tool MCN Am J Matern Child Nurs 36 2011 290 296
15. J.G. Jimenez, M.J. Murray, and R. Beveridge Implementation of the Canadian Triage and Acuity Scale in the principality of Andorra: can triage parameters serve as emergency department quality indicators? CJEM 5 2003 315 322
16. S. Devkaran, H. Parsons, and M. Van Dyke The impact of a fast track area on quality and effectiveness outcomes: a Middle Eastern emergency department perspective BMC Emeg Med 9 2009 11 17
17. D.W. Warren, A. Jarvis, and L. LeBlanc Revisions to the Canadian Triage and acuity scale paediatric guidelines (PeadCTAS) CMEJ 10 2008 224 243
18. J. Gravel, E. Fitzpatrick, and S. Gouin Performance of the Canadian triage and acuity scale for children: a multicentre database study Ann Emerg Med 61 2012 27 32.e3
19. A.L. Hendrich, J. Fay, and A.K. Sorrells Effects of acuity-adaptable rooms on flow of patients and delivery of care Am J Crit Care 13 2004 35 45
20. A.A. Al-Darrab, J. Fan, and C.M. Fernandes How does fast track affect quality of care in the emergency department? Eur J Emerg Med 13 2005 32 35
21. A. Worster, A. Sardo, K. Eva, C.M. Fernandes, and S. Upadhye Triage tool inter-rater reliability: a comparison of live versus paper case scenarios J Emerg Nurs 33 2007 319 323