Inter-rater agreement of the triagesystem RETTS-HEV
1
MEETING ABSTRACT Open Access Inter-rater agreement of the triagesystem RETTS-HEV Louise Nissen 1* , Hans Kirkegaard 2 , Noel Perez 1 , Ulf Hørlyck 1 , Louise Pape 3 From Proceedings of the 5th Danish Emergency Medicine Conference Aarhus, Denmark. 18-19 April 2013 Background The purpose of this study was to evaluate the inter-rater agreement among nurses using the triage system REETS- HEV (rapid emergency triage and treatment system-hospitalsenheden vest) in a Danish ED. The use of triage systems in Denmark has recently been implemented together with structural changes in hospital organization .Testing and evaluation is therefore needed. The REETS-HEV is a five scale triage system being used in the Emergency department (ED) of Hern- ing, Denmark since May 2010. The ED is semi-large with 29,000 annual visits. Methods Consecutive patients presenting to the ED were assessed by both a duty and study nurse using REETS-HEV. Nurses did not receive training prior to the study. 146 patients were enrolled and a blinded, paired and simul- taneous triage was conducted independently to evaluate inter-rater agreement using Fleiss kappa. Results A total of 155 patients were triaged over a 10 day period and complete data were available for 146 patients. We found the overall agreement to be good (Fleiss kappa 0.60 (0.48; 0.72)). The kappa estimate was higher for the group of patients needing immediate attention (0.83 (0.18;1.47)). Conclusion The study demonstrated good inter-rater agreement between two independent observers not receiving any new triage training prior to the study. Authors’ details 1 Emergency Department, Regionshospital Herning hospital, Denmark. 2 Research Center for Emergency Medicine, Aarhus University Hospital, Denmark. 3 Dept. of Occupational Medicine,Regional Hospital Herning, Denmark. Published: 9 September 2013 doi:10.1186/1757-7241-21-S2-A32 Cite this article as: Nissen et al.: Inter-rater agreement of the triagesystem RETTS-HEV. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2013 21(Suppl 2):A32. Submit your next manuscript to BioMed Central and take full advantage of: • Convenient online submission • Thorough peer review • No space constraints or color figure charges • Immediate publication on acceptance • Inclusion in PubMed, CAS, Scopus and Google Scholar • Research which is freely available for redistribution Submit your manuscript at www.biomedcentral.com/submit * Correspondence: [email protected] 1 Emergency Department, Regionshospital Herning hospital, Denmark Full list of author information is available at the end of the article Nissen et al. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2013, 21(Suppl 2):A32 http://www.sjtrem.com/content/21/S2/A32 © 2013 Nissen et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Transcript of Inter-rater agreement of the triagesystem RETTS-HEV
MEETING ABSTRACT Open Access
Inter-rater agreement of the triagesystemRETTS-HEVLouise Nissen1*, Hans Kirkegaard2, Noel Perez1, Ulf Hørlyck1, Louise Pape3
From Proceedings of the 5th Danish Emergency Medicine ConferenceAarhus, Denmark. 18-19 April 2013
BackgroundThe purpose of this study was to evaluate the inter-rateragreement among nurses using the triage systemREETS- HEV (rapid emergency triage and treatmentsystem-hospitalsenheden vest) in a Danish ED.The use of triage systems in Denmark has recently
been implemented together with structural changes inhospital organization .Testing and evaluation is thereforeneeded. The REETS-HEV is a five scale triage systembeing used in the Emergency department (ED) of Hern-ing, Denmark since May 2010. The ED is semi-large with29,000 annual visits.
MethodsConsecutive patients presenting to the ED were assessedby both a duty and study nurse using REETS-HEV.Nurses did not receive training prior to the study. 146patients were enrolled and a blinded, paired and simul-taneous triage was conducted independently to evaluateinter-rater agreement using Fleiss kappa.
ResultsA total of 155 patients were triaged over a 10 day periodand complete data were available for 146 patients. Wefound the overall agreement to be good (Fleiss kappa0.60 (0.48; 0.72)). The kappa estimate was higher for thegroup of patients needing immediate attention (0.83(0.18;1.47)).
ConclusionThe study demonstrated good inter-rater agreementbetween two independent observers not receiving anynew triage training prior to the study.
Authors’ details1Emergency Department, Regionshospital Herning hospital, Denmark.2Research Center for Emergency Medicine, Aarhus University Hospital,Denmark. 3Dept. of Occupational Medicine,Regional Hospital Herning,Denmark.
Published: 9 September 2013
doi:10.1186/1757-7241-21-S2-A32Cite this article as: Nissen et al.: Inter-rater agreement of thetriagesystem RETTS-HEV. Scandinavian Journal of Trauma, Resuscitationand Emergency Medicine 2013 21(Suppl 2):A32.
Submit your next manuscript to BioMed Centraland take full advantage of:
• Convenient online submission
• Thorough peer review
• No space constraints or color figure charges
• Immediate publication on acceptance
• Inclusion in PubMed, CAS, Scopus and Google Scholar
• Research which is freely available for redistribution
Submit your manuscript at www.biomedcentral.com/submit
* Correspondence: [email protected] Department, Regionshospital Herning hospital, DenmarkFull list of author information is available at the end of the article
Nissen et al. Scandinavian Journal of Trauma, Resuscitation andEmergency Medicine 2013, 21(Suppl 2):A32http://www.sjtrem.com/content/21/S2/A32
© 2013 Nissen et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative CommonsAttribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction inany medium, provided the original work is properly cited.
