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Reliabilty and validity of a compute...

Dong, Sandy Lyndon.

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Reliabilty and validity of a computer-assisted emergency department triage system.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Reliabilty and validity of a computer-assisted emergency department triage system./
作者:	Dong, Sandy Lyndon.
面頁冊數:	102 p.
附註:	Source: Masters Abstracts International, Volume: 44-03, page: 1348.
Contained By:	Masters Abstracts International44-03.
標題:	Health Sciences, Public Health. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=MR09151
ISBN:	0494091517

Reliabilty and validity of a computer-assisted emergency department triage system.
Dong, Sandy Lyndon.

Reliabilty and validity of a computer-assisted emergency department triage system. - 102 p.

Source: Masters Abstracts International, Volume: 44-03, page: 1348.

Thesis (M.Sc.)--University of Alberta (Canada), 2005.

This research prospectively evaluated the performance of a computerized triage tool (eTRIAGE(c)) in an actual emergency department environment. There were several important conclusions from this research. First, a marked discrepancy was demonstrated between triage nurses using the Canadian Triage and Acuity Scale (CTAS) based on memory compared to eTRIAGE(c) (weighted kappa {kappaw}: 0.36; 95% CI: 0.31, 0.42; n = 693). Second, eTRIAGE(c) demonstrated greater agreement with a consensus panel assigning triage (eTRIAGE (c) kappaw: 0.43; 95% CI: 0.29, 0.56 vs. memory CTAS kappa w: 0.26; 95% CI 0:.13, 0.39; n = 97). Third, the agreement between two independent users of eTRIAGE(c) on the same patients improved to moderate or good (linear kappaw: 0.52; 95% CI: 0.46, 0.57. quadratic kappaw: 0.66; 95% CI: 0.60--0.71; n = 569). Finally, higher acuity CTAS scores using eTRIAGE(c) were strongly associated with surrogate markers of patient acuity (admission rate [p<0.001)]; death [p<0.001]) and resource consumption (consultations [p<0.001], computed tomography scans [p<0.001], and length of stay [p<0.001]).

ISBN: 0494091517Subjects--Topical Terms:

1017659
Health Sciences, Public Health.

Reliabilty and validity of a computer-assisted emergency department triage system.
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520 $a This research prospectively evaluated the performance of a computerized triage tool (eTRIAGE(c)) in an actual emergency department environment. There were several important conclusions from this research. First, a marked discrepancy was demonstrated between triage nurses using the Canadian Triage and Acuity Scale (CTAS) based on memory compared to eTRIAGE(c) (weighted kappa {kappaw}: 0.36; 95% CI: 0.31, 0.42; n = 693). Second, eTRIAGE(c) demonstrated greater agreement with a consensus panel assigning triage (eTRIAGE (c) kappaw: 0.43; 95% CI: 0.29, 0.56 vs. memory CTAS kappa w: 0.26; 95% CI 0:.13, 0.39; n = 97). Third, the agreement between two independent users of eTRIAGE(c) on the same patients improved to moderate or good (linear kappaw: 0.52; 95% CI: 0.46, 0.57. quadratic kappaw: 0.66; 95% CI: 0.60--0.71; n = 569). Finally, higher acuity CTAS scores using eTRIAGE(c) were strongly associated with surrogate markers of patient acuity (admission rate [p<0.001)]; death [p<0.001]) and resource consumption (consultations [p<0.001], computed tomography scans [p<0.001], and length of stay [p<0.001]).
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