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Manchester Triage in Sweden: Interrater reliability and accuracy
Nu-sjukvården, Trollhättan, Department of Emergency Medicin.
University West, Department of Economics and IT, Division of Computer Science and Informatics.ORCID iD: 0000-0002-0575-4309
University West, Department of Nursing, Health and Culture, Division of Nursing.ORCID iD: 0000-0001-9463-7341
2009 (English)In: International Emergency Nursing, Vol. 17, no 3, p. 143-148Article in journal (Refereed) Published
Abstract [en]

This study investigates the interrater reliability and the accuracy of Manchester Triage (MTS) at emergency departments in Western Sweden. Methods: A group of 79 nurses from seven emergency departments assessed simulated patient cases and assigned triage categories using the same principles as in their daily work. K statistics, accuracy, over-triage and under-triage were then analyzed. The nurses performed 1027 triage assessments. Results: The result showed an unweighted κ value of 0.61, a linear weighted κ value of 0.71, and a quadratic weighted κ value of 0.81. The determined accuracy was 92% and 91% for the two most urgent categories, but significantly lower for the less urgent categories. Conclusions: Patients in need of urgent care were identified in more than nine out of 10 cases. The high level of over-triage and under-triage in the less urgent categories resulted in low agreement and accuracy. This may suggest that the resources of emergency departments can be overused for non-urgent patients.

Place, publisher, year, edition, pages
2009. Vol. 17, no 3, p. 143-148
Keywords [en]
Emergency care, Reliability, Sweden, Triage
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-1688DOI: 10.1016/j.ienj.2008.11.008OAI: oai:DiVA.org:hv-1688DiVA, id: diva2:240436
Available from: 2009-09-28 Created: 2009-09-25 Last updated: 2015-12-22Bibliographically approved

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Gellerstedt, MartinCarlström, Eric. D.

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CiteExportLink to record
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