Interrater reliability of the Australasian Triage Scale for mental health patients

Creaton, Anne; Liew, D.; Knott, Jonathan; Wright, Melissa

doi:10.1111/j.1742-6723.2008.01131.x

Cited by 28 publications

(43 citation statements)

References 8 publications

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“…7 The inter-rater reliability of the ATS for mental health patients in ED is particularly inadequate. 8 The triage category assigned can, in part, depend on the person doing the triage. For example, the results of a review of the literature (involving eight studies) suggest that triage nurses who have received triage education make better triage decisions whereas none of the studies found a significant relationship between triage decision-making and experience, either the number of years working as an emergency nurse or years of triage experience.…”

Section: Discussionmentioning

confidence: 99%

Emergency department waiting times: do the raw data tell the whole story?

Green¹,

Dawber²,

Masso³

et al. 2014

Aust. Health Review

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Objective. To determine whether there are real differences in emergency department (ED) performance between Australian states and territories.Methods. Cross-sectional analysis of 2009À10 attendances at an ED contributing to the Australian non-admitted patient ED care database. The main outcome measure was difference in waiting time across triage categories.Results. There were more than 5.8 million ED attendances. Raw ED waiting times varied by a range of factors including jurisdiction, triage category, geographic location and hospital peer group. All variables were significant in a model designed to test the effect of jurisdiction on ED waiting times, including triage category, hospital peer group, patient socioeconomic status and patient remoteness. When the interaction between triage category and jurisdiction entered the model, it was found to have a significant effect on ED waiting times (P < 0.001) and triage was also significant (P < 0.001). Jurisdiction was no longer statistically significant (P = 0.248 using all triage categories and 0.063 using only Australian Triage Scale 2 and 3).Conclusions. Although the Council of Australian Governments has adopted raw measures for its key ED performance indicators, raw waiting time statistics are misleading. There are no consistent differences in ED waiting times between states and territories after other factors are accounted for.What is known about the topic? The length of time patients wait to be treated after presenting at an ED is routinely used to measure ED performance. In national health agreements with the federal government, each state and territory in Australia is expected to meet waiting time performance targets for the five ED triage categories. The raw data indicate differences in performance between states and territories. What does this paper add? Measuring ED performance using raw data gives misleading results. There are no consistent differences in ED waiting times between the states and territories after other factors are taken into account. What are the implications for practitioners? Judgements regarding differences in performance across states and territories for triage waiting times need to take into account the mix of patients and the mix of hospitals.

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Section: Discussionmentioning

confidence: 99%

Emergency department waiting times: do the raw data tell the whole story?

Green¹,

Dawber²,

Masso³

et al. 2014

Aust. Health Review

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“…However, psychiatric assessment of many mental disorders has low inter-rater concordance particularly with respect to personality disorders [42]. The criteria for evaluating criminal responsibility are based on the individual's ability to make a distinction between right and wrong and to counter impulse; such abilities are absent in some psychiatric disorders resulting in exemption or a more lenient sentencing.…”

Section: Application Of Genetic and Neuroimaging Findings In The Forementioning

confidence: 99%

Forensic neurosciences

Sartori

Pellegrini

Mechelli

2011

Current Opinion in Neurology

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“…A national tool to triage mental health consumers has been suggested (Broadbent et al . 2007; Creaton et al . 2008; Kinner et al .…”

Section: Key Findingsmentioning

confidence: 99%

Opioid replacement therapy: A wait unmanaged

Harlow

Happell

Browne

2011

International Journal of Mental Health Nursing

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There has been a rapid increase in members of the Australian population using opioids in recent years. The flow-on effect has been an increase in demand for treatments, particularly opioid replacement therapy (ORT), but the availability of treatments has not increased. This has frequently resulted in delays before treatment can be commenced. Outcomes could improve if health-care professionals had clearer guidelines on how to prioritize access to ORT. This review investigates the triage of consumers in ORT within Australia. Information on triage in ORT was not available, and an understanding of how consumer needs are managed when they present for ORT triage was not identified. In the absence of research to guide this practice, the body of evidence regarding ORT treatment access is weighted on government policies. Triage, as applied in general health and mental health-care service delivery, was reviewed to consider the components of triage and how these might pertain to triage in ORT. Failure to facilitate the needs of consumers accessing ORT can result in further harm to consumers and increased social and financial costs for society. Research is required to investigate how this issue is currently being managed and to lead the way for needed improvements in service delivery.

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Interrater reliability of the Australasian Triage Scale for mental health patients

Cited by 28 publications

References 8 publications

Emergency department waiting times: do the raw data tell the whole story?

Emergency department waiting times: do the raw data tell the whole story?

Forensic neurosciences

Opioid replacement therapy: A wait unmanaged

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