The South African Triage Scale (adult version) provides reliable acuity ratings

Twomey, Michèle; Wallis, Lee; Thompson, Mary Lou; Myers, Jonathan E.

doi:10.1016/j.ienj.2011.08.002

Cited by 54 publications

(62 citation statements)

References 21 publications

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“…This illustration of interrater variability recommended by Nelson et al 20 and used in other settings6 allows an assessment of agreement for different acuity levels and facilitates generalisability across study settings. It has been included here to allow a comprehensive assessment of reliability as well as to provide a more comparable exploratory visual assessment.…”

Section: Discussionmentioning

confidence: 99%

“…A cross-sectional study was conducted using a set of 25 vignettes that had been adapted from real patients (19 adults and six paediatric) and used in previous SATS studies 6. Vignettes were used as a suitable proxy for live triage cases 8.…”

Section: Methodsmentioning

confidence: 99%

“…This summary has been used in other settings to measure agreement in different triage systems 6. Interrater reliability with 95% CI were assessed for each HCW level separately.…”

Section: Methodsmentioning

confidence: 99%

“…The SATS has been implemented, monitored and modified in public emergency centres in South Africa since January 2006 5. It has been demonstrated in these settings to provide acceptable levels of undertriage and overtriage6 7 and was identified as an alternative to the PTS used at PMH in Botswana.…”

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confidence: 99%

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The Princess Marina Hospital accident and emergency triage scale provides highly reliable triage acuity ratings

et al. 2011

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The reliability measures in this study indicate very high interrater agreement and limited variability in acuity ratings when using the PATS as opposed to moderate agreement and increased variability in acuity ratings when using PTS. This suggests that PATS is reliably applied by all levels of HCW and supports the feasibility of the further implementation of PATS in ED in Botswana and in other similar settings.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

“…This summary has been used in other settings to measure agreement in different triage systems 6. Interrater reliability with 95% CI were assessed for each HCW level separately.…”

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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The Princess Marina Hospital accident and emergency triage scale provides highly reliable triage acuity ratings

et al. 2011

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“…In a modern extension of this concept, triage systems have been adapted to ED conditions with the aim of getting the right patient to the right resources, at the right place and at the right time. Accordingly, several English-language triage algorithms have been developed: the Manchester triage scale4 in the UK, the Australasian triage scale5 in Australia, the Canadian triage acuity scale6 in Canada, the emergency severity index (ESI)7 in the USA and the South Africa triage scale8 in South Africa. From the beginning, such five-category triage systems were shown to be safe and to provide significant discrimination and reliability, as well as high sensitivity and specificity 9…”

Section: Introductionmentioning

confidence: 99%

Reliability and validity of a new French-language triage algorithm: the ELISA scale

et al. 2013

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ObjectiveOvercrowding in emergency departments (ED) leads to reductions in quality of care. Consequently, several different triage tools have been developed to prioritise patient intake. Differences in emergency medical services in different countries have limited the generalisation of pre-existing triage systems; for this reason, specific algorithms corresponding to local characteristics are needed. Accordingly, we developed a specific French-language triage system named Echelle Liégeoise d'Index de Sévérité à l'Admission (ELISA). This study tested its validity and efficiency.MethodsELISA is a five-category nursing triage algorithm. Intrarater agreement was tested by comparing triage levels attributed to the same clinical scenarios at two different times. Interrater agreement was investigated by comparing triage categories attributed to clinical cases by different triage nurses. Finally, validity was estimated by studying the correlations between the triage ranking assigned by the nurse and actual resource consumption and patient outcome.ResultsThe distribution of the difference between nurse classification at the two times was statistically unrelated to which nurse carried out the evaluation. Regarding interrater agreement, assigned classifications were compared to the reference assignment. Cohen's κ coefficient revealed an almost perfect agreement between classification by nurses and the reference. Finally, statistical analysis revealed a strong relation between ELISA and the overall need for supplementary clinical testing. Outcomes were also significantly correlated with ELISA.ConclusionsThe need for a specific, French-language triage tool in our ED led us to develop a new triage scale. This study demonstrates that the scale is a valid triage tool with high interrater and intrarater agreement and considerable efficiency.

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Inter-rater reliability of the South African Triage Scale: Assessing two different cadres of health care workers in a real time environment

Twomey

Sá

Wallis

et al. 2011

African Journal of Emergency Medicine

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The South African Triage Scale (adult version) provides reliable acuity ratings

Cited by 54 publications

References 21 publications

The Princess Marina Hospital accident and emergency triage scale provides highly reliable triage acuity ratings

The Princess Marina Hospital accident and emergency triage scale provides highly reliable triage acuity ratings

Reliability and validity of a new French-language triage algorithm: the ELISA scale

Inter-rater reliability of the South African Triage Scale: Assessing two different cadres of health care workers in a real time environment

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