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A descriptive study of registered nurses’ application of the triage scale RETTS©: a Swedish reliability study
Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Region Kronoberg. (CISA)
Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). (CISA)
University of Modena, Italy.
Karolinska Institutet.
2018 (engelsk)Inngår i: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 38, s. 21-28Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background

From a patient safety perspective, it is of great importance that decision support systems such as triage scales are evidence based. In the most recent national survey, the majority of Swedish Emergency Departments (EDs) apply the Swedish triage scale known as the Medical Emergency Triage Treatment Scale (METTS), subsequently renamed the Rapid Emergency Triage Treatment Scale (RETTS©). Despite national widespread implementation, there has been limited research on METTS/RETTS©.

Aim

To determine the reliability of application by registered nurses of the RETTS© triage scale in two Swedish emergency departments.

Methods

In this prospective, cross-sectional study at two EDs, 46 written patient scenarios were triaged by 28 registered nurses (RNs). Data were analysed with descriptive statistics and Fleiss kappa (κ).

Results

The RNs allocated 1281 final triage levels. There was concordance in seven (15%) of the scenarios, and dispersion over two or more triage levels in 39 (85%). Dispersion across the stable/unstable patient boundary was found in 21 (46%) scenarios. Fleiss κ was 0.562, i.e. moderate agreement.

Conclusion

The inability of the triage scale to distinguish between stable/unstable patients can lead to serious consequences from a patient safety perspective. No general pattern regarding concordance or dispersion was found.

sted, utgiver, år, opplag, sider
Elsevier, 2018. Vol. 38, s. 21-28
Emneord [en]
Emergency service, Hospitals, Patient safety, Patient scenarios, Nurses, Nursing staff, Reliability – reproducibility of results, Triage – emergency service
HSV kategori
Forskningsprogram
Hälsovetenskap, Vårdvetenskap
Identifikatorer
URN: urn:nbn:se:lnu:diva-69816DOI: 10.1016/j.ienj.2017.12.003ISI: 000432470600005PubMedID: 29326039Scopus ID: 2-s2.0-85044622539OAI: oai:DiVA.org:lnu-69816DiVA, id: diva2:1173677
Tilgjengelig fra: 2018-01-12 Laget: 2018-01-12 Sist oppdatert: 2019-08-29bibliografisk kontrollert

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