Source:http://linkedlifedata.com/resource/pubmed/id/16740466
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
2006-6-2
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pubmed:abstractText |
The Soterion Rapid Triage System is a new, computerized, five-level triage acuity system. The purpose of this study was to evaluate the system's inter-rater reliability and validity for stratifying patient acuity. The study was comprised of two components. A prospective evaluation of inter-rater reliability was conducted by the blinded, paired simultaneous triage of 423 patients. A retrospective evaluation of validity consisted of the analysis of 33,850 patients triaged with the system over an 8-month period. The system's validity was measured by in-hospital admission rate, Emergency Department (ED) length-of-stay, hospital charges and Current Procedural Terminology (CPT) Codes 99281-99285. Evaluation of inter-rater reliability demonstrated a weighted kappa of 0.87 (95% confidence interval 0.84, 0.91). The in-hospital admission rates for patients triaged as Level 1 Immediate-Level 5 Non-Urgent were 43%, 30%, 13%, 3% and 1%, respectively (p < 0.0001). Similarly, there were significant differences in the means for all hospital charges, ED lengths-of-stay, and CPT Codes. In conclusion, the Soterion Rapid Triage System possesses high inter-rater reliability and validity. The system's reliability and validity, and the availability of the system's electronically archived data are characteristics beneficial to the development of a national standardized five-level triage acuity system.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0736-4679
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
30
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
461-9
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pubmed:meshHeading |
pubmed-meshheading:16740466-Algorithms,
pubmed-meshheading:16740466-Decision Making, Computer-Assisted,
pubmed-meshheading:16740466-Emergency Nursing,
pubmed-meshheading:16740466-Emergency Service, Hospital,
pubmed-meshheading:16740466-Female,
pubmed-meshheading:16740466-Humans,
pubmed-meshheading:16740466-Male,
pubmed-meshheading:16740466-Outcome Assessment (Health Care),
pubmed-meshheading:16740466-Retrospective Studies,
pubmed-meshheading:16740466-Single-Blind Method,
pubmed-meshheading:16740466-Trauma Centers,
pubmed-meshheading:16740466-Triage
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pubmed:year |
2006
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pubmed:articleTitle |
The Soterion Rapid Triage System: evaluation of inter-rater reliability and validity.
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pubmed:affiliation |
Freeman Health System. Joplin, Missouri 64804, USA.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Validation Studies
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