Journal of Korean Critical Care Nursing (중환자간호학회지)

Korean Society of Critical Care Nursing (한국중환자간호학회)
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Reliability of the Emergency Severity Index Version 4 Performed by Trained Triage Nurse

중증도 분류 간호사에 의한 응급환자 중증도 분류 신뢰도 측정 연구: Emergency Severity Index Version 4를 중심으로

  • Choi, Hee Kang (Department of Emergency Nursing, Seoul National University Hospital) ;
  • Choi, Min Jin (Department of Emergency Nursing, Seoul National University Hospital) ;
  • Kim, Ju Won (Department of Emergency Nursing, Seoul National University Hospital) ;
  • Lee, Ji Yeon (Department of Emergency Nursing, Seoul National University Hospital) ;
  • Shin, Sun Hwa (Department of Emergency Nursing, Seoul National University Hospital) ;
  • Lee, Hyun Jung (Department of Emergency Nursing, Seoul National University Hospital)
  • 최희강 (서울대학교 병원 응급의료센터 간호팀) ;
  • 최민진 (서울대학교 병원 응급의료센터 성인응급실) ;
  • 김주원 (서울대학교 병원 응급의료센터 성인응급실) ;
  • 이지연 (서울대학교 병원 응급의료센터 성인응급실) ;
  • 신선화 (서울대학교 병원 응급의료센터 성인응급실) ;
  • 이현정 (서울대학교 병원 응급의료센터 성인응급실)
  • Received : 2012.11.02
  • Accepted : 2012.12.21
  • Published : 2012.12.31
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Abstract

Purpose: The aim of this study was to measure the inter-rater reliability of Emergency severity index (ESI) version 4 among triage nurse. Methods: This study was carried out from August 11, 2010 to September 7, 2010 in a regional emergency department. Data collection was done by ten triage nurses who trained ESI v.4. Two research nurses and ten triage nurses scored the ESI version 4 to the patients as references, independently. We calculated the weighted kappa between the triage nurses and research nurses to evaluate the consistency of the ESI v.4. Results: A total of 233 patients were enrolled in this study. Classification of ESI level was as follows - level 1 (0.4%), level 2 (21.0%), level 3 (67.8%), level 4 (9.4%), and level 5 (1.3%). Inter-rater reliability by weighted kappa was 0.79 (95% Confidence Interval= 0.74-0.83) and agreement rate was 87.1%. Under-triage rate by triage nurse was 6.0% and over-triage rate was 6.9%. Conclusion: For this study, inter-rater reliability was measured good level between triage nurses and research nurses in Korean single ED.

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