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http://dx.doi.org/10.5762/KAIS.2018.19.11.626

Triage Accuracy of Pediatric Patients using the Korean Triage and Acuity Scale in Emergency Departments  

Moon, Sun-Hee (Department of Nursing, College of Health and Welfare and Education, Gwangju University)
Shim, Jae Lan (Department of Nursing, College of Medicine, Dongguk University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.19, no.11, 2018 , pp. 626-634 More about this Journal
Abstract
This retrospective study investigates the accuracy of triage procedures for pediatric patients in emergency departments (EDs) using the Korean Triage and Acuity Scale (KTAS). The study includes 250 randomly selected initial nursing records and clinical outcomes of pediatric patients who visited one regional ED or a local ED from October 2016 to September 2017. The collected data were analyzed by a qualified expert to determine the true triage score. The accuracy of triage was defined as the agreement between the triage score of the emergency nurses (ENs) and the true triage score as determined by the expert. Based on expert comments, the cause of the triage error was analyzed and the KTAS score was compared with the discharge, length of stay (LOS), and medical cost. The results showed that the degree of agreement in the triage score between the experts and the ENs was excellent (weighted kappa=0.77). Among the causes of triage discordance, the most frequent was the incorrect application of vital signs to the KTAS algorithm criteria (n=13). Patients with high severity KTAS levels 1 and 2 were discharged less often (${\chi}=43.25$, p<0.001). There were significant differences in the length of stay (F=12.39, p<0.001) and cost (F=11.78, p<0.001) between KTAS scores when adjusting for age. The results of this study indicate that KTAS is highly accurate in EDs. Hence, the newly developed triage tool is becoming well established in Korea.
Keywords
Triage; Emergency Nursing; Pediatric Emergency Medicine; Reliability-Reproducibility of Results; Validation Studies; Nurse Specialists;
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