Abstract
BACKGROUND To compare ESI Five-Level Triage System with 5-Level Hacettepe Emergency Triage System (HETS), which was developed for Overcrowded EDs in our country. METHODS Over a period of six days, patients were assessed by a different ED staff everyday using HETS, then re-evaluated blindly by an emergency physician using HETS. Then patients were evaluated blindly for a third time by an independent, ESI-using emergency physician. RESULTS Of the patients in the study, 133 were men, 175 were women and the average age was 44.41±18.033. Inter-rater agreement was 97.40% (Kappa=0.963) between HETS and HETS-Blind, 74.35% (Kappa=0.646) between HETS and ESI-Blind, 74.67% (Kappa=0.652) between HETS- Blind and ESI-Blind. Inter-observer agreement between the second emergency physician performing HETS-Blind and the first emergency physician, resident, or nurse was very good (Kappa=1.0). Intern doctor, non-medical secretary and paramedic were found to have almost very good agreement (Kappa=0.971; 0.935; 0.864, respectively). An overtriage of 7.25% and undertriage of 1.08% were found in HETS. CONCLUSION Complaint-based HEST developed for overcrowded EDs is a triage system with a very good agreement between observations and observers. low undertriage and overtriage ratios, and easy application by all staff from a non-medical secretary to the emergency physician.
Translated title of the contribution | Aşırı kalabalık aciller için şikayet temelli bir model: Beş-düzeyli hacettepe acil triyaj sistemi |
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Original language | English |
Pages (from-to) | 205-214 |
Number of pages | 10 |
Journal | Ulusal Travma ve Acil Cerrahi Dergisi |
Volume | 19 |
Issue number | 3 |
DOIs | |
Publication status | Published - 2013 |
Externally published | Yes |
Keywords
- Complaint-based triage system
- Emergency medicine department
- Emergency severity index
- Hacettepe emergency triage system
- Triage