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首页> 外文OA文献 >Inter-rater reliability between nurses for a new paediatric triage system based primarily on vital parameters : the Paediatric Triage Instrument (PETI)
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Inter-rater reliability between nurses for a new paediatric triage system based primarily on vital parameters : the Paediatric Triage Instrument (PETI)

机译：基于主要参数的新型儿科分诊系统护士之间的评分者间可靠性：儿科分诊仪（PETI）

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Introduction: The major paediatric triage systems are primarily based on flow charts involving signs and symptoms for orientation and subjective estimates of the patient's condition. In contrast, the 4-level Paediatric Triage Instrument (PETI) is primarily based on vital parameters and was developed exclusively for paediatric triage in patients with medical symptoms. The aim of this study was to assess the inter-rater reliability of this triage system in children when used by nurses. Methods: A design was employed in which triage was performed simultaneously and independently by a research nurse and an emergency department (ED) nurse using the PETI. All patients aged <= 12 years who presented at the ED with a medical symptom were considered eligible for participation. Results: The 89 participants exhibited a median age of 2 years and were triaged by 28 different nurses. The inter-rater reliability between nurses calculated with the quadratic-weighted kappa was 0.78 (95% CI 0.67 to 0.89); the linear-weighted kappa was 0.67 (95% CI 0.56 to 0.80) and the unweighted kappa was 0.59 (95% CI 0.44 to 0.73). For the patients aged <1, 1-3 and >3 years, the quadratic-weighted kappa values were 0.67 (95% CI 0.39 to 0.94), 0.86 (95% CI 0.75 to 0.97) and 0.73 (95% CI 0.49 to 0.97), respectively. The median triage duration was 6 min. Conclusions: The PETI exhibited substantial reliability when used in children aged <= 12 years and almost perfect reliability among children aged 1-3 years. Moreover, rapid application of the PETI was demonstrated. This study has some limitations, including sample size and generalisability, but the PETI exhibited promise regarding reliability, and the next step could be either a larger reliability study or a validation study.
机译：简介：主要的儿科分诊系统主要基于流程图，包括涉及体征和症状的方向和主观评估患者的状况。相比之下，四级儿科分诊仪（PETI）主要基于生命参数，并且专门为患有医学症状的患者进行儿科分诊而开发。这项研究的目的是评估这种分诊系统在护士使用时对儿童的评估者之间的可靠性。方法：采用一种设计，其中研究护士和急诊科（ED）护士使用PETI同时独立进行分类。所有在ED中出现医学症状的小于等于12岁的患者均被视为符合参加条件。结果：89名参与者的平均年龄为2岁，并由28名不同的护士进行了分类。用二次加权kappa计算的护士之间的评估者间信度为0.78（95％CI为0.67至0.89）；线性加权kappa为0.67（95％CI为0.56至0.80），未加权kappa为0.59（95％CI为0.44至0.73）。对于<1、1-3和> 3岁的患者，二次加权κ值为0.67（95％CI为0.39至0.94），0.86（95％CI为0.75至0.97）和0.73（95％CI为0.49至0.97） ）， 分别。平均分诊时间为6分钟。结论：PETI在小于等于12岁的儿童中显示出很高的可靠性，而在1-3岁的儿童中则表现出几乎完美的可靠性。而且，证明了PETI的快速应用。这项研究有一些局限性，包括样本量和通用性，但PETI在可靠性方面显示出了希望，下一步可能是更大的可靠性研究或验证研究。

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